scholarly journals Burst suppression ratio is the only determinant for BIS values below 30

2002 ◽  
Vol 49 (7) ◽  
pp. 755-756 ◽  
Author(s):  
Jörgen Bruhn
2016 ◽  
Vol 33 (2) ◽  
pp. 127-132 ◽  
Author(s):  
Mihai Moldovan ◽  
Alexandru Calin ◽  
Vishakhadatta M. Kumaraswamy ◽  
Diana Braver ◽  
Mirela V. Simon

2006 ◽  
Vol 103 (6) ◽  
pp. 1609-1610 ◽  
Author(s):  
Ngai Liu ◽  
Thierry Chazot ◽  
Catherine Mutter ◽  
Marc Fischler

2006 ◽  
Vol 23 (5) ◽  
pp. 391-402 ◽  
Author(s):  
P. L. C. van den Broek ◽  
C. M. van Rijn ◽  
J. van Egmond ◽  
A. M. L. Coenen ◽  
L. H. D. J. Booij

2003 ◽  
Vol 90 (2) ◽  
pp. 122-126 ◽  
Author(s):  
K. Yoshitani ◽  
M. Kawaguchi ◽  
M. Takahashi ◽  
K. Kitaguchi ◽  
H. Furuya

2000 ◽  
Vol 93 (4) ◽  
pp. 981-985 ◽  
Author(s):  
Jörgen Bruhn ◽  
Heiko Röpcke ◽  
Benno Rehberg ◽  
Thomas Bouillon ◽  
Andreas Hoeft

Background Approximate entropy, a measure of signal complexity and regularity, quantifies electroencephalogram changes during anesthesia. With increasing doses of anesthetics, burst-suppression patterns occur. Because of the high-frequency bursts, spectrally based parameters such as median electroencephalogram frequency and spectral edge frequency 95 do not decrease, incorrectly suggesting lightening of anesthesia. The authors investigated whether the approximate entropy algorithm correctly classifies the occurrence of burst suppression as deepening of anesthesia. Methods Eleven female patients scheduled for elective major surgery were studied. After propofol induction, anesthesia was maintained with isoflurane only. Before surgery, the end-tidal isoflurane concentration was varied between 0.6 and 1.3 minimum alveolar concentration. The raw electroencephalogram was continuously recorded and sampled at 128 Hz. Approximate entropy, electroencephalogram median frequency, spectral edge frequency 95, burst-suppression ratio, and burst-compensated spectral edge frequency 95 were calculated offline from 8-s epochs. The relation between burst-suppression ratio and approximate entropy, electroencephalogram median frequency, spectral edge frequency 95, and burst-compensated spectral edge frequency 95 was analyzed using Pearson correlation coefficient. Results Higher isoflurane concentrations were associated with higher burst-suppression ratios. Electroencephalogram median frequency (r = 0.34) and spectral edge frequency 95 (r = 0.29) increased, approximate entropy (r = -0.94) and burst-compensated spectral edge frequency 95 (r = -0.88) decreased with increasing burst-suppression ratio. Conclusion Electroencephalogram approximate entropy, but not electroencephalogram median frequency or spectral edge frequency 95 without burst compensation, correctly classifies the occurrence of burst-suppression pattern as increasing anesthetic drug effect.


2002 ◽  
Vol 96 (Sup 2) ◽  
pp. A539
Author(s):  
Oliver Dressler ◽  
Gerhard Schneider ◽  
Karl Naguib ◽  
Gudrun Stockmanns ◽  
Eberhard F. Kochs

2019 ◽  
Vol 8 (8) ◽  
pp. 1186
Author(s):  
Dahye Jung ◽  
Sungwon Yang ◽  
Min Soo Lee ◽  
Yoonki Lee

The bispectral index is affected by various factors, such as noxious stimuli and other drugs, such as muscle relaxants. The burst suppression ratio from bispectral index monitoring is correlated with electroencephalographic burst suppression, which is associated with deep anesthesia, metabolic disorders, and brain injury. We assessed patients undergoing total intravenous anesthesia and examined the effects of remifentanil on the bispectral index, burst suppression ratio, and hemodynamic changes immediately after loss of consciousness with propofol. Seventy American Society of Anesthesiologists physical status class I and II Korean female patients scheduled for general anesthesia were administered propofol with an effect-site concentration of 5 μg/mL, using a target-controlled infusion (TCI). After losing consciousness, patients received either saline or remifentanil at an effect-site concentration of 5 ng/mL for 10 min. During this period, we recorded the bispectral index values, including burst suppression ratio, blood pressure, and heart rate. With remifentanil infusion, burst suppression ratios were lower (p < 0.01) but bispectral values were not different. The burst suppression ratio was significantly different at 6, 7, 8, and 10 min after remifentanil infusion (p < 0.05). In female patients with propofol-induced unconsciousness, remifentanil alleviated the burst suppression ratio without affecting the bispectral value.


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