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

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Presentation on theme: "Validation of the index of consciousness during sevoflurane and remifentanil anaesthesia: a comparison with the bispectral index and the cerebral state."— Presentation transcript:

1 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 (November 2008) DOI: /bja/aen245 Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

2 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  , DOI: ( /bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

3 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  , DOI: ( /bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

4 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  , DOI: ( /bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

5 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  , DOI: ( /bja/aen245) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions


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