Effects of cerebral hypoperfusion on bispectral index: A randomised, controlled animal experiment during haemorrhagic shock

Resuscitation

Volumn 81, Issue 9, 2010, Pages 1183-1189

  Cavus, Erol ^a   Meybohm, Patrick ^a   Doerges, Volker ^a   Hoecker, Jan ^a   Betz, M ^a   Hanss, Robert ^a   Steinfath, Markus ^a   Bein, Berthold ^a  

^a UNIVERSITY HOSPITAL SCHLESWIG HOLSTEIN   (Germany)

Author keywords

Brain ischaemia; Electroencephalogram; Haemorrhage; Oxygen; Shock

Indexed keywords

ARGIPRESSIN; ATROPINE; AZAPERONE; HYPERTENSIVE FACTOR; HYPERTONIC SOLUTION; KETAMINE; PROPOFOL; SODIUM CHLORIDE; STARCH;

ANESTHESIA; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; BRAIN PERFUSION; BRAIN TISSUE; CONTINUOUS INFUSION; CONTROLLED STUDY; CONVALESCENCE; DISEASE SEVERITY; DRUG BLOOD LEVEL; FLUID RESUSCITATION; HEMOGLOBIN BLOOD LEVEL; HEMORRHAGIC SHOCK; NONHUMAN; PERFUSION PRESSURE; PRIORITY JOURNAL; RESUSCITATION; SWINE;

ANESTHETICS, INTRAVENOUS; ANIMALS; ARGININE VASOPRESSIN; BLOOD FLOW VELOCITY; BLOOD PRESSURE; BRAIN; BRAIN ISCHEMIA; CEREBROVASCULAR CIRCULATION; ELECTROENCEPHALOGRAPHY; FLUID THERAPY; HEMOGLOBINS; OXYGEN; PROPOFOL; REGIONAL BLOOD FLOW; RESUSCITATION; SHOCK, HEMORRHAGIC; SWINE; VASOCONSTRICTOR AGENTS;

EID: 77955846679     PISSN: 03009572     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.resuscitation.2010.05.018     Document Type: Article

References (28)

1. Kovach A.G., Sandor P. Cerebral blood flow and brain function during hypotension and shock. Annu Rev Physiol 1976, 38:571-596.
2. Gregory P.C., McGeorge A.P., Fitch W., Graham D.I., MacKenzie E.T., Harper A.M. Effects of hemorrhagic hypotension on the cerebral circulation. II. Electrocortical function. Stroke 1979, 10:719-723.
3. Rampil I.J. A primer for EEG signal processing in anesthesia. Anesthesiology 1998, 89:980-1002.
4. Lauwick S., English M., Hemmerling T.M. An unusual case of cerebral hypoperfusion detected by bispectral index monitoring. Can J Anaesth 2007, 54:680-681.
5. Hemmerling T.M., Olivier J.F., Basile F., Le N., Prieto I. Bispectral index as an indicator of cerebral hypoperfusion during off-pump coronary artery bypass grafting. Anesth Analg 2005, 100:354-356.
6. Morimoto Y., Monden Y., Ohtake K., Sakabe T., Hagihira S. The detection of cerebral hypoperfusion with bispectral index monitoring during general anesthesia. Anesth Analg 2005, 100:158-161.
7. Azim N., Wang C.Y. The use of bispectral index during a cardiopulmonary arrest: a potential predictor of cerebral perfusion. Anaesthesia 2004, 59:610-612.
8. Mourisse J., Booij L. Bispectral index detects period of cerebral hypoperfusion during cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2003, 17:76-78.
9. Hayashida M., Chinzei M., Komatsu K., et al. Detection of cerebral hypoperfusion with bispectral index during paediatric cardiac surgery. Br J Anaesth 2003, 90:694-698.
10. Johnson K.B., Egan T.D., Kern S.E., McJames S.W., Cluff M.L., Pace N.L. Influence of hemorrhagic shock followed by crystalloid resuscitation on propofol: a pharmacokinetic and pharmacodynamic analysis. Anesthesiology 2004, 101:647-659.
11. Johnson K.B., Egan T.D., Kern S.E., et al. The influence of hemorrhagic shock on propofol: a pharmacokinetic and pharmacodynamic analysis. Anesthesiology 2003, 99:409-420.
12. Beydon L., Desfontis J.C., Ganster F., et al. BIS response to tamponade and dobutamine in swine varies with hypnotic/opiate ratio. Ann Fr Anesth Reanim 2009, 28:650-657.
13. Adachi Y.U., Satomoto M., Higuchi H., Watanabe K. Rapid fluid infusion therapy decreases the plasma concentration of continuously infused propofol. Acta Anaesthesiol Scand 2005, 49:331-336.
14. Pilge S., Zanner R., Schneider G., Blum J., Kreuzer M., Kochs E.F. Time delay of index calculation: analysis of cerebral state, bispectral, and narcotrend indices. Anesthesiology 2006, 104:488-494.
15. Bein B., Cavus E., Stadlbauer K.H., et al. Monitoring of cerebral oxygenation with near infrared spectroscopy and tissue oxygen partial pressure during cardiopulmonary resuscitation in pigs. Eur J Anaesthesiol 2006, 23:501-509.
16. Cavus E., Meybohm P., Doerges V., et al. Cerebral effects of three resuscitation protocols in uncontrolled haemorrhagic shock: a randomised controlled experimental study. Resuscitation 2009, 80:567-572.
17. Hashimoto H., Nakamura H., Hirota K. Marked reduction in bispectral index with severe bradycardia without hypotension in a diabetic patient undergoing ophthalmic surgery. J Anesth 2008, 22:300-303.
18. Merat S., Levecque J.P., Le Gulluche Y., Diraison Y., Brinquin L., Hoffmann J.J. BIS monitoring may allow the detection of severe cerebral ischemia. Can J Anaesth 2001, 48:1066-1069.
19. De Paepe P., Belpaire F.M., Rosseel M.T., Van Hoey G., Boon P.A., Buylaert W.A. Influence of hypovolemia on the pharmacokinetics and the electroencephalographic effect of propofol in the rat. Anesthesiology 2000, 93:1482-1490.
20. Kurita T., Kazama T., Morita K., et al. Influence of fluid infusion associated with high-volume blood loss on plasma propofol concentrations. Anesthesiology 2004, 100:871-878. discussion 5A-6A.
21. Meybohm P., Cavus E., Doerges V., et al. Release of protein S100B in haemorrhagic shock: effects of small volume resuscitation combined with arginine vasopressin. Resuscitation 2008, 76:449-456.
22. Meybohm P., Renner J., Boening A., et al. Impact of norepinephrine and fluid on cerebral oxygenation in experimental hemorrhagic shock. Pediatr Res 2007, 62:440-444.
23. Raedler C., Voelckel W.G., Wenzel V., et al. Treatment of uncontrolled hemorrhagic shock after liver trauma: fatal effects of fluid resuscitation versus improved outcome after vasopressin. Anesth Analg 2004, 98. 1759-1766, table of contents.
24. Stadlbauer K.H., Wagner-Berger H.G., Raedler C., et al. Vasopressin, but not fluid resuscitation, enhances survival in a liver trauma model with uncontrolled and otherwise lethal hemorrhagic shock in pigs. Anesthesiology 2003, 98:699-704.
25. Morales D., Madigan J., Cullinane S., et al. Reversal by vasopressin of intractable hypotension in the late phase of hemorrhagic shock. Circulation 1999, 100:226-229.
26. Chollet-Xemard C., Combes X., Soupizet F., et al. Bispectral index monitoring is useless during cardiac arrest patients' resuscitation. Resuscitation 2009, 80:213-216.
27. Rampil I.J., Weiskopf R.B., Brown J.G., et al. I653 and isoflurane produce similar dose-related changes in the electroencephalogram of pigs. Anesthesiology 1988, 69:298-302.
28. Martin-Cancho M.F., Lima J.R., Luis L., et al. Bispectral index, spectral edge frequency 95% and median frequency recorded at varying desflurane concentrations in pigs. Res Vet Sci 2006, 81:373-381.