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

Abstract

The signals of the EEG are captured normally and the values of the awake EEG-BIS of CP patients are similar to that of non-CP patients.

Validity of bispectral index monitoring during deep sedation in children with spastic cerebral palsy undergoing injection of botulinum toxin

“…Because the BIS is developed on the basis of studies conducted in patients with a normal EEG, its validity and reliability could be questionable in children with CP, who have central nervous system abnormalities. Previous studies have reported that the baseline BIS values in children with CP are similar to those in normal children at wakefulness, before premedication [7,8], but lower than the same after midazolam premedication [5,6]. During sevoflurane anesthesia, children with CP who had quadriplegia and mental retardation required lower anesthetic doses than those required in normal children, but exhibited a pattern in the change of the BIS scores similar to that observed in normal children [5].…”

“…Previous studies have suggested that the BIS is also a valid monitoring tool for assessing the level of sedation in pediatric patients undergoing diagnostic or therapeutic procedures [5,6]. Previous studies have reported that the baseline BIS values in children with CP are similar to those in normal children at wakefulness, before premedication [7,8], but lower than the same after midazolam premedication [5,6]. In addition, children with CP required a lower propofol dose than that required in normal children to obtain the same BIS value during propofol anesthesia [7].…”