Validation of the index of consciousness during sevoflurane and remifentanil anaesthesia: a comparison with the bispectral index and the cerebral state.

Slides:

Advertisements

Similar presentations

Concentration-dependent suppression of F-waves by sevoflurane does not predict immobility to painful stimuli in humans† J.H. Baars, D. Kalisch, K.F.

Advertisements

M.R.J. Sury, A. Worley, S.G. Boyd British Journal of Anaesthesia

The Moment of Death Journal of Pain and Symptom Management

Time delay of electroencephalogram index calculation: analysis of cerebral state, bispectral, and Narcotrend indices using perioperatively recorded electroencephalographic.

W. Habre, T. Asztalos, P.D. Sly, F. Petak

Facial muscle activity, Response Entropy, and State Entropy indices during noxious stimuli in propofol–nitrous oxide or propofol–nitrous oxide–remifentanil.

E. Olofsen, J.W. Sleigh, A. Dahan British Journal of Anaesthesia

Spinal anaesthesia for elective surgery: a comparison of hyperbaric solutions of racemic bupivacaine, levobupivacaine, and ropivacaine J.F. Luck, P.D.W.

P.J. Schuller, S. Newell, P.A. Strickland, J.J. Barry

A different use of visual analytic techniques in anaesthetics

Comparison of pattern of breathing with other measures of induction of anaesthesia, using propofol, methohexital, and sevoflurane† T.L. Strickland, G.B.

Cerebral haemodynamic changes during propofol–remifentanil or sevoflurane anaesthesia: transcranial Doppler study under bispectral index monitoring A.

S. Kreuer, J. Bruhn, R. Larsen, M. Hoepstein, W. Wilhelm

EEG variables as measures of arousal during propofol anaesthesia for general surgery in children: rational selection and age dependence C. Jeleazcov,

Bilateral bispectral index monitoring during and after electroconvulsive therapy compared with magnetic seizure therapy for treatment-resistant depression

Bispectral index, serum drug concentrations and emergence associated with individually adjusted target-controlled infusions of remifentanil and propofol.

EEG signal processing in anaesthesia

Evaluation of a single preoperative dose of pregabalin for attenuation of postoperative pain after laparoscopic cholecystectomy A. Agarwal, S. Gautam,

BIS guided sedation with propofol during spinal anaesthesia: influence of anaesthetic level on sedation requirement Ozkan-Seyhan T. , Sungur M. Orhan.

I. Merino, X. Borrat, J. Balust, S. Delgado, A. M. Lacy, J. Vidal, G

Spectral entropy measurement of patient responsiveness during propofol and remifentanil. A comparison with the bispectral index† Vanluchene A.L.G. ,

Sugammadex administration results in arousal from intravenous anaesthesia: a clinical and electroencephalographic observation T. Chazot, G. Dumont, M.

Comparison of changes in electroencephalographic measures during induction of general anaesthesia: influence of the gamma frequency band and electromyogram.

Detection of awareness in surgical patients with EEG-based indices—bispectral index and patient state index†‡ G. Schneider, A.W. Gelb, B. Schmeller,

Awareness and the EEG power spectrum: analysis of frequencies

Psychology of pain British Journal of Anaesthesia

K.J. Chin British Journal of Anaesthesia

Comparison of Bispectral Index and Entropy values with electroencephalogram during surgical anaesthesia with sevoflurane† A.J. Aho, K. Kamata, V. Jäntti,

Randomized controlled trial of the haemodynamic and recovery effects of xenon or propofol anaesthesia Coburn M. , Kunitz O. , Baumert J.-H. , Hecker.

Bispectral analysis of the electroencephalogram does not predict responsiveness to verbal command in patients emerging from xenon anaesthesia† T. Goto,

Does bispectral analysis add anything but complexity

Comparative study of topical anaesthesia with lidocaine 2% vs levobupivacaine 0.75% in cataract surgery S.A. Fernández, E. Dios, J.C. Diz British Journal.

G. Park, M. Lane, S. Rogers, P. Bassett British Journal of Anaesthesia

S. Pilge, D. Jordan, M. Kreuzer, E.F. Kochs, G. Schneider

Patient state index vs bispectral index as measures of the electroencephalographic effects of propofol M Soehle, M Kuech, M Grube, S Wirz, S Kreuer,

Physiological effects of hyperchloraemia and acidosis

Optimization of desflurane administration in morbidly obese patients: a comparison with sevoflurane using an ‘inhalation bolus’ technique L.E.C. De Baerdemaeker,

Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing A. Sarang, J. Dinsmore British Journal of Anaesthesia

L. Telci, F. Esen, D. Akcora, T. Erden, A.T. Canbolat, K. Akpir

Distraction and interruption in anaesthetic practice

Comparison of 1% and 2% lidocaine epidural anaesthesia combined with sevoflurane general anaesthesia utilizing a constant bispectral index A Shono, S.

Nervus medianus evoked potentials and bispectral index during repeated transitions from consciousness to unconsciousness† I. Rundshagen, J. Mast, N.

Effect of propofol and sevoflurane on coughing in smokers and non-smokers awakening from general anaesthesia at the end of a cervical spine surgery P.

Frequency band of EMG in anaesthesia monitoring

Hyperventilation-induced hypocapnia changes the pattern of electroencephalographic bicoherence growth during sevoflurane anaesthesia K. Hayashi, M. Fujikawa,

GlideScope® video laryngoscope: a randomized clinical trial in 203 paediatric patients† J.-T. Kim, H.-S. Na, J.-Y. Bae, D.-W. Kim, H.-S. Kim, C.S. Kim,

O. Tirel, E. Wodey, R. Harris, J.Y. Bansard, C. Ecoffey, L. Senhadji

C. Menigaux, B. Guignard, F. Adam, D.I. Sessler, V. Joly, M. Chauvin

Effects of different remifentanil target concentrations on MAC BAR of sevoflurane in gynaecological patients with CO2 pneumoperitoneum stimulus Z.-Y.

Raw EEG characteristics, bispectral index, and suppression ratio variations during generalized seizure in electroconvulsive therapy A Ntahe, G Fournis,

Performance of electroencephalogram-derived parameters in prediction of depth of anaesthesia in a rabbit model A. Silva, D.A. Ferreira, C. Venâncio,

The preoperative administration of ketoprofen improves analgesia after laparoscopic cholecystectomy in comparison with propacetamol or postoperative ketoprofen

Teamwork, communication, and anaesthetic assistance in Scotland

Decreased bispectral index as an indicator of syncope before hypotension and bradycardia in two patients with needle phobia N.N. Win, H Kohase, T Miyamoto,

Assessment of pulse transit time to indicate cardiovascular changes during obstetric spinal anaesthesia† G Sharwood-Smith, J Bruce, G Drummond British.

Transient decreases in Bispectral Index without associated changes in the level of consciousness during photic stimulation in an epileptic patient N.

Inter-hemispheric cerebral oxygen saturation differences during thoracic surgery in lateral head positioning† T.M. Hemmerling, R. Kazan, D. Bracco British.

Reduction of vasopressor requirement by hydrocortisone administration in a patient with cerebral vasospasm J.A. Alhashemi British Journal of Anaesthesia

Evaluation of bispectral index and auditory evoked potentials for hypnotic depth monitoring during balanced xenon anaesthesia compared with sevoflurane

Takamatsu I. , Ozaki M. , Kazama T. British Journal of Anaesthesia

Controlled hypotension for middle ear surgery: a comparison between remifentanil and magnesium sulphate† J.-H. Ryu, I.-S. Sohn, S.-H. Do British Journal.

D.A. Rowney, R. Fairgrieve, B. Bissonnette

Effect of pre-exposure to sevoflurane on the bispectral index in women undergoing Caesarean delivery under general anaesthesia W.J. Choi, S.H. Kim, W.U.

Skin conductance monitoring compared with bispectral index® monitoring to assess emergence from general anaesthesia using sevoflurane and remifentanil

M. J. Sheen, S. -T. Ho, C. -H. Lee, Y. -C. Tsung, F. -L. Chang, S. -T

Monitoring level of sedation with bispectral EEG analysis: comparison between hypothermic and normothermic cardiopulmonary bypass† D. Schmidlin, P. Hager,

Closed-loop control of propofol anaesthesia using bispectral index™: performance assessment in patients receiving computer-controlled propofol and manually.

Performance of entropy and Bispectral Index as measures of anaesthesia effect in children of different ages† A.J. Davidson, G.H. Huang, C.S. Rebmann,

Effect of prewarming on post-induction core temperature and the incidence of inadvertent perioperative hypothermia in patients undergoing general anaesthesia

Analysis of pharmacodynamic interaction of sevoflurane and propofol on bispectral index during general anaesthesia using a response surface model J.C.

Presentation transcript:

Validation of the index of consciousness during sevoflurane and remifentanil anaesthesia: a comparison with the bispectral index and the cerebral state index M. Revuelta, P. Paniagua, J.M. Campos, J.A. Fernández, A. Martínez, M. Jospin, H. Litvan British Journal of Anaesthesia Volume 101, Issue 5, Pages 653-658 (November 2008) DOI: 10.1093/bja/aen245 Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 1 The raw data used for the Pk calculations with the BIS (a), CSI (b), and IoC (c) and the OAAS scale levels 5 (awake), and 1–0 (anaesthetized). The triangles represent the indices while awake and after the induction and the circles represent the indices recorded during the maintenance of anaesthesia. British Journal of Anaesthesia 2008 101, 653-658DOI: (10.1093/bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig 2 (a) An example of a recording where there was a decrease in the three indices after administration of atracurium, the effect was pronounced most clearly on the CSI; (b) an example of a recording where a good agreement was achieved among the three indices. British Journal of Anaesthesia 2008 101, 653-658DOI: (10.1093/bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig A1 (a) From the surface EEG are extracted three parameters, that is, the beta-ratio, the symbolic dynamics, and the ESR. (b) Method used to calculate the IoC. SD, symbolic dynamics; Beta, beta-ratio; ESR, EEG suppression rate. British Journal of Anaesthesia 2008 101, 653-658DOI: (10.1093/bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

Fig A2 The IoC-view monitor with a display showing the EEG and in the upper right corner, the IoC. Additionally, the value for ESR and bars for the EMG activity and the quality of the signal (SQI) are shown. British Journal of Anaesthesia 2008 101, 653-658DOI: (10.1093/bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions