Comparison of ocular microtremor and bispectral index during sevoflurane anaesthesia

British Journal of Anaesthesia

Volumn 89, Issue 4, 2002, Pages 551-555

  Kevin, L G ^a,b   Cunningham, A J ^a   Bolger, C ^a  

^a BEAUMONT HOSPITAL   (Ireland)

^b MEDICAL COLLEGE OF WISCONSIN   (United States)

Author keywords

Anaesthesia, depth; Anaesthetics volatile, sevoflurane; Eye, Ocular microtremor; Monitoring, bispectral index

Indexed keywords

FENTANYL; NITROUS OXIDE; OPIATE; OXYGEN; PROPOFOL; SEVOFLURANE; TEMAZEPAM; THIOPENTAL;

ACCURACY; ADULT; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ANESTHETIC RECOVERY; AREA UNDER THE CURVE; ARTICLE; CLINICAL ARTICLE; CONSCIOUSNESS; CONTROLLED STUDY; ELECTROENCEPHALOGRAPHIC BISPECTRAL INDEX; FEMALE; HUMAN; HYPNOSIS; INTERMETHOD COMPARISON; LOGISTIC REGRESSION ANALYSIS; MALE; OCULAR MICROTREMOR; PATIENT MONITORING; PIEZOELECTRICITY; PRIORITY JOURNAL; RATING SCALE; SENSITIVITY AND SPECIFICITY; STIMULUS RESPONSE; STRAIN GAUGE TRANSDUCER; TREMOR; WAKEFULNESS;

EID: 0036794324     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/aef225     Document Type: Article

References (23)

1. Domino KB, Posner KL, Caplan RA, Cheney FW. Awareness during anesthesia: a closed claims analysis. Anesthesiology 1999; 90: 1053-61
2. Gajraj RJ, Doi M, Mantzaridis H, Kenny GN. Comparison of bispectral EEG analysis and auditory evoked potentials for monitoring depth of anaesthesia during propofol anaesthesia. Br J Anaesth 1999; 82: 672-8
3. Iselin-Chaves IA, Flaishon R, Sebel PS, et al. The effect of the interaction of propofol and alfentanyl on recall, loss of consciousness, and the bispectral index. Anesth Analg 1998; 87: 949-55
4. Vernon JM, Lang E, Sebel PS, Manberg P. Prediction of movement using bispectral electroencephalographic analysis during propofol/alfentanyl or isoflurane/alfentanyl anesthesia. Anesth Analg 1995; 80: 780-5
5. Detsch O, Schneider G, Kochs E, Hapfelmeier G, Werner C. Increasing isoflurane concentration may cause paradoxical increases in the EEG bispectral index in surgical patients. Br J Anaesth 2000; 84: 33-7
6. Mychaskiw G, Horowitz M, Sachdev V, Heath BJ. Explicit intraoperative recall at a bispectral index of 47. Anesth Analg 2001; 92: 808-91
7. Coakley, D. Minute Eye Movement and Brain Stem Function. Florida: CRC Press, 1983; 49-56.
8. Alder FH, Fliegelman F. The influence of fixation on the visual acuity. Arch Ophthalmol 1934; 12: 475-83
9. Coakley D, Thomas JG. The ocular microtremor record and the prognosis of the unconscious patient. Lancet 1977; 1: 512-5
10. Coakley D, Thomas JG, Lunn JN. The effect of anaesthesia on ocular microtremor. Br J Anaesth 1976; 48: 1121-2
11. Bojanic S, Simpson T, Bolger C. Ocular microtremor: a tool for measuring depth of anaesthesia? Br J Anaesth 2001; 86: 519-22
12. Aspect Medical Systems. BIS Clinical Reference Manual. Natick, USA: Aspect Medical Systems, 1997
13. Sheahan NF, Coakley D, Hegarty F, Bolger C, Malone J. Ocular microtremor measurement system: design and performance. Med Biol Eng Comput 1993; 31: 205-12
14. Benji H, Thomas JG. Three electronic methods for recording ocular tremor. Med Biol Eng 1968; 6: 171-8
15. Bolger C, Bojanic S, Sheahan NF, Coakley D, Malone JF. Dominant frequency content of ocular microtremor from normal subjects. Vision Res 1999; 39: 1911-5
16. Bolger C, Bojanic S, Sheahan NF, Coakley D, Malone JF. Ocular microtremor in patients with idiopathic Parkinson's disease. J Neurol Neurosurg Psychiatry 1999; 66: 528-31
17. Bolger C, Bojanic S, Sheahan NF, Malone J, Hutchinson M, Coakley D. Ocular microtremor (OMT): a new neurophysiological approach to multiple sclerosis. J Neurol Neurosurg Psychiatry 2000; 68: 639-42
18. Sigl J, Camoun NG. An introduction to bispectral analysis for the electroencephalogram. J Clin Monit 1994; 10: 392-404
19. Liu J, Singh H, White PF. Electroencephalographic bispectral index correlates with intraoperative recall and depth of propofol-induced sedation. Anesth Analg 1997; 84: 185-9
20. Katoh T, Suzuki A, Ikeda K. Electroencephalographic derivatives as a tool for predicting the depth of sedation and anesthesia induced by sevoflurane. Anesthesiology 1998; 88: 642-50
21. Glass PS, Bloom M, Kearse L, Rosow C, Sebel P, Manberg P. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanyl in healthy volunteers. Anesthesiology 1997; 86: 836-47
22. Drummond JC. Monitoring depth of anaesthesia. Anesthesiology 2000; 93: 876-82
23. Sleigh JW, Donovan J. Comparison of bispectral index, 95% spectral edge frequency and approximate entropy of the EEG, with changes in heart rate variability during induction of general anaesthesia. Br J Anaesth 1999; 82: 666-71