The cerebral state index is calculated using a fuzzy logic combination of four subparameters of the electroencephalographic signal. It is unique among the quantitative electroencephalogram qeeg parameters because it integrates several independent descriptors of the eeg into a single variable. Lambert, p, e junke, c meistelman, michel struys, and d longrois. 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. The results may help the anaesthesiologists interpret the erroneous bis values observed during clinical practice. 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 also share information about your use of our site with our social media and. We report a case of a falsely elevatedbispectral index bis. Bispectral index monitoring, bis, general anesthesia, pediatric dentistry, sedation. Bispectral index is one of several technologies used to monitor depth of anesthesia. 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. The degree of bicoherence of the eeg increases with increasing anesthetic depth fig. Pdf reliable and safe provision of sedation and general anesthesia is dependent on continuous. There are several alternative technologies to quantify the depth of anesthesia, but only the bis and snap monitors are licensed in canada.
Update on bispectral index monitoring sciencedirect. Early detection of brain death using the bispectral index bis in. Bis monitors are used to supplement guedels classification system for determining depth of anesthesia. Bispectral index score and observers assessment of awareness sedation score may manifest divergence during onset of sedation. Lindex bispectral bis a ete commercialise en 1994 par aspect medical systems. Bis was shown to correlate well with the level of sedation produced by propofol and to accurately predict loss of consciousness 12. Article information, pdf download for does the bispectral index. Occurrence of and risk factors for electroencephalogram burst suppression during. Bispectral index synonyms, bispectral index pronunciation, bispectral index translation, english dictionary definition of bispectral index. 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. Sciencedirect is a registered trademark of elsevier. Analysis of brain electrical activity is a method of assessing brain function. Variation of bispectral index in children aged 112 years under. Bis monitors are intended to replace or supplement guedels classification system for determining depth of.
Does the bispectral index monitor have a role in intensive care. Pdf bilateral bispectral index bisvista monitoring of. 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. Bispectral index monitor ontario healthtechnology assessment series 2004. These studies demonstrate that bis correlates well with vari ous hypnotic clinical endpoints e. Pdf depth of anesthesia and bispectral index monitoring. Passot and others published monitorage par l index bispectral.
The full text of this article is available in pdf format. Titrating anesthetic agents to a specific bispectral index during general anesthesia in adults and children over 1 year old allows the anesthetist. Bispectral index definition of bispectral index by the. The bispectral index bis is an electroencephalogram eegderived parameter to monitor the hypnotic effects of anesthetics. Data driven investigation of bispectral index algorithm scientific. Bispectral index score and observers assessment of awarenesssedation score may manifest divergence during onset of sedation. Bispectral index bis is one of several technologies used to monitor depth of anesthesia. Bispectral index monitoring anesthesiology clinics. Bilateral bispectral index bisvista monitoring of cerebral hypoperfusion in patients with carotid artery stenosis undergoing coronary artery bypass surgery. Analysis of bispectral index, state and response entropy. The objective of this study was to prospectively test the cerebral state index designed for measuring the depth of anesthesia. Benefit of general anesthesia monitored by bispectral index.
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