Features of monitoring the bispectral index in young children with hydrocephalus

Background. Millions of children with neurological diseases are subjected to general anesthesia every year. The conditions under which surgeries done in these patients depend on a number interrelated factors that arise deficiency and often the cause anesthetic complications. possibility using monitoring bispectral index pediatric disorders is particular interest, specifically those hydrocephalus against background ventriculomegaly. purpose was evaluate dynamics young during ventriculoperitoneal shunting. Materials methods. study included 109 children: 59 acquired form who underwent shunting 50 without reconstructive surgery. had 5 stages: initial, induction into anesthesia, tracheal intubation, traumatic stage operation, awakening. Results. Electroencephalographic analysis showed homogeneity rearrangements bioelectric pattern, reflected wide stable involvement pathological process various cerebral systems dysfunction mesencephalic-diencephalic formations, including hypothalamic ones, combination impaired cortical-subcortical-brainstem interrelations. When analyzing baseline hydrocephalus, significantly lower values were found compared neurologically healthy (89.25 ± 2.52 94.80 1.55, respectively). Analysis changes intraoperative group propofol, upon reaching first surgical according clinical indications, decreased 36.00 2.74, 30 % less than 29 when sevoflurane. groups where propofol used significant difference between at all stages operation. This indicated sleep pattern individuals abnormal low levels. Conclusions. Hypoperfusion medulla, together cortical-subcortical relationships, affect value index. use can lead development ischemia decrease electrical activity brain.