Suxamethonium induces a prompt increase in the bispectral index

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Suxamethonium induces a prompt increase in the bispectral index

Upon inducting general anesthesia in the operating room, we have observed a prompt increase in the bispectral index (BIS) after the intravenous injection of suxamethonium. We hypothesized that the cause of this BIS increase is muscle hyperactivity owing to fasciculation. However, no reports have been published regarding this abrupt increase in the BIS upon the induction of general anesthesia by...

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Update on bispectral index monitoring.

Since 1997, bispectral index (BIS; Aspect Medical Systems Inc., Natick, MA) has been in clinical practice and a wealth of experimental research has accumulated on its use. Originally, the device was approved only for monitoring hypnosis and has now received an indication for reducing the incidence of intraoperative awareness during anesthesia. Numerous studies have documented the ability of BIS...

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Electromyographic activity falsely elevates the bispectral index.

THE bispectral index (BIS, Aspect Medical Systems, Framingham, MA) is a complex electroencephalographic (EEG) parameter that integrates several disparate descriptors of the EEG into a single variable and correlates behavioral assessments of sedation and hypnosis. We report two cases in which the bispectral index failed to measure depth of anesthesia but instead was a measure of electromyographi...

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BACKGROUND Awareness during anesthesia is a serious complication with potential long-term psychological consequences. Use of the bispectral index (BIS), developed from a processed electroencephalogram, has been reported to decrease the incidence of anesthesia awareness when the BIS value is maintained below 60. In this trial, we sought to determine whether a BIS-based protocol is better than a ...

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ژورنال

عنوان ژورنال: Medicine

سال: 2017

ISSN: 0025-7974

DOI: 10.1097/md.0000000000006670