Use of the electroencephalographic spectral edge frequency 90 to monitor sedation of chronically ill patients;Utilización del límite espectral 90% (LE90) del electroencefalograma como sistema de control de la sedación en los pacientes críticos

Revista Espanola de Anestesiologia y Reanimacion

Volumn 48, Issue 7, 2001, Pages 314-320

  Fabregas N ^a,c   Gambus P ^a   Troconiz I F ^b   Valero, R ^a   Guix, E ^a   Zavala, E ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

^b UNIVERSITY OF NAVARRA   (Spain)

^c HOSPITAL CLÍNIC   (Spain)

Author keywords

Logistical regression; Monitoring; Sedation: scales; Spectral edge frequency 90

Indexed keywords

ANESTHESIA; ARTICLE; CLASSIFICATION; CRITICAL ILLNESS; DISCRIMINANT ANALYSIS; ELECTROENCEPHALOGRAPHY; FEMALE; HEMODYNAMICS; HUMAN; MALE; MIDDLE AGED; MOVEMENT (PHYSIOLOGY); REGRESSION ANALYSIS;

ANESTHESIA; CRITICAL ILLNESS; DISCRIMINANT ANALYSIS; ELECTROENCEPHALOGRAPHY; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; MALE; MIDDLE AGED; MOVEMENT; REGRESSION ANALYSIS;

EID: 0035432764     PISSN: 00349356     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (25)

1. Kress JP, Pholman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000; 342: 1471-1477.
2. Ramsay MAE. Savege TM, Simpson BRJ, Goodwill R. Controlled sedation with alphaxafone-alphadolone. Br Med J 1974; 2 (920): 656-659.
3. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology 1998; 89: 980-1002.
4. Scott JC, Stanski DR. Decreased fentanyl and alfentanil dose requirements with age. A simultaneous pharmacokinetic and pharmacodynamic evaluation. J Pharmacol Exp Ther 1987; 240: 159-166.
5. Minto CF, Schnider TW, Egan TD, Youngs E, Lemmens HJ, Gambús PL et al. Influence of age and gender on the pharmacokinetics and pharmacodynamics of remifentanil. I. Model development. Anesthesiology 1997; 86: 10-23.
6. Homer TD, Stanski DR. The effect of increasing age on thiopental disposition and anesthetic requirement. Anesthesiology 1985; 62: 714-724.
7. Rampil IJ, Matteo RS. Changes in EEC spectral edge frequency correlate with the hemodynamic response to laryngoscopy and intubation. Anesthesiology 1987; 67: 139-142.
8. Dwyer RC, Rampil IJ, Eger EI, Bennett HL. The electroencephalogram does not predict depth of isoflurane anesthesia. Anesthesiology 1994; 81: 403-409.
9. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. Prognosis in acute organ-system failure. Ann Surg 1985; 202: 685-693.
10. Cullen DJ, Civetta JM, Briggs BA, Ferrara LC. Therapeutic Intervention Scoring System. A method for quantitative comparison of patient care. Crit Care Med 1974; 2: 57-60.
11. Jasper H. Report of committee on methods of clinical exam in EEG. Electroencephalogr Clin Neurophysiol 1958; 10: 370-375.
12. Gambús PL, Shafer SL. How to perform measurements: the EEG. En: Zbinden AM, Thomson DA, editores. Conducting research in anaesthesia and intensive care. Londres: Butterworth Heineman, 2001, 388-403.
13. Leslie K, Sessler DI, Smith WD, Larson MD, Ozaki M. Blanchard D et al Prediction of movement during propofol/nitrous oxide anesthesia. Performance of concentration, electroencephalographic, pupillary, and hemodynamic indicators. Anesthesiology 1996; 84: 52-63.
14. Smith WD, Dutton RC, Smith NT. Measuring the performance of anesthetic depth indicators. Anesthesiology 1996; 84: 38-51.
15. Smith WD, Dutton RC, Smith NT. A measure of association for assessing prediction accuracy that is a generalization of non-parametric ROC area. Stat Med 1996; 15: 1199-1215.
16. Sheiner LB A new approach to the analysis of analgesic drug trials, illustrated with bromfenac data. Clin Pharmacol Ther 1994; 56: 309-322.
17. Bcal SL, Sheiner LB. NONMEM user's guides. 1992. San Francisco, University of California San Francisco. NONMEM Project Group.
18. De Deyne C, Struys M. Decruyenaere J, Creupelandt J, Hoste E, Colardyn F. Use of continuous bispectral EEG monitoring to assess depth of sedation in ICU patients. Intensive Care Med 1998; 24: 1294-1298.
19. Spencer EM, Green JL, Willatts SM. Continuous monitoring of depth of sedation by EEG spectral analysis in patients requiring mechanical ventilation. Br J Anaesth 1994; 73: 649-654.
20. Bruhn J, Bouillon TW, Shafer SL. Electromyographic activity falsely elevates the bispectral index. Anesthesiology 2000; 92: 1485-1487.
21. 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; 259-267.
22. Billard V, Gambús PL, Chamoun N, Stanski DR, Shafer SL. A comparison of spectral edge, delta power, and bispectral index as EEG measures of alfentanil, propofol, and midazolam drug effect. Clin Pharmacol Ther 1997; 61: 45-58.
23. Schnider TW, Minto CF, Shafer SL, Gambus PL, Andresen C, Goodale DB et al. The influence of age on propofol pharmacodynamics. Anesthesiology 1999; 90: 1502-1516.
24. McDonald T, Berkowitz R, Hoffman WE. Median EEG frequency is more sensitive to increases in sympathetic activity than bispectral index. J Neurosurg Anesthesiol 1999; 11: 255-259.
25. Kennedy HL. Heart rate variability: a potential, noninvasive prognostic index in the critically ill patient. Crit Care Med 1998; 26: 213-214.