Use of the Patient State Index (PSI) to assist in the diagnosis of perioperative neurological injury and brain death

Journal of Clinical Monitoring and Computing

Volumn 19, Issue 3, 2005, Pages 219-222

  Jacobsohn, Eric ^a   De Wet, Charl ^a   Tymkew, Heidi ^b   Hill, Laureen ^a   Avidan, Michael ^a   Levy, Nat ^a   Bruemmer Smith, Stephanie ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BARNES JEWISH HOSPITAL   (United States)

Author keywords

Electroencephalograph; Intensive care unit; Patient state index

Indexed keywords

ANESTHETICS; BRAIN; CARDIOLOGY; CARDIOVASCULAR SURGERY; COMPUTERIZED TOMOGRAPHY; ELECTROENCEPHALOGRAPHY; INTENSIVE CARE UNITS; NEUROLOGY; RADIOLOGY;

BRAIN DEATH; NEUROLOGICAL INJURY; NEUROMUSCULAR BLOCKADE; PATIENT STATE INDEX (PSI);

PATIENT MONITORING;

ADRENALIN; ATROPINE; FENTANYL; LORAZEPAM; MIDAZOLAM; PROPOFOL;

ADULT; AGED; ANESTHESIA LEVEL; ARTICLE; BISPECTRAL INDEX; BRAIN DEATH; BRAIN INJURY; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE SEVERITY; ELECTROENCEPHALOGRAM; FEMALE; HUMAN; INTENSIVE CARE UNIT; MALE; MEDICAL DECISION MAKING; MORTALITY; NEUROMUSCULAR BLOCKING; PATIENT MONITORING; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RISK ASSESSMENT; SURVIVAL;

AGED; AGED, 80 AND OVER; BRAIN DEATH; BRAIN INJURIES; ELECTROENCEPHALOGRAPHY; FEMALE; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS;

EID: 27744592666     PISSN: 13871307     EISSN: 15732614     Source Type: Journal    
DOI: 10.1007/s10877-005-3546-9     Document Type: Article

References (11)

1. Drover DR, Lemmens HJ, Pierce ET, et al. Patient State Index: Titration of delivery and recovery from propofol, alfentanil, and nitrous oxide anesthesia. ANESTHESIOLOGY 2002; 97(1): 82-89. 10.1097/ 00000542-200207000-00012
2. Prichep LS, John ER, Gugino LD, Kox W, Chabot R. Quantitative EEG assessment of changes in the level of the sedation/hypnosis during surgery under general anesthesia: I. The Patient State Index (PSI), II. Variable Resolution Electromagnetic Tomography (VARETA). In: Jordan C, Vaughan DJA, Newton DEF, ed. Fourth International Conference on Memory and Awareness in Anesthesia, 4th ed. London: Imperial College Press, 2000; 97-107.
3. Schneider G, Heglmeier S, Schneider J, Tempel G, Kochs EF. Patient Sate Index (PSI) measures depth of sedation in intensive care patients. Intensive Care Med 2004; 30: 213-216. 10.1007/s00134-003-2092-5
4. 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. 1294-1298. 10.1007/s001340050765
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(8): 1499-1504. 10.1097/00003246-199908000-00016
6. Gilbert TT, Wagner MR, Halukurike V, Paz HL, Garland A. Use of bispectral electroencephalogram monitoring to assess neurological status in unsedated, critically ill patients. Crit Care Med 2001; 29(10): 1996-2000. 10.1097/00003246-200110000-00024
7. Anex Simon C, Recasens Urbez J, Lorente Cogollos C, Bodi Saera M, Rull Bartomeu M. The bispectral electroencephalographic index (BIS) and brain death. Rev Esp Anestesiol Reanim 2000; 47(9): 422-423.
8. Merat S, Levecque JP. Le Gulluche Y, Diraison Y, Brinquin L, Hoffmann JJ. BIS monitoring may allow the detection of severe cerebral ischemia. Can J Anesth 2001; 48(11): 1066-1069.
9. Vivien B Paqueron X Le Cosquer P Langeron O Coriat P Riou B. Detection of brain death onset using the bispectral index in severely comatose patients. Intensive Care Med 2002; 28(4): 419-425. 10.1007/ s00134-002-1219-4
10. Chen X, Tang J, White PF, et al. A comparison of patient state index and bispectral index values during the perioperative period. Anesth Analg 2002; 95: 1669-1674.
11. Schneider G, Gelb AW, Schmeller B, Tscharkert R, Kochs E. Detection of awareness in surgical patients with EEG-based indices-bispectral index and patient state index. Br J Anaesth 2003; 91(3): 329-335. 10.1093/bja/ aeg188