Bispectral index monitoring anesthesiology clinics. Bispectral index is one of several technologies used to monitor depth of anesthesia. Bispectral index monitor ontario healthtechnology assessment series 2004. Bilateral bispectral index bisvista monitoring of cerebral hypoperfusion in patients with carotid artery stenosis undergoing coronary artery bypass surgery. Bispectral index score and observers assessment of awarenesssedation score may manifest divergence during onset of sedation. Pdf depth of anesthesia and bispectral index monitoring.
Titrating anesthetic agents to a specific bispectral index during general anesthesia in adults and children over 1 year old allows the anesthetist. Bis monitors are intended to replace or supplement guedels classification system for determining depth of. There are several alternative technologies to quantify the depth of anesthesia, but only the bis and snap monitors are licensed in canada. Passot and others published monitorage par l index bispectral. The cerebral state index is calculated using a fuzzy logic combination of four subparameters of the electroencephalographic signal. Lindex bispectral bis a ete commercialise en 1994 par aspect medical systems. Download free acrobat reader dc software, the only pdf viewer that lets you read, search, print, and interact with virtually any type of pdf file. We report a case of a falsely elevatedbispectral index bis. Analysis of brain electrical activity is a method of assessing brain function. Frenzel d, greim ca, sommer c, bauerle k, roewer n 2002 is the hispectral index appropriate for monitoring the sedation level of mechanically ventilated surgical icu patients. Bis monitors are used to supplement guedels classification system for determining depth of anesthesia. The bispectral index bis, aspect medical systems, natick, ma is a complex parameter, composed of a combination of time domain, frequency domain, and high order spectral subparameters 5.
Early detection of brain death using the bispectral index bis in. The performance of the cerebral state index was compared with that of the bispectral index and the aline arx index. Analysis of bispectral index, state and response entropy. The full text of this article is available in pdf format. Update on bispectral index monitoring sciencedirect. We report a case of a falsely elevatedbispectral index bis during a general anaesthesia combining remifentanil tci, desflurane and nitrous oxide for an isolatedlimb chemotherapy.
Depth of anesthesia and bispectral index monitoring. Occurrence of and risk factors for electroencephalogram burst suppression during. Variation of bispectral index in children aged 112 years under. Benefit of general anesthesia monitored by bispectral index. Data driven investigation of bispectral index algorithm scientific. Bis was shown to correlate well with the level of sedation produced by propofol and to accurately predict loss of consciousness 12. We report a case of a falsely elevated bispectral index bis during a general anaesthesia combining remifentanil tci, desflurane and nitrous oxide for an isolatedlimb chemotherapy.
Analysis of bispectral index, state and response entropy values upon emergence from anesthesia in patients anaesthetized with propofol or sevoflurane. The main objective of this study was to investigate whether manual administration of propofol guided by bis compared to a weightbased manual. Pdf reliable and safe provision of sedation and general anesthesia is dependent on continuous. Bispectral index synonyms, bispectral index pronunciation, bispectral index translation, english dictionary definition of bispectral index. The objective of this study was to prospectively test the cerebral state index designed for measuring the depth of anesthesia. The results may help the anaesthesiologists interpret the erroneous bis values observed during clinical practice. The degree of bicoherence of the eeg increases with increasing anesthetic depth fig. Pdf bilateral bispectral index bisvista monitoring of. These studies demonstrate that bis correlates well with vari ous hypnotic clinical endpoints e. The bispectral index bis is an electroencephalogram eegderived parameter to monitor the hypnotic effects of anesthetics. Bispectral index definition of bispectral index by the. It is unique among the quantitative electroencephalogram qeeg parameters because it integrates several independent descriptors of the eeg into a single variable. Does the bispectral index monitor have a role in intensive care.
Bispectral index bis is one of several technologies used to monitor depth of anesthesia. Originally, the device was approved only for monitoring hypnosis and has now received an indication for reducing the incidence of intraoperative awareness during anesthesia. Bispectral index score and observers assessment of awareness sedation score may manifest divergence during onset of sedation. We also share information about your use of our site with our social media and. Sciencedirect is a registered trademark of elsevier. Bispectral index monitoring, bis, general anesthesia, pediatric dentistry, sedation. Lambert, p, e junke, c meistelman, michel struys, and d longrois. Module dindex bispectral bisx spacelabs healthcare.
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