Bispectral index (BIS) is a reliable parameter for measuring depth of hypnotic level during anesthesia. Convective air warming system is an effective equipment to maintain normothermia during operation. We report falsely elevated BIS value due to convective air warming system while undergoing kidney transplantation.

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BACKGROUND Bispectral index has been introduced to provide optimal level of anesthesia. However, Bispectral index monitoring may not be cost effective in a relatively short procedures due to the high costs of the electrode. The authors conducted the present study to compare the feasibility of commercially available electrocardiogram (ECG) electrodes instead of the Bispectral index (BIS) monitor...

Editor’s key points † The influence of electromyographic (EMG) activity neuromuscular block (NMB) on bispectral index (BIS) is controversial. † BIS was measured before and after reversal of NMB with sugammadex or neostigmine. † BIS increased after both agents only in patients with EMG activity. † This effect should be taken into account when using BIS. Background. Sugammadex is a modified g-cyc...