Spectral entropy as an electroencephalographic measure of anesthetic drug effect: A comparison with bispectral index and processed midlatency auditory evoked response

Anesthesiology

Volumn 101, Issue 1, 2004, Pages 34-42

  Vanluchene, Ann L G ^a   Vereecke, Hugo ^a   Thas, Olivier ^b   Mortier, Eric P ^a   Shafer, Steven L ^c,d,e   Struys, Michel M R F ^a  

^a GHENT UNIVERSITY HOSPITAL   (Belgium)

^b GHENT UNIVERSITY   (Belgium)

^c VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^d STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

INTRAVENOUS ANESTHETIC AGENT; PROPOFOL;

A LINE RX INDEX; ADULT; AMBULATORY SURGERY; BISPECTRAL INDEX; BRAIN FUNCTION; CLINICAL ARTICLE; CONSCIOUSNESS; DRUG EFFECT; ELECTROENCEPHALOGRAPHY; ENTROPY; EVOKED AUDITORY RESPONSE; FEMALE; GYNECOLOGIC SURGERY; HEART RATE; HUMAN; INTERMETHOD COMPARISON; MALE; MEAN ARTERIAL PRESSURE; MONITOR; OXYGEN SATURATION; PATIENT MONITORING; PRIORITY JOURNAL; PULSE OXIMETRY; REVIEW; SPECTRAL ENTROPY; SURGICAL PATIENT; UROLOGIC SURGERY;

ADOLESCENT; ADULT; ALGORITHMS; ANESTHESIA, INTRAVENOUS; ANESTHETICS, INTRAVENOUS; ELECTROENCEPHALOGRAPHY; ENTROPY; EVOKED POTENTIALS, AUDITORY; FEMALE; GYNECOLOGIC SURGICAL PROCEDURES; HEMODYNAMIC PROCESSES; HUMANS; INFUSIONS, INTRAVENOUS; MALE; MIDDLE AGED; MODELS, STATISTICAL; MONITORING, INTRAOPERATIVE; OXYGEN; PREDICTIVE VALUE OF TESTS; PROPOFOL; UROGENITAL SURGICAL PROCEDURES;

EID: 3042687108     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200407000-00008     Document Type: Review

References (26)

1. 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
2. Bruhn J, Ropcke H, Hoeft A: Approximate entropy as an electroencephalographic measure of anesthetic drug effect during desflurane anesthesia. ANESTHESIOLOGY 2000; 92:715-26
3. Bruhn J, Lehmann LE, Ropcke H, Bouillon TW, Hoeft A: Shannon entropy applied to the measurement of the electroencephalographic effects of desflurane. ANESTHESIOLOGY 2001; 95:30-5
4. Viertiö-Oja H, Maja V, Särkelä M, Talja P, Tenkanen N, Tolvanen-Laakso H, Paloheimo M, Vakkuri A, Yli-Hankala A, Meriläinen P: Description of the Entropy algorithm as applied in the Datex-Ohmeda S/5 Entropy Module. Acta Anaesthesiol Scand 2004; 48:154-61
5. Tammisto T, Toikka O: Spontaneous EMG activity for detection of arousal during general anaesthesia: Comparison between recordings from frontal and neck musculature. Eur J Anaesthesiol 1991; 8:109-14
6. Struys M, Versichelen L, Mortier E, Ryckaert D, De Mey JC, De Deyne C, Rolly G: Comparison of spontaneous frontal EMG, EEG power spectrum and bispectral index to monitor propofol drug effect and emergence. Acta Anaesthesiol Scand 1998; 42:628-36
7. Struys MM, Vereecke H, Moerman A, Jensen EW, Verhaeghen D, De Neve N, Dumortier FJ, Mortier EP: Ability of the Bispectral Index, autoregressive modelling with exogenous input-derived auditory evoked potentials, and predicted propofol concentrations to measure patient responsiveness during anesthesia with propofol and remifentanil. ANESTHESIOLOGY 2003; 99:802-12
8. Bruhn J, Bouillon TW, Hoeft A, Shafer SL: Artifact robustness, inter- and intraindividual baseline stability, and rational EEG parameter selection. ANESTHESIOLOGY 2002; 96:54-9
9. Bruhn J, Bouillon TW, Shafer SL: Onset of propofol-induced burst suppression may be correctly detected as deepening of anaesthesia by approximate entropy but not by bispectral index. Br J Anaesth 2001; 87:505-7
10. 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; 15:1199-215
11. Smith WD, Dutton RC, Smith NT: Measuring the performance of anesthetic depth indicators. ANESTHESIOLOGY 1996; 84:38-51
12. Schnider TW, Minto CF, Gambus PL, Andresen C, Goodale DB, Shafer SL, Youngs EJ: The influence of method of administration and covariates on the pharmacokinetics of propofol in adult volunteers. ANESTHESIOLOGY 1998; 88:1170-82
13. Schnider TW, Minto CF, Shafer SL, Gambus PL, Andresen C, Goodale DB, Youngs EJ: The influence of age on propofol pharmacodynamics. ANESTHESIOLOGY 1999; 90:1502-16
14. Shafer SL, Gregg KM: Algorithms to rapidly achieve and maintain stable drug concentrations at the site of drug effect with a computer-controlled infusion pump. J Pharmacokinet Biopharm 1992; 20:147-69
15. Struys MM, De Smet T, Depoorter B, Versichelen LF, Mortier EP, Dumortier FJ, Shafer SL, Rolly G: Comparison of plasma compartment versus two methods for effect compartment-controlled target-controlled infusion for propofol. ANESTHESIOLOGY 2000; 92:399-406
16. Struys MM, Jensen EW, Smith W, Smith NT, Rampil I, Dumortier FJ, Mestach C, Mortier EP: Performance of the ARX-derived auditory evoked potential index as an indicator of anesthetic depth: A comparison with Bispectral Index and hemodynamic measures during propofol administration. ANESTHESIOLOGY 2002; 96:803-16
17. Sarkela M, Mustola S, Seppanen T, Koskinen M, Lepola P, Suominen K, Juvonen T, Tolvanen-Laakso H, Jantti V: Automatic analysis and monitoring of burst suppression in anesthesia. J Clin Monit Comput 2002; 17:125-34
18. Efron B, Tibshirani R: Confidence intervals based on bootstrap "tables," An Introduction to the Bootstrap. Edited by Efron B, Tibshirani R. London, Chapman and Hall, 1993, pp 153-67
19. Beal S, Sheiner L: NONMEM User's Guides. San Francisco, NONMEM Project Group, University of California, 1992
20. Johansen JW: Esmolol promotes electroencephalographic burst suppression during propofol/alfentanil anesthesia. Anesth Analg 2001; 93:1526-31
21. Bruhn J: Burst suppression ratio is the only determinant for BIS values below 30. Can J Anaesth 2002; 49:755-6
22. Bruhn J, Ropcke H, Rehberg B, Bouillon T, Hoeft A: Electroencephalogram approximate entropy correctly classifies the occurrence of burst suppression pattern as increasing anesthetic drug effect. ANESTHESIOLOGY 2000; 93:981-5
23. 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; 86:836-47
24. Doi M, Gajraj RJ, Mantzaridis H, Kenny GN: Relationship between calculated blood concentration of propofol and electrophysiological variables during emergence from anaesthesia: Comparison of bispectral index, spectral edge frequency, median frequency and auditory evoked potential index. Br J Anaesth 1997; 78:180-4
25. Steyn-Ross ML, Steyn-Ross DA, Sleigh JW, Wilcocks LC: Toward a theory of the general-anesthetic-induced phase transition of the cerebral cortex: I. A thermodynamics analogy. Phys Rev E Stat Nonlin Soft Matter Phys 2001; 64:011917
26. Bruhn J, Kreuer S, Hoeft A, Wilhelm W: Narcotrend Index versus Bispectral Index as electroencephalogram measures of anesthetic drug effect during isoflurane anesthesia (abstract). ANESTHESIOLOGY 2003; 99:A-338