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The Efficacy of Intraoperative EEG to Predict the Occurrence of Emergence Agitation in the Postanesthetic Room After Sevoflurane Anesthesia in Children 

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Presentation on theme: "The Efficacy of Intraoperative EEG to Predict the Occurrence of Emergence Agitation in the Postanesthetic Room After Sevoflurane Anesthesia in Children "— Presentation transcript:

1 The Efficacy of Intraoperative EEG to Predict the Occurrence of Emergence Agitation in the Postanesthetic Room After Sevoflurane Anesthesia in Children  Young-Eun Jang, MD, Sung-Ae Jeong, MD, Sun-Young Kim, RN, In-Kyung Song, MD, Ji-Hyun Lee, MD, Jin-Tae Kim, MD, Hee-Soo Kim, MD, PhD  Journal of PeriAnesthesia Nursing  Volume 33, Issue 1, Pages (February 2018) DOI: /j.jopan Copyright © 2016 American Society of PeriAnesthesia Nurses Terms and Conditions

2 Figure 1 The international 10 to 20 system of electroencephalographic montage. Adapted from Journal of PeriAnesthesia Nursing  , 45-52DOI: ( /j.jopan ) Copyright © 2016 American Society of PeriAnesthesia Nurses Terms and Conditions

3 Figure 2 An example of time courses of percentages of theta and alpha bands of electroencephalography during sevoflurane anesthesia. Three-year-old child with emergency agitation (EA; left) showed high-alpha power and low-theta power during the maintenance of anesthesia (theta = 22.7, alpha = 23.5, theta/alpha ratio = 0.96, and Spectral edge frequency 95 [SEF95] = 16.6) and emergency (theta = 12.8, alpha = 46.2, theta/alpha ratio = 0.28, and SEF95 = 11.1), whereas 3-year-old child without EA (right) showed low-alpha power and high-theta power during the maintenance of anesthesia (theta = 34.0, alpha = 19.8, theta/alpha ratio = 1.71, and SEF95 = 11.3) and emergency (theta = 17.1, alpha = 36.1, theta/alpha ratio = 0.47, and SEF95 = 17.2). EAS score (EAS) of these children at 0, 15, and 30 minutes after postanesthetic care unit arrival were “3/5/4” (left), and “2/1/2” (right), respectively. End-tidal sevoflurane concentrations are shown with bars. MAC, minimum alveolar concentration. Journal of PeriAnesthesia Nursing  , 45-52DOI: ( /j.jopan ) Copyright © 2016 American Society of PeriAnesthesia Nurses Terms and Conditions

4 Figure 3 Receiver-operating characteristic (ROC) analysis of alpha power at 0.3 minimum alveolar concentration (MAC) of end-tidal sevoflurane (EtSEVO) and the occurrence of emergency agitation (EA). The area under ROC curve is Journal of PeriAnesthesia Nursing  , 45-52DOI: ( /j.jopan ) Copyright © 2016 American Society of PeriAnesthesia Nurses Terms and Conditions

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