The effects of the extent of spinal block on the BIS score and regional cerebral oxygen saturation in elderly patients: A prospective, randomized, and double-blinded study

Journal of Clinical Monitoring and Computing

Volumn 21, Issue 2, 2007, Pages 109-114

  Nishikawa, Koichi ^a   Hagiwara, Ryuji ^a   Nakamura, Kohji ^a   Ishizeki, Junko ^a   Kubo, Kazuhiro ^a   Saito, Shigeru ^a   Goto, Fumio ^a  

^a GUNMA UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

Author keywords

BIS; Cardiac output; Regional oxygen saturation; Spinal anesthesia; Stroke volume

Indexed keywords

BLOOD PRESSURE; BRAIN; ELECTROENCEPHALOGRAPHY; HEMOGLOBIN OXYGEN SATURATION; UROLOGY;

BISPECTRAL INDEX (BIS); SPINAL ANESTHESIA; SPINAL BLOCK;

ANESTHESIOLOGY;

BUPIVACAINE;

AGED; ARTICLE; BISPECTRAL INDEX; BRAIN OXYGEN TENSION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOSE TIME EFFECT RELATION; DOUBLE BLIND PROCEDURE; DRUG DOSE COMPARISON; DRUG EFFICACY; GERIATRIC PATIENT; HEART OUTPUT; HEART RATE; HEART STROKE VOLUME; HUMAN; IMPEDANCE CARDIOGRAPHY; OXYGEN SATURATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPINAL ANESTHESIA; SYSTOLIC BLOOD PRESSURE; UROLOGIC SURGERY;

AGED; ANESTHETICS, LOCAL; BLOOD PRESSURE; BRAIN; DOUBLE-BLIND METHOD; FEMALE; HEART RATE; HUMANS; MALE; PROSPECTIVE STUDIES;

EID: 33947208523     PISSN: 13871307     EISSN: 15732614     Source Type: Journal    
DOI: 10.1007/s10877-006-9063-7     Document Type: Article

References (20)

1. Pollock JE, Neal JM, Liu SS, Burkhead D, Polissar N(2000) Sedation during spinal anesthesia. Anesthesiology 93:728-734
2. Gentili M, Huu PC, Enel D, Hollande J, Bonnet F (1998) Sedation depends on the level of sensory block induced by spinal anaesthesia. Br J Anaesth 81:970-971
3. Greene NM, Brull SJ (1993) Physiology of spinal anesthesia. 4th Edition. Baltimore, Williams and Wilkins, pp. 65-67
4. Ben-David B, Vaida S, Gaitini L (1995) The influence of high spinal anesthesia on sensitivity to midazolam sedation. Anesth Analg 81:525-528
5. Tverskoy M, Shagal M, Finger J, Kissin I (1994) Subarachnoid bupivacaine blockade decreases midazolam and thiopental hypnotic requirements. J Clin Anesth 6:487-490
6. Sigl JC, Chamoun NG (1994) An introduction to bispectral analysis for the electroencephalogram. J Clin Monit 10:392-404
7. Rampil IJ (1998) A primer for EEG signal processing in anesthesia. Anesthesiology 89:980-1002
8. Umegaki N, Hirota K, Kitayama M, Yatsu Y, Ishihara H, Matsuki A (2003) A marked decrease in bispectral index with elevation of suppression ratio by cervical haematoma reducing cerebral perfusion pressure. J Clin Neurosci 10:694-696
9. Gupta AK, Menon DK, Czosnyka M, Smielewski P, Kirkpatrick PJ, Jones JG (1997) Non-invasive measurement of cerebral blood volume in volunteers. Br J Anaesth 78:39-43
10. Owen-Reece H, Elwell CE, Harkness W, Goldstone J, Delpy DT, Wyatt JS, Smith M (1996) Use of near infrared spectroscopy to estimate cerebral blood flow in conscious and anaesthetized adult subjects. Br J Anaesth 76:43-48
11. Fortin J, Habenbacher W, Heller A, Hacker A, Grullenberger R, Innerhofer J, Passath H, Wagner Ch, Haitchi G, Flotzinger D, Pacher R, Wach P (2006) Non-invasive beat-to-beat cardiac output monitoring by an improved method of transthoracic bioimpedance measurement. Comput Biol Med 36:1185-1203
12. Ishiyama T, Oguchi T, Iijima T, Matsukawa T, Kashimoto S, Kumazawa T (2003) Ephedrine, but not phenylephrine, increases bispectral index values during combined general and epidural anesthesia. Anesth Analg 97:780-784
13. Eappen S, Kissin I (1998) Effect of subarachnoid bupivacaine block on anesthetic requirements for thiopental in rats. Anesthesiology 88:1036-1042
14. Tverskoy M, Fleyshman G, Backrak L, Ben-Shlomo I (1996) Effect of bupivacaine-induced spinal block on the hypnotic requirement of propofol. Anaesthesia 51:652-653
15. Ishiyama T, Kashimoto S, Oguchi T, Yamaguchi T, Okuyama K, Kumazawa T (2005) Epidural ropivacaine anesthesia decreases the bispectral index during the awake phase and sevoflurane general anesthesia. Anesth Analg 100:728-732
16. Kurup V, Ramani R, Atanassoff PG (2004) Sedation after spinal anesthesia in elderly patients: A preliminary observational study with the PSA-4000. Can J Anaesth 51:562-565
17. Fanelli G, Casati A, Aldegheri G, Beccaria P, Berti M, Leoni A, Torri G (1998) Cardiovascular effects of two different regional anaesthetic techniques for unilateral leg surgery. Acta Anaesthesiol Scand 42:80-84 42 80-84
18. Renna M, Wigmore T, Mofeez A, Gillbe C (2002) Biasing effect of the electromyogram on BIS: A controlled study during high-dose fentanyl induction. J Clin Monit Comput 17:377-381
19. Messner M, Beese U, Romstock J, Dinkel M, Tschaikowsky K (2003) The bispectral index declines during neuromuscular block in fully awake persons. Anesth Analg 97:488-491
20. Vivien B, Di Maria S, Ouattara A, Langeron O, Coriat P, Riou B (2003) Overestimation of Bispectral Index in sedated intensive care unit patients revealed by administration of muscle relaxant. Anesthesiology 99:9-17