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Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study

Cortical electroencephalography-based devices are used to monitor the depth of anesthesia. In this study, we evaluated the values of bispectral index (BIS) and patient state index (PSI) during sevoflurane anesthesia in children. The ability/accuracy of BIS and PSI to predict the maintenance and reco...

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Autores principales: Jang, Young-Eun, Kim, Eun-Hee, Lee, Ji-Hyun, Kim, Jin-Tae, Kim, Hee-Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9333493/
https://www.ncbi.nlm.nih.gov/pubmed/35905224
http://dx.doi.org/10.1097/MD.0000000000029925
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author Jang, Young-Eun
Kim, Eun-Hee
Lee, Ji-Hyun
Kim, Jin-Tae
Kim, Hee-Soo
author_facet Jang, Young-Eun
Kim, Eun-Hee
Lee, Ji-Hyun
Kim, Jin-Tae
Kim, Hee-Soo
author_sort Jang, Young-Eun
collection PubMed
description Cortical electroencephalography-based devices are used to monitor the depth of anesthesia. In this study, we evaluated the values of bispectral index (BIS) and patient state index (PSI) during sevoflurane anesthesia in children. The ability/accuracy of BIS and PSI to predict the maintenance and recovery state of anesthesia was evaluated based on prediction probability (Pk) values and the secondary outcomes were agreement and correlation of 2 monitors. Fifty children (3–12 years old) were enrolled and the patients received sevoflurane anesthesia with remifentanil followed by propofol administration. Before the induction of anesthesia, BIS and PSI sensors were simultaneously placed on the forehead, and data were collected until the end of anesthesia. Maintenance state was defined as the period following intubation until the cessation of sevoflurane, while recovery state was defined as the period following the cessation of sevoflurane until awake. Pk, agreement or correlation of BIS and PSI in different anesthesia state were calculated. Anesthesia reduced mean BIS and PSI values. Pk of BIS (95% confidential interval [CI]: 0.78–0.91) and PSI (95% CI: 0.82–0.91) for anesthesia were 0.85 and 0.87, respectively. Agreement was 0.79 for recovery state and 0.73 for maintenance state. Pk values were comparable for BIS and PSI. Agreement between BIS and PSI measurements in the same state was relatively good. Therefore, these monitors are appropriate for monitoring for different state of anesthesia in pediatric population.
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spelling pubmed-93334932022-08-03 Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study Jang, Young-Eun Kim, Eun-Hee Lee, Ji-Hyun Kim, Jin-Tae Kim, Hee-Soo Medicine (Baltimore) Research Article Cortical electroencephalography-based devices are used to monitor the depth of anesthesia. In this study, we evaluated the values of bispectral index (BIS) and patient state index (PSI) during sevoflurane anesthesia in children. The ability/accuracy of BIS and PSI to predict the maintenance and recovery state of anesthesia was evaluated based on prediction probability (Pk) values and the secondary outcomes were agreement and correlation of 2 monitors. Fifty children (3–12 years old) were enrolled and the patients received sevoflurane anesthesia with remifentanil followed by propofol administration. Before the induction of anesthesia, BIS and PSI sensors were simultaneously placed on the forehead, and data were collected until the end of anesthesia. Maintenance state was defined as the period following intubation until the cessation of sevoflurane, while recovery state was defined as the period following the cessation of sevoflurane until awake. Pk, agreement or correlation of BIS and PSI in different anesthesia state were calculated. Anesthesia reduced mean BIS and PSI values. Pk of BIS (95% confidential interval [CI]: 0.78–0.91) and PSI (95% CI: 0.82–0.91) for anesthesia were 0.85 and 0.87, respectively. Agreement was 0.79 for recovery state and 0.73 for maintenance state. Pk values were comparable for BIS and PSI. Agreement between BIS and PSI measurements in the same state was relatively good. Therefore, these monitors are appropriate for monitoring for different state of anesthesia in pediatric population. Lippincott Williams & Wilkins 2022-07-29 /pmc/articles/PMC9333493/ /pubmed/35905224 http://dx.doi.org/10.1097/MD.0000000000029925 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle Research Article
Jang, Young-Eun
Kim, Eun-Hee
Lee, Ji-Hyun
Kim, Jin-Tae
Kim, Hee-Soo
Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study
title Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study
title_full Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study
title_fullStr Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study
title_full_unstemmed Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study
title_short Usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: A prospective observational study
title_sort usefulness of bispectral index and patient state index during sevoflurane anesthesia in children: a prospective observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9333493/
https://www.ncbi.nlm.nih.gov/pubmed/35905224
http://dx.doi.org/10.1097/MD.0000000000029925
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