Biasing effect of the electromyogram on BIS: A controlled study during high-dose fentanyl induction

Journal of Clinical Monitoring and Computing

Volumn 17, Issue 6, 2002, Pages 377-381

  Renna, Maurizio ^a   Wigmore, Tim ^a   Mofeez, Ali ^a   Gillbe, Charles ^a  

^a ROYAL BROMPTON HOSPITAL   (United Kingdom)

Author keywords

Bispectral index; EEG; EMG; High dose fentanyl; Opioids; Rigidity; Sedation scores

Indexed keywords

BIOSENSORS; DRUG DOSAGE; MUSCULOSKELETAL SYSTEM; PATIENT MONITORING;

BISPECTRAL INDEX (BIS);

ELECTROMYOGRAPHY;

CARBON DIOXIDE; ETOMIDATE; FENTANYL; MORPHINE; NEUROMUSCULAR BLOCKING AGENT; OXYGEN;

ADULT; AGED; ALERTNESS; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ARTERIAL BLOOD; ARTICLE; ARTIFICIAL VENTILATION; BISPECTRAL INDEX; BLOOD SAMPLING; CLINICAL ARTICLE; CLINICAL EXAMINATION; CLINICAL TRIAL; COMPARATIVE STUDY; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; CORRELATION ANALYSIS; DATA ANALYSIS; DISPOSABLE EQUIPMENT; DOSE RESPONSE; DRUG MEGADOSE; ELECTROMYOGRAM; FACE MASK; FEMALE; HEMODYNAMIC MONITORING; HUMAN; MALE; MATHEMATICAL ANALYSIS; MONITOR; MONITORING; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; MUSCLE RIGIDITY; NEUROMUSCULAR FUNCTION; OXYGEN THERAPY; PH; PREMEDICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SEDATION; SENSOR;

AGED; ANESTHETICS, INTRAVENOUS; AUTOMATIC DATA PROCESSING; CORONARY ARTERY BYPASS; DOSE-RESPONSE RELATIONSHIP, DRUG; ELECTROMYOGRAPHY; FEMALE; FENTANYL; HUMANS; HYPNOSIS, ANESTHETIC; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; MUSCLE RIGIDITY; SENSITIVITY AND SPECIFICITY;

EID: 0038637263     PISSN: 13871307     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1024210405543     Document Type: Article

References (17)

1. Sebel PS, Lang E, Rampil IJ, White PF, Cork R, Jopling M, Smith NT, Glass PSA, Manberg P. A multicenter study of bispectral electroencephalogram analysis for monitoring anesthetic affect. Anesth Analg 1997; 84: 891-899
2. Glass PS, Bloom M, Kearse L, Rosow C, Sebel P, Manberg P. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology 1997; 86: 836-847
3. Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology 1997; 87: 842-848
4. Wong J, Song D, Blanshard H, Grady D, Chung F. Titration of isoflurane using BIS index improves early recovery of elderly patients undergoing orthopedic surgeries. Can J Anaesth 2002; 49: 13-18
5. Simmons LE, Riker RR, Prato BS, Fraser GL. Assessing sedation during intensive care unit mechanical ventilation with the Bispectral Index and the Sedation-Agitation Scale. Crit Care Med 1999; 27: 1499-1504
6. Frenzel D, Greim CA, Sommer C, Bauerle K, Roewer N. Is the bispectral index appropriate for monitoring the sedation level of mechanically ventilated surgical ICU patients? Intensive Care Med 2002; 28: 178-183
7. De Deyne C, Strays 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
8. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology 1998; 89: 980-1002
9. A-2000 EEG Monitor Clinical Reference Manual, Aspect Medical System, Newton, MA, U.S.A.
10. Bruhn J, Bouillon TW, Shafer SL. Electromyographic activity falsely elevates the bispectral index (case reports). Anesthesiology 2000; 92 (5): 1485-1487
11. Renna M, Handy J, Shah A. Low baseline bispectral index of the EEG in patients with dementia. Anesth Analg 2003; 96: 1380-1385
12. Bailey PL, Wilbrink J, Zwanikken P, Pace PL, Stanley TH. Anesthetic induction with fentanyl. Anesth Analg 1985; 64: 48-53
13. Streisand JB, Bailey PL, LeMaire L, Ashburn MA, Tarver SD, Varvel J, Stanley TH. Fentanyl-induced rigidity and unconsciousness in human volunteers. Anesthesiology 1993; 78: 629-634
14. Barr G, Anderson RE, Samuelsson S, Owall A, Jakobsson JG. Fentanyl and midazolam anaesthesia for coronary bypass surgery: A clinical study of bispectral electroencephalogram analysis, drug concentration and recall. Br J Anaesth 84: 749-752
15. Barr G, Anderson RE, Owall A, Jakobsson JG. Effects on the bispectral index during medium-high dose fentanyl induction with or without propofol supplement. Acta Anaesth Scand 2000; 44: 807-811
16. England MD, Mosca S, Wong G, Shambroom JR. BIS XP platform performance during electrocautery in cardiac surgery. Anesth Analg 2002; 94 (4S): SCA79
17. Doenicke AW, Roizen MF, Kugler J, Kroll H, Foss J, Ostwald P. Reducing myoclonus after etomidate. Anesthesiology 1999; 90: 113-119