Regressão da anestesia geral em pacientes com paralisia cerebral: estudo comparativo utilizando o índice bispectral

Abstract

Patients with cerebral palsy presented a slower return to the conscious state when compared with patients in the control group.

A Comparison of Bispectral Index and Entropy During Sevoflurane Anesthesia Induction in Children with and without Diplegic Cerebral Palsy

“…However, they reported lower absolute BIS values in children with cerebral palsy than in normal children while awake and at different sevoflurane concentrations. Costa et al [ 10 ] also observed lower baseline BIS values and a slower return to the conscious state in children with cerebral palsy than in the control group during recovery of anaesthesia. In our study, BIS values in the awake state were similar between children with and without cerebral palsy.…”

Comparação dos valores do índice bispectral em pacientes com paralisia cerebral em estado de vigília

“…There is a report in the literature on the use of EEG-BIS in patients with a diagnosis of CP, but they were under general anesthesia or sedation with oral midazolam 19,20 . Considering that there are no reports on the use of this tool in awake CP patients, its use in children with morphological CNS abnormalities, such as periventricular leucomalacia, could lead to questioning of its reliability, since certain areas could present a deficit in blood flow and neuronal mass.…”