Isoproterenol-induced elevated bispectral indexes while undergoing radiofrequency ablation: A case report

AANA Journal

Volumn 74, Issue 3, 2006, Pages 193-195

  Matthews, Robert ^a,b  

^a University of North Carolina Hospitals ^*

^b UNIVERSITY OF NORTH CAROLINA HOSPITALS   (United States)

Author keywords

Bispectral index; Dexmedetomidine; Isoproterenol; Radiofrequency ablation

Indexed keywords

BETA ADRENERGIC RECEPTOR; DEXMEDETOMIDINE; EPHEDRINE; ISOPRENALINE; KETAMINE; NITRIC OXIDE; OXYGEN; PHYSOSTIGMINE; PROPOFOL;

ADULT; ARTICLE; BETA ADRENERGIC STIMULATION; BISPECTRAL INDEX; CARDIOVERSION; CASE REPORT; CHOLINERGIC TRANSMISSION; DRUG INDUCED DISEASE; ELECTROMYOGRAPHY; FEMALE; GENERAL ANESTHESIA; HUMAN; NERVE FUNCTION; PATIENT MONITORING; RADIOFREQUENCY ABLATION; STIMULUS RESPONSE; SUPRAVENTRICULAR TACHYCARDIA;

ADRENERGIC BETA-AGONISTS; ANESTHESIA, GENERAL; CARDIOTONIC AGENTS; CATHETER ABLATION; DRUG MONITORING; ELECTRIC COUNTERSHOCK; ELECTROCARDIOGRAPHY; ELECTROENCEPHALOGRAPHY; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; HUMANS; INFUSIONS, INTRAVENOUS; ISOPROTERENOL; MENTAL RECALL; MIDDLE AGED; MONITORING, INTRAOPERATIVE; NEURONS; RECURRENCE; TACHYCARDIA, PAROXYSMAL; TACHYCARDIA, SUPRAVENTRICULAR;

EID: 33744958484     PISSN: 00946354     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (19)

1. Hans P, Dewandre PY, Brichant JF, Bonhomme V. Comparative effects of ketamine on Bispectral Index and spectral entropy of the electroencephalogram under sevoflorene anaesthesia. Br J Anaesth. 2005;94:336-340.
2. Morioka N, Ozaki M, Matsukawa T, Sessler D, Atarshi K, Suzuki H. Ketamine causes a paradoxical increase in the bispectral index [abstract]. Anesthesiology. 1997;87:A502.
3. Hirota K, Kubota T, Ishihara H, Matsuki A. The effects of nitrous oxide and ketamine on the bisectral index and 95% spectral edge frequency during propofol-fentanyl anaesthesia. Euro J Anaesthesiol. 1999;16:779-783.
4. Vivien B, Di Maria S, Ouattara A, Langeren O, Coriat P, Riou B. Overestimation of Bispectral Index in sedated intensive care unit patients revealed by administration of muscle relaxant. Anesthesiology. 2003;99:9-17.
5. Fodale V, Tescione M, Pratico C. Cholinesterase inhibitors, neuromuscular blocking drugs and perioperative memory enhancement [letter]. Anesthesiology. 2004;101:1483-1484.
6. Ghoneim MM. Drugs and human memory (part 2) Clinical, theoretical, and methodologic issues. Anesthesiology 2004;100:1277-1297.
7. Meuret P, Backman SB, Bonhomme V, Plourde G, Fiset P. Physostigmine reverses propofol-induced unconsciousness and attenuation of the auditory steady state response and bispectral index in human volunteers. Anesthesiology. 2000;93:708-717.
8. Ishiyama T, Oguchi T, Iijima T, Matsukawa T, Kashimoto S, Kumazawa T. Ephedrine, but not phenylephrine, increases bispectral index values during combined general and epidural anesthesia. Anesth Analg. 2003;97:780-784.
9. Berridge CW, Bolen SJ, Manley MS, Foote SL. Modulation of forebrain electroencephalographic activity in the halothane-anesthetized rat via actions of noradrenergic beta-receptors within the medial septal region. J Neurosci. 1996;16:7010-7020.
10. Berridge CW, Isaac SO, Espana RA. Additive wake-promoting actions of medial basal forebrain noradrenergic alpha1- and beta-receptor stimulation. Behav Neurosci. 2003;117:350-359.
11. Johansen JW, Flaishon R, Sebel PS. Esmolol reduces anesthetic requirement for skin incision during propofol/nitrous oxide/morphine anesthesia. Anesthestology. 1997;86:364-371.
12. Johansen JW. Esmolol promotes electroencephalographic burst suppression during propofol/alfentanil anesthesia. Anesth Analg. 2001;93:1526-1531.
13. McEvoy JK et al, eds. American Hospital Formulary Service (AHFS) Drug Information 2004. Bethesda, Md: American Society of Health-System Pharmacists, Inc; 2004:1260-1263.
14. Barnes P, Mueller R. Bronchodilators. In: Munson PL, Mueller RA, Breese GR, Berndt WO, eds. Principals of Pharmacology: Basic Concepts and Clinical Applications. New York, NY: Chapman & Hall; 1995:585-589.
15. Murphy AW, Platts-Mills TAE. Drugs used in asthma and obstructive lung disease. In: Brody TM, Larner J, Minneman KP, eds. Human Pharmacology: Molecular to Clinical. 3rd ed. St Louis, Mo: Mosby-Year Book, Inc; 1998:797-810.
16. Fehr SB, Zalunardo MP, Seifert B, et al. Clonidine decreases propofol requirements during anaesthesia: effect on bispectral index. Br J Anaesth. 2001;86:627-632.
17. Ebert T, Maze M. Dexmedetomidine: Another arrow for the clinician's quiver [editorial]. Anesthesiology. 2004;101:568-570.
18. Correa-Sales C, Rabin BC, Maze M. A hypnotic response to dexmedetomidine, an alpha 2 agonist, is mediated in the locus coeruleus in rats. Anesthesiology. 1992;76:873-875.
19. McEvoy JK et al, eds. American Hospital Formulary Service (AHFS) Drug Information 2004. Bethesda, Md: American Society of Health-System Pharmacists, Inc; 2004:2411-2412.