Pre-ictal bispectral index has a positive correlation with seizure duration during electroconvulsive therapy

被引:28
作者
Nishihara, F [1 ]
Saito, S [1 ]
机构
[1] Gunma Univ, Sch Med, Dept Anesthesiol & Reanimatol, Maebashi, Gumma 3718511, Japan
关键词
D O I
10.1097/00000539-200205000-00037
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Propofol anesthesia increases the seizure threshold of patients receiving electroconvulsive therapy. Excessive neuronal suppression could result in an unacceptably short seizure. We sought to identify the correlation between the pre-ictal bispectral index (BIS) score and seizure duration in patients receiving electroconvulsive therapy under propofol anesthesia. BIS was monitored in 38 psychotically depressed patients. Anesthesia was induced by a bolus injection of 1 mg/kg of propofol. The duration of muscular and electroencephalographic seizure was measured during the therapy. The BIS immediately before the electrical shock was 54 +/- 13. Both muscular and electroencephalographic seizure durations had a positive correlation with pre-ictal BIS (r = 0.68 and 0.73, respectively; P < 0. 01). After the electrically induced seizure, BIS decreased to 30 +/- 8, reflecting post-ictal suppression. BIS scores when the patients had awakened after the seizure had a wide variation (range, 29 - 81; mean, 45; SD, 13). In conclusion, seizure duration has a positive correlation with BIS immediately before electrical shock; however, BIS may not be an accurate predictor of awakening after electrical shock.
引用
收藏
页码:1249 / 1252
页数:4
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