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

Slides:



Advertisements
Similar presentations
Ketamine increases the frequency of electroencephalographic bicoherence peak on the α spindle area induced with propofol  K. Hayashi, N. Tsuda, T. Sawa,
Advertisements

Human factors in anaesthesia: lessons from aviation
M.R.J. Sury, A. Worley, S.G. Boyd  British Journal of Anaesthesia 
Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult.
Relationship between Bispectral Index, electroencephalographic state entropy and effect-site EC50 for propofol at different clinical endpoints  M. Iannuzzi,
Norepinephrine and ephedrine do not counteract the increase in cutaneous microcirculation induced by spinal anaesthesia  J.-P.H. Lecoq, J.-F. Brichant,
Why is the surgical high-risk patient still at risk?
Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery  Z.A. El-Seify, A.M. Khattab, A.A. Shaaban,
Intravenous lidocaine infusion reduces bispectral index-guided requirements of propofol only during surgical stimulation†   G.A. Hans, S.M. Lauwick, A.
J Bordes, P.E. Gaillard, G Lacroix, B Palmier 
AnestAssist British Journal of Anaesthesia
Time delay of electroencephalogram index calculation: analysis of cerebral state, bispectral, and Narcotrend indices using perioperatively recorded electroencephalographic.
Dying brain British Journal of Anaesthesia
K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo 
Autonomic nervous system state: the effect of general anaesthesia and bilateral tonsillectomy after unilateral infiltration of lidocaine†  M.P.J. Paloheimo,
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 
Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery:
Burst-suppression ratio underestimates absolute duration of electroencephalogram suppression compared with visual analysis of intraoperative electroencephalogram 
Differential effects of lidocaine and remifentanil on response to the tracheal tube during emergence from general anaesthesia  J.H. Lee, B.-N. Koo, J.-J.
R.N. Upton, A.M. Martinez, C. Grant  British Journal of Anaesthesia 
L. I. Cortínez, B. J. Anderson, A Penna, L Olivares, H. R. Muñoz, N. H
EEG variables as measures of arousal during propofol anaesthesia for general surgery in children: rational selection and age dependence  C. Jeleazcov,
J. Harju, M. -L. Kalliomäki, H. Leppikangas, M. Kiviharju, A
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries    British Journal of Anaesthesia 
Behaviour of spectral entropy, spectral edge frequency 90%, and alpha and beta power parameters during low-dose propofol infusion  P. Mahon, B.R. Greene,
Intraoperative thoracic epidural anaesthesia attenuates stress-induced immunosuppression in patients undergoing major abdominal surgery†  O. Ahlers, I.
Role of the anaesthetist during cataract surgery under local anaesthesia in the UK: a national survey  K. Chandradeva, V. Nangalia, C.E. Hugkulstone 
Validation of the index of consciousness during sevoflurane and remifentanil anaesthesia: a comparison with the bispectral index and the cerebral state.
Evaluation of the effect of intravenous lidocaine on propofol requirements during total intravenous anaesthesia as measured by bispectral index†  F.R.
Sumatriptan improves postoperative quality of recovery and reduces postcraniotomy headache after cranial nerve decompression  L. Venkatraghavan, L. Li,
Detection of awareness in surgical patients with EEG-based indices—bispectral index and patient state index†‡  G. Schneider, A.W. Gelb, B. Schmeller,
Effect of continuous low-dose intravenous diltiazem on epidural fentanyl analgesia after lower abdominal surgery  K. Nitahara, M. Matsunaga, K. Katori,
Awareness and the EEG power spectrum: analysis of frequencies
Development of acute tolerance to the EEG effect of propofol in rats†
EEG-controlled closed-loop dosing of propofol in rats
Do team processes really have an effect on clinical performance
Comparison of Bispectral Index and Entropy values with electroencephalogram during surgical anaesthesia with sevoflurane†  A.J. Aho, K. Kamata, V. Jäntti,
Anaesthetists’ non-technical skills
Does bispectral analysis add anything but complexity
S. Pilge, D. Jordan, M. Kreuzer, E.F. Kochs, G. Schneider 
Successful intubation using retrograde trans-tracheal illumination after laryngoscope light source failure  J Hudson, M Vu, E Vu  British Journal of Anaesthesia 
Is postspinal hypotension a sign of impaired cardiac performance in the elderly? An observational mechanistic study  J. Jakobsson, S.H. Kalman, M. Lindeberg-Lindvet,
The output of two sevoflurane vaporizers in the presence of helium
FastrachTM tubes: modifying the design for use with the LMA CTrachTM?
Do old pharmacokinetic parameter estimates predict new data?
Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-anaesthesia care unit: a randomized clinical.
Prothrombin complex concentrate mitigates diffuse bleeding after cardiopulmonary bypass in a porcine model  F Kaspereit, S Hoffmann, I Pragst, G Dickneite 
The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia  P.L. Purdon, K.J. Pavone, O.
L Witt, W. A. Osthaus, T Lücke, B Jüttner, N Teich, S Jänisch, A. S
Self-citation in anaesthesia and critical care journals: introducing a flat tax  G Landoni, M Pieri, D Nicolotti, S Silvetti, P Landoni, P Silvani, M John,
G.B. Drummond, B. Lafferty  British Journal of Anaesthesia 
J Lee, S Gupta, C Price, A.P. Baranowski 
A. J. Byrne, M Oliver, O Bodger, W. A
Spinal anaesthesia for ambulatory arthroscopic surgery of the knee: a comparison of low-dose prilocaine and fentanyl with bupivacaine and fentanyl  A.S.
Sufentanil administration guided by surgical pleth index vs standard practice during sevoflurane anaesthesia: a randomized controlled pilot study†  M.
A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study 
D Anton, P Friederich  British Journal of Anaesthesia 
Rocuronium dose-dependently suppresses the spectral entropy response to tracheal intubation during propofol anaesthesia  M. Kawaguchi, I. Takamatsu, T.
Sugammadex for reversal of neuromuscular block after rapid sequence intubation: a systematic review and economic assessment†   D Chambers, M Paulden,
Unconscious learning during surgery with propofol 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.
Relationship between Bispectral Index, electroencephalographic state entropy and effect-site EC50 for propofol at different clinical endpoints  M. Iannuzzi,
Additional femoral catheter in combination with popliteal catheter for analgesia after major ankle surgery  S Blumenthal, A Borgeat, C Neudörfer, R Bertolini,
Voltage changes in the lithium dilution cardiac output sensor after exposure to blood from horses given xylazine  T.D. Ambrisko, Y. Moens  British Journal.
Effect of body mass index on the ED50 volume of bupivacaine 0
Monitoring level of sedation with bispectral EEG analysis: comparison between hypothermic and normothermic cardiopulmonary bypass†  D. Schmidlin, P. Hager,
Low-dose remifentanil to suppress haemodynamic responses to noxious stimuli in cardiac surgery: a dose-finding study  B. Steinlechner, M. Dworschak, B.
Narcotrend-assisted propofol/remifentanil anaesthesia vs clinical practice: does it make a difference?  I. Rundshagen, T. Hardt, K. Cortina, F. Pragst,
Analysis of pharmacodynamic interaction of sevoflurane and propofol on bispectral index during general anaesthesia using a response surface model  J.C.
Presentation transcript:

Performance of electroencephalogram-derived parameters in prediction of depth of anaesthesia in a rabbit model  A. Silva, D.A. Ferreira, C. Venâncio, A.P. Souza, L.M. Antunes  British Journal of Anaesthesia  Volume 106, Issue 4, Pages 540-547 (April 2011) DOI: 10.1093/bja/aeq407 Copyright © 2011 The Author(s) Terms and Conditions

Fig 1 Prediction probabilities (Pks) for the studied indices: IoC, index of consciousness; PE, permutation entropy; AE, approximate entropy; MEF, median edge frequency; SEF, spectral edge frequency 95%; BSPE, burst suppression corrected PE; BSMEF, BS corrected MEF; and BSSEF, BS corrected SEF. Each animal’s Pk value is shown by a symbol (n=6). British Journal of Anaesthesia 2011 106, 540-547DOI: (10.1093/bja/aeq407) Copyright © 2011 The Author(s) Terms and Conditions

Fig 2 Indices computed from the EEG (n=6) at different study times: T0, baseline recording; T1, 1 min after fentanyl administration; T2, right before intubation; T3, when the ear pinch reflex was lost; T4, 1 min before incision; T5, 1 min after incision; T6, 5 min after incision; T7, 10 min after incision; T8, end of surgery; T9, at extubation; T10, regaining ambulation. (a) IoC, index of consciousness; (b) Burst suppression ratio (BS, %); (c) PE, permutation entropy (green line) and BSPE, burst suppression corrected PE (blue line); (d) AE, approximate entropy; (e) MEF, median edge frequency (green line) and BSMEF, BS corrected MEF (blue line), and (f) SEF, spectral edge frequency 95% (green line) and BSSEF, BS corrected SEF (blue line). Mean and standard deviation of the mean are presented. Statistically significant differences from the previous measurement: ***P<0.001; **P<0.01; *P<0.05. British Journal of Anaesthesia 2011 106, 540-547DOI: (10.1093/bja/aeq407) Copyright © 2011 The Author(s) Terms and Conditions