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BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report.
A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment,...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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F1000Research
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038321/ https://www.ncbi.nlm.nih.gov/pubmed/25580217 http://dx.doi.org/10.12688/f1000research.3-5.v1 |
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author | Smith, Matthew M. J. |
author_facet | Smith, Matthew M. J. |
author_sort | Smith, Matthew M. J. |
collection | PubMed |
description | A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment, with the patient making a full recovery. Widely regarded as a ‘depth of anaesthesia’ monitor, this case demonstrates the potential extra clinical benefit BIS may have in the detection of critical incidents such as anaphylaxis during general anaesthesia. |
format | Online Article Text |
id | pubmed-4038321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | F1000Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-40383212015-01-09 BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. Smith, Matthew M. J. F1000Res Case Report A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment, with the patient making a full recovery. Widely regarded as a ‘depth of anaesthesia’ monitor, this case demonstrates the potential extra clinical benefit BIS may have in the detection of critical incidents such as anaphylaxis during general anaesthesia. F1000Research 2014-01-09 /pmc/articles/PMC4038321/ /pubmed/25580217 http://dx.doi.org/10.12688/f1000research.3-5.v1 Text en Copyright: © 2014 Smith MMJ http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/publicdomain/zero/1.0/ Data associated with the article are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication). |
spellingShingle | Case Report Smith, Matthew M. J. BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. |
title | BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. |
title_full | BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. |
title_fullStr | BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. |
title_full_unstemmed | BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. |
title_short | BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. |
title_sort | bispectral index (bis) monitoring may detect critical hypotension before automated non-invasive blood pressure (nibp) measurement during general anaesthesia; a case report. |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4038321/ https://www.ncbi.nlm.nih.gov/pubmed/25580217 http://dx.doi.org/10.12688/f1000research.3-5.v1 |
work_keys_str_mv | AT smithmatthewmj bispectralindexbismonitoringmaydetectcriticalhypotensionbeforeautomatednoninvasivebloodpressurenibpmeasurementduringgeneralanaesthesiaacasereport |