Bispectral analysis of the electroencephalogram predicts conscious processing of information during propofol sedation and hypnosis

Anesthesiology

Volumn 88, Issue 1, 1998, Pages 25-34

  Kearse Jr , Lee A ^a   Rosow, Carl ^a   Zaslavsky, Alan ^a   Connors, Patricia ^b   Dershwitz, Mark ^a   Denman, William ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Brain; Intravenous anesthetics; Monitoring; Nitrous oxide

Indexed keywords

PROPOFOL;

ADULT; ARTICLE; COMPUTER ANALYSIS; CONSCIOUSNESS; DOSE RESPONSE; ELECTROENCEPHALOGRAPHY; HUMAN; HUMAN EXPERIMENT; HYPNOSIS; INFORMATION PROCESSING; INTRAVENOUS DRUG ADMINISTRATION; MONITORING; NORMAL HUMAN; PREDICTION; PRIORITY JOURNAL; RETICULAR FORMATION; SEDATION; SPECTROSCOPY;

ADULT; ANESTHETICS, INTRAVENOUS; ELECTROENCEPHALOGRAPHY; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MENTAL PROCESSES; MIDDLE AGED; PROPOFOL;

EID: 0344653602     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-199801000-00007     Document Type: Article

References (36)

1. Leslie K, Sessler DI, Smith WD, Larson MD, Ozaki M, Blanchard D, Crankshaw DP, Prediction of movement during propofol/nitrous oxide anesthesia. ANESTHESIOLOGY 1996; 84:52-63
2. Liu J, Singh II, White PF, Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. ANESTIIESIOLOOY 1996; 84:64-9
3. Seifert HA, Blouin RT, Conard PF, Gross JB, Sedative doses of propofol increase beta activity of the processed electroencephalogram. Anesth Analg 1993; 76:976-8
4. Kishimato J, Kadoya C, Sneyd R, Samra SK, Domino FJ, Topographic electroencephalogram of propofol-induced conscious sedation. Clin Pharmacol Ther 1995; 58:666-74
5. Leslie K, Sessler DI, Schrocder M, Walters K, Propofol blood concentration and the bispectral index predict suppression of learning during propofol/epidural anesthesia in volunteers. Anesth Analg 1995; 81:1264-74
6. Schwilden H, Stoeckel H, Schüttler J: Closed-loop feedback control of propofol anaesthesia by quantitative EEC analysis in humans, Br J Anaesth 1989; 62:290-6
7. Sneyd JR, Samra SK, Davidson B, Kishimoto T, Kadoya C, Domino EF, Electrophysiologic effects of propofol sedation. Anesth Analg 1994;79:1151-8
8. Forrest FC, Tooley MA, Saunders PR, Prys-Roberts C, Propofol infusion and the suppression of consciousness: The EEG and dose requirements. Br J Anaesth 1994; 72:35-41
9. Moruzzi G, Magoun HW, Brain stem reticular formation and activation of the EEG. Electroenceph Clin Neurophysiol 1949; 1:455-73
10. Skinner JE, Lindslcy DB, Electrophysiological and behavioral effects of blockade of the nonspecific thalamo-cortical system. Brain Res 1967; 6:95-118
11. Prince DA, Shanzer S, Effects of anesthetics upon the EEG response to reticular stimulation. Patterns of slow synchrony. Electroenceph Clin Neurophysiol 1966; 21:578-88
12. King EV, Differential action of anesthetics and interneuron depressants upon EEG arousal and recruitment responses. J Pharmacol ExpTher 1956; 116:404-17
13. Arduini A, Arduini MG, Effects of drugs and metabolic alterations on brain stem arousal mechanism. J Pharmacol Exp Ther 1954; 110:76-85
14. Magni F, Moruzzi G, Rossi GF, Zanchetti A, EEG arousal following inactivation of the lower brain stem by selective injection of barbiturate into the vertebral circulation. Arch Ital Biol 1959; 97:33-46
15. Barnett TP, Johnson LC, Naitoh P, Hicks N, Nute C, Bispectrum analysis of electroencephalogram signals during waking and sleeping. Science 1971; 172:401-2
16. Dumermuth G, Walz W, Scollo-Lavizzari G, Kleiner B, Spectral analysis of EEG activity in different sleep stages in normal adults. Eur Neurol 1972; 7:265-96
17. Dumermuth G, Huber PJ, Kleiner B, Gasser TU, Analysis of the interrelations between frequency bands of the EEG by means of the bispectrum. A preliminary study. Electroenceph Clin Neurophysiol 1971; 31:137-48
18. Kleiner B, Huber PJ, Dumermuth G, Analysis of the interrelations between frequency of the EEG by means of the bispectrum. Electroenceph Clin Neurophysiol 1969; 27:693-4
19. 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
20. Sebel PS, Bowles SM, Saini V, Chamoun N, EEG bispectrum predicts movement during thiopental/isoflurane anesthesia. J Clin Monit 1995; 11:83-91
21. Vernon JM, Lang E, Scbel PS, Manberg P, Prediction of movement using bispectral electroencephalographic analysis during propofol/alfentanil or isoflurane/alfentanil anesthesia. Anesth Analg 1995; 80:780-5
22. Glass PSA, 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. ANESTIIESIOLOGY 1997; 86:836-47
23. Shafer A, Doze VA, Sliafer SL, Wliite PF, Pharmacokinetics and pharniacodynamics of propofol infusions during general anesthesia. ANESTHESIOLOGY 1988; 69:348-56
24. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB, Schwam EM, Siegel JL, Validity and reliability of the Observer's Assessment of Altertness/Sedation Scale: Study with intravenous midazolam. J Clin Psychopharmacol 1990; 10:244-51
25. Hanley JA, McNeil BJ, The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiolog)' 1982; 143:29-36
26. Bradley E, The Jacknife, the Bootstrap and Other Resampling Plans. Philadelphia, Society for Industrial and Applied Mathematics, 1982
27. Prys-Roberts C: Anaesthesia: A practical or pragmatic construct? BrJ Anaesth 1987; 59:1341-5
28. Biihrer M, Maitre PO, Crevoisier C, Stanski DR, Electrocncephalographic effects of benzodiazepines. II. Pharmacodynamic modeling of the electroencephalographic effects of midazolam and diazepam. Clin Pharmacol Ther 1990; 48:555-67
29. Biihrer M, Maitre PO, Hung OR, Ebling WF, Shafer SL, Stanski DR, Thiopental pharmacodynamics. ANESTIIESIOIJOGY 1992; 77:226-36
30. Posner MI. Attention: The mechanisms of consciousness. Proc Natl Acad Sci U S A 1994; 91:7398-7403
31. Shahani BT, Young RR, Blink Reflexes in Orbicularis Oculi. Edited by Desmedt JE. New York, Karger, Basel, 1973, pp 641-8
32. Cruccu G, Agostino R, Berardelli A, Manfredi M, Excitability of the corneal reflex in man. Neurosci Lett 1986; 63:320-4
33. Berardelli A, Cruccu G, Manfredi M, Rothwell JC, Day BL, Marsden CD, The corneal reflex and the R2 component of the blink reflex. Neurology 1985; 35:797-801
34. Evinger C, Basso MA, Manning KA, Sibony PA, Pellegrini JJ, Horn AKE, A role for the basal ganglia in nicotinic modulation of the blink reflex. Exp Brain Res 1993; 92:507-15
35. Evinger C, Sibony PA, Manning KA, Fiero RA, A pharmacological distinction between the long and short latency pathways of the human blink reflex revealed with tobacco. Exp Brain Res 1988; 73:477-80
36. Can TJ, Glass PSA, Windsor A, Payne F, Rosow C, Sebel P, Manberg P, and the BIS Utility Study Group, Bispectral index (BIS) monitoring allows faster emergence and improved recover)' from propofol, alfentanil, nitrous oxide anesthesia. ANESTHESIOLOGY 1997; 87:808-15