Electroencephalogram Bispectral Analysis Predicts the Depth of Midazolam-induced Sedation

Anesthesiology

Volumn 84, Issue 1, 1996, Pages 64-69

  Liu, Jin ^a   Singh, Harbhej ^a   White, Paul F ^a,b  

^a Department of Anesthesiology ^*

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Anesthetics, intravenous: midazolam; Monitoring, brain: bispectral analysis; electroencephalogram; Sedation

Indexed keywords

MIDAZOLAM;

ADULT; AGED; ANESTHESIA LEVEL; ARTICLE; CENTRAL NERVOUS SYSTEM FUNCTION; CLINICAL ARTICLE; ELECTROENCEPHALOGRAM; HEMODYNAMICS; HUMAN; MALE; PATIENT MONITORING; PRIORITY JOURNAL; REGIONAL ANESTHESIA; SEDATION; VERBAL COMMUNICATION;

ADULT; AGED; ANESTHESIA, CONDUCTION; ELECTROENCEPHALOGRAPHY; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MIDAZOLAM; MIDDLE AGED; PROSPECTIVE STUDIES;

EID: 0030023299     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-199601000-00007     Document Type: Article

References (22)

1. Caplan RA, Ward RJ, Posner K, Cheney FW: Unexpected cardiac arrest during spinal anesthesia: A closed claims analysis of predisposing factors. ANESTHESIOLOGY 1988; 68:5-11
2. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB, Schwam EM, Siegel JL: Validity and reliability of the Observers Assessment of Alertness/Sedation scale: Study with intravenous midazolam. J Clin Psychopharmacol 1990; 10:244-51
3. Barnett TP, Johnson LC, Naitoh P, Hicks N, Nute C: Bispectrum analysis of EEG signal during waking and sleeping. Science 1971; 172:401-2
4. Veselis RA, Reinsel RA, Wronski M, Marino P, Tong WP, Bedford RF: EEG and memory effects of low-dose infusions of propofol. Br J Anaesth 1992; 69:246-54
5. Veselis RA, Reinsel R, Sommer S, Carlon G: Use of neural network analysis to classify electroencephalographic patterns against depth of midazolam sedation in intensive care unit patients. J Clin Monit 1991; 7:259-67
6. Kroboth PD, Smith RB, Erb RJ: Tolerance to alprazolam after intravenous bolus and continuous infusion: Psychomotor and EEG effects. Clin Pharmacol Ther 1988; 43:270-7
7. Vernon JM, Lang E, Sebel PS, Manberg P: Prediction of movement using bispectral electroencephalographic analysis during propofol/ alfentanil or isoflurane/alfentanil anesthesia. Anesth Analg 1995; 80: 780-5
8. Rampil IJ, Matteo RS: Changes in EEG spectral edge frequency correlate with the hemodynamic response to laryngoscopy and intubation. ANESTHESIOLOGY 1987; 67:139-42
9. Fleischer JE, Milde JH, Moyer TP, Michenfelder JD: Cerebral effects of high-dose midazolam and subsequent reversal with Ro15-1788 in dogs. ANESTHESIOLOGY 1988; 68:234-42
10. Hudson RJ, Stanski DR, Saidman LJ, Meathe E: A model for studying depth of anesthesia and acute tolerance to thiopental. ANESTHESIOLOGY 1983; 59:301-8
11. Scott JC, Ponganis KV, Stanski DR: EEG quantitation of narcotic effect: The comparative pharmacodynamics of fentanyl and alfentanil. ANESTHESIOLOGY 1985; 62:234-41
12. Hung OR, Varvel JR, Shafer SL, Stanski DR: Thiopental pharmacodynamics: II. Quantification of clinical and electroencephalographic depth of anesthesia. ANESTHESIOLOGY 1992; 77:237-44
13. Kearse LA Jr, Manberg P, DeBros F, Chamoun N, Sinai V: Bispectral analysis of the electroencephalogram during induction of anesthesia may predict hemodynamic responses to laryngoscopy and intubation. Electroencephalogr Clin Neurophysiol 1994; 90:194-200
14. Lien CA, Berman M, Saini V, Matteo RS, Sharp GJ, Chamoun N: The accuracy of the EEG in predicting hemodynamic changes with incision during isoflurane anesthesia (abstract). Anesth Analg 1992; 74:S187
15. Sebel P, Rampil I, Cork R, White PF, Smith NT, Brull S, Chamoun N: Bispectral analysis for monitoring anesthesia: A multicenter study (abstract). ANESTHESIOLOGY 1993; 79:A178
16. Vernon J, Bowles S, Sebel PS, Chamoun N: EEG bispectrum predicts movement at incision during isoflurane or propofol anesthesia (abstract). ANESTHESIOLOGY 1992; 77:A502
17. Kearse LA, Manberg P, Chamoun N, deBros F, Zaslavsky A: Bispectral analysis of the electroencephalogram correlates with patient movement to skin incision during propofol/nitrous oxide anesthesia. ANESTHESIOLOGY 1994; 81:1365-70
18. Sigl JC, Chamoun NG: An introduction to bispectral analysis for the electroencephalogram. J Clin Monit 1994; 10:392-404
19. Amaki Y, Horiguchi T, Takinami M, Kobayashi K: EEG analysis of the effectiveness of the benzodiazepine antagonist Ro15-1788 after diazepam sedation. Masui 1990; 39:1114-9
20. Billard V, Gambus PL, Shafer SL, Stanski DR: A comparison of bispectral and FFT waveform analysis for midazolam, alfentanil and propofol (abstract). ANESTHESIOLOGY 1993; 79:A517
21. Greenblatt DJ, Ehrenberg BL, Gunderman J, Locniskar A, Scavone JM, Harmatz JS, Shader RI: Pharmacokinetic and electroencephalographic study of intravenous diazepam, midazolam, and placebo. Clin Pharmacol Ther 1988; 45:356-65
22. Buhrer M, Maitre PO, Hung O, Stanski DR: Electroencephalographic effects of benzodiazepines: I. Choosing an electroencephalographic parameter to measure the effect of midazolam on the central nervous system. Clin Pharmacol Ther 1990; 48:544-54