The role and limitations of EEG-based depth of anaesthesia monitoring in theatres and intensive care

被引：117

作者：

Hajat, Z. ^{[1
]}

Ahmad, N. ^{[1
]}

Andrzejowski, J. ^{[1
]}

机构：

[1] Sheffield Teaching Hosp NHS Trust, Sheffield, S Yorkshire, England

来源：

ANAESTHESIA | 2017年 / 72卷

关键词：

accidental awareness; anaesthetic monitoring; factors affecting anaesthetic depth; processed EEG; sedation in Intensive care; ISOLATED FOREARM TECHNIQUE; CRITICALLY-ILL PATIENTS; BISPECTRAL INDEX; GENERAL-ANESTHESIA; CARDIAC-ARREST; ACCIDENTAL AWARENESS; NEUROMUSCULAR BLOCK; PROPOFOL ANESTHESIA; OXYGEN-SATURATION; NITROUS-OXIDE;

D O I：

10.1111/anae.13739

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

In this article we will look at some of the principles in processed EEG monitoring as applied to bispectral index (BIS). We outline why BIS should be regarded as a memory' monitor which in most circumstances reflects the depth of sedation or anaesthesia in particular patients. Its limitation in paralysed and non-paralysed patients must be understood in order for this monitor to be used safely. Finally, its emerging use in critical care will be explored.

引用

页码：38 / 47

页数：10

共 82 条

[1] Quantitative EEG correlations with brain glucose metabolic rate during anesthesia in volunteers
Alkire, MT
[J]. ANESTHESIOLOGY, 1998, 89 (02) : 323 - 333
[2] The effect of intravenous epinephrine on the bispectral index and sedation
Andrzejowski, J
Sleigh, JW
Johnson, IAT
Sikiotis, L
[J]. ANAESTHESIA, 2000, 55 (08) : 761 - 763
[3] Inappropriate elevation of bispectral index and disruption of neurosurgery after irrigation-induced facial nerve irritation
Andrzejowski, J. C.
Carroll, T. A.
[J]. BRITISH JOURNAL OF ANAESTHESIA, 2007, 99 (05) : 750 - 751
[4] [Anonymous], 2009, BMC ANESTHESIOL
[5] Beware the Boojum: the NAP5 audit of accidental awareness during intended general anaesthesia
Avidan, M. S.
Sleigh, J. W.
[J]. ANAESTHESIA, 2014, 69 (10) : 1065 - 1068
[6] Anesthesia awareness and the bispectral index
Avidan, Michael S.
Zhang, Lini
Burnside, Beth A.
Finkel, Kevin J.
Searleman, Adam C.
Selvidge, Jacqueline A.
Saager, Leif
Turner, Michelle S.
Rao, Srikar
Bottros, Michael
Hantler, Charles
Jacobsohn, Eric
Evers, Alex S.
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (11) : 1097 - 1108
[7] Prevention of Intraoperative Awareness in a High-Risk Surgical Population
Avidan, Michael S.
Jacobsohn, Eric
Glick, David
Burnside, Beth A.
Zhang, Lini
Villafranca, Alex
Karl, Leah
Kamal, Saima
Torres, Brian
O'Connor, Michael
Evers, Alex S.
Gradwohl, Stephen
Lin, Nan
Palanca, Ben J.
Mashour, George A.
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (07) : 591 - 600
[8] Nitrous oxide does not alter bispectral index:: study with nitrous oxide as sole agent and as an adjunct to i.v. anaesthesia
Barr, G
Jakobsson, JG
Öwall, A
Anderson, RE
[J]. BRITISH JOURNAL OF ANAESTHESIA, 1999, 82 (06) : 827 - 830
[9] Electroencephalogram in humans
Berger, H
[J]. ARCHIV FUR PSYCHIATRIE UND NERVENKRANKHEITEN, 1929, 87 : 527 - 570
[10] Bispectral index values during elective rigid bronchoscopy: a prospective observational pilot study
Bould, M. D.
Mahtani, D. G.
Davies, R.
Roughton, M.
Hunter, D. N.
Kelleher, A.
[J]. ANAESTHESIA, 2007, 62 (05) : 438 - 445

← 1 2 3 4 5 6 7 8 9 →