Impact of Bispectral Index for monitoring propofol remifentanil anaesthesia. A randomised clinical trial

Bresil, Piergiorgio; Nielsson, Malene Schou; Malver, Lasse Paludan; Kraemer, Kasper Kragh; Schjørring, Olav Lilleholt; Dethlefsen, Claus; Lambert, Per Henrik

doi:10.1111/aas.12158

Cited by 21 publications

(18 citation statements)

References 17 publications

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“…Other more recent studies showed similar results to those of our study: For total intravenous anesthesia with propofol and remifentanil in adults and children, Bresil and colleagues showed that the additional use of BIS neither resulted in reduced consumption of anesthetics nor in reduced time to extubation [5]. Additionally, in particular for the sedation of children, Dag and colleagues showed that additional BIS monitoring was not associated with the applied sedative doses, the observed frequency of adverse events, or recovery time [7].…”

Section: Discussionsupporting

confidence: 90%

“…Both studies used equal or similar sedation regimes and BIS targets to those in our investigation. The median BIS values were 65 [5], 60-70 [7] and 59 in our study. These values reflect deep but not very deep sedation.…”

Section: Discussionsupporting

confidence: 44%

“…A single study on anesthetized and ventilated children showed that sedative doses were significantly lower using additional BIS monitoring [4]. In contrast, other recent investigations show that additional BIS monitoring during general anesthesia or sedation/analgesia does not help in reducing the sedative dose, awakening time or complication rate [5,7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Influence of BIS Monitoring on Sedative Dose in Pediatric Patients Undergoing Open Muscle Biopsies – a Randomized Controlled Trial

et al. 2017

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 44%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Influence of BIS Monitoring on Sedative Dose in Pediatric Patients Undergoing Open Muscle Biopsies – a Randomized Controlled Trial

et al. 2017

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“…In non-traumatic unconsciousness like during anesthesia, variables derived from electroencephalogram (EEG) like bispectral index (BIS) and cerebral state index (CSI) have been widely used to monitor the depth of anesthesia objectively and quantitatively (2). Among these indices further studies have been undertaken based on BIS (3)(4)(5). Many investigators have tried to broaden the monitoring use of BIS for TBI patients (6,7) and among those many studies found a significant correlation between BIS and GCS (8-11) and some did not (12).…”

Section: Introductionmentioning

confidence: 99%

Agreement of cerebral state index and glasgow coma scale in brain-injured patients

Mahdian¹,

Fazel²,

Fakharian³

et al. 2015

Trauma Mon

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Background:Variables derived from electroencephalogram like cerebral state index (CSI) have been used to monitor the anesthesia depth during general anesthesia. Observed evidences show such variables have also been used as a detector of brain death or outcome predictor in traumatic brain-injured (TBI) patients. Objectives: The current study was designed to determine the correlation between Glasgow coma score (GCS) and CSI among TBI patients. Patients and Methods: In 60 brain-injured patients who did not need and receive sedatives, GCS and CSI were daily measured during the first ten days of their hospital stay. Correlation between GCS and CSI was studied using the Pearson's correlation test. The Gamma agreement coefficient was also calculated between the two variables for the first day of hospitalization. Results: A significant correlation coefficient of 0.611-0.796 was observed between CSI and GCS in a ten-day period of the study (P < 0.001). Gamma agreement coefficient was 0.79 (P < 0.001) for CSI and GCS for the first day of hospitalization. An increased daily correlation was observed in both CSI and GCS values. However, this increase was less significant in CSI compared with the GCS. Conclusions: A statistically significant correlation and agreement was found between GCS and CSI in the brain-injured patients and GCS was also found to be more consistent and reliable compared with CSI.

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“…In non-traumatic unconsciousness like during anesthesia, variables derived from electroencephalogram (EEG) like bispectral index (BIS) and cerebral state index (CSI) have been widely used to monitor the depth of anesthesia objectively and quantitatively (2). Among these indices further studies have been undertaken based on BIS (3-5). Many investigators have tried to broaden the monitoring use of BIS for TBI patients (6, 7) and among those many studies found a significant correlation between BIS and GCS (8-11) and some did not (12).…”

Section: Introductionmentioning

confidence: 99%

Agreement of Cerebral State Index and Glasgow Coma Scale in Brain-Injured Patients

et al. 2014

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Background:Variables derived from electroencephalogram like cerebral state index (CSI) have been used to monitor the anesthesia depth during general anesthesia. Observed evidences show such variables have also been used as a detector of brain death or outcome predictor in traumatic brain-injured (TBI) patients.Objectives:The current study was designed to determine the correlation between Glasgow coma score (GCS) and CSI among TBI patients.Patients and Methods:In 60 brain-injured patients who did not need and receive sedatives, GCS and CSI were daily measured during the first ten days of their hospital stay. Correlation between GCS and CSI was studied using the Pearson's correlation test. The Gamma agreement coefficient was also calculated between the two variables for the first day of hospitalization.Results:A significant correlation coefficient of 0.611-0.796 was observed between CSI and GCS in a ten-day period of the study (P < 0.001). Gamma agreement coefficient was 0.79 (P < 0.001) for CSI and GCS for the first day of hospitalization. An increased daily correlation was observed in both CSI and GCS values. However, this increase was less significant in CSI compared with the GCS.Conclusions:A statistically significant correlation and agreement was found between GCS and CSI in the brain-injured patients and GCS was also found to be more consistent and reliable compared with CSI.

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Impact of Bispectral Index for monitoring propofol remifentanil anaesthesia. A randomised clinical trial

Abstract: BIS monitoring for guidance of propofol-remifentanil anaesthesia does not result in reduced consumption of anaesthetics and does not reduce time to extubation in adult and children compared with conventional practice.

Cited by 21 publications

References 17 publications

The Influence of BIS Monitoring on Sedative Dose in Pediatric Patients Undergoing Open Muscle Biopsies – a Randomized Controlled Trial

The Influence of BIS Monitoring on Sedative Dose in Pediatric Patients Undergoing Open Muscle Biopsies – a Randomized Controlled Trial

Agreement of cerebral state index and glasgow coma scale in brain-injured patients

Agreement of Cerebral State Index and Glasgow Coma Scale in Brain-Injured Patients

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