Cost-effectiveness of bispectral index monitoring

Current Opinion in Anaesthesiology

Volumn 24, Issue 2, 2011, Pages 177-181

  Klopman, Matthew A ^a   Sebel, Peter S ^a  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

BIS monitor; cost effectiveness; intraoperative awareness

Indexed keywords

ANESTHETIC AGENT;

ARTICLE; BISPECTRAL INDEX; COST EFFECTIVENESS ANALYSIS; ELECTROCARDIOGRAM; ELECTROENCEPHALOGRAM; EXTUBATION; HUMAN; INCIDENCE; INTRAOPERATIVE AWARENESS; NAUSEA AND VOMITING; OUTCOME ASSESSMENT; PRIORITY JOURNAL; SURVIVAL;

ANESTHESIA RECOVERY PERIOD; ANESTHETICS; CONSCIOUSNESS MONITORS; COST-BENEFIT ANALYSIS; HUMANS; INTRAOPERATIVE AWARENESS; PATIENT DISCHARGE; POSTOPERATIVE NAUSEA AND VOMITING; RECOVERY ROOM; SURVIVAL;

EID: 79952984327     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e328343eb19     Document Type: Article

References (25)

1. Johansen JW, Sebel PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology 2000;93:1336-1344.
2. Glass PS, Bloom M, Kearse L, et al. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology 1997;86:836-847. (Pubitemid 27174724)
3. Liu J, Singh H, White PF. Electroencephalogram bispectral analysis predicts the depth of midazolam-induced sedation. Anesthesiology 1996;84:64-69.
4. Pedersen T, Møller AM, Pedersen BD. Pulse oximetry for perioperative monitoring: systematic review of randomized, controlled trials. Anesth Analg 2003;96:426-431. (Pubitemid 36125759)
5. Moller JT, Johannessen NW, Espersen K, et al. Randomized evaluation of pulse oximetry in 20, 802 patients: II. Perioperative events and postoperative complications. Anesthesiology 1993;78:445-453. (Pubitemid 23090478)
6. Naguib M, Kopman AF, Ensor JE. Neuromuscular monitoring and postoperative residual curarisation: a meta-analysis. Br J Anaesth 2007;98:302-316. (Pubitemid 47072667)
7. Djaiani G, Ali M, Borger MA. Epiaortic scanning modifies planned intraoperative surgical management but not cerebral embolic load during coronary artery bypass surgery. Anesth Analg 2008;106:1611-1618.
8. Gan TJ, Glass PS, Windsor A, et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology 1997;87:808-815. (Pubitemid 27456233)
9. Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology 1997;87:842-848. (Pubitemid 27456237)
10. Liu SS. Effects of bispectral index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology 2004;101:311-315. (Pubitemid 38988485)
11. Johansen JW, Sebel PS, Sigl JC. Clinical impact of hypnotic-titration guidelines based on EEG bispectral index (BIS) monitoring during routine anesthetic care. J Clin Anesth 2000;12:433-443.
12. Punjasawadwong Y, Boonjeungmonkol N, Phongchiewboon A. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev 2007; CD003843.
13. Gan TJ, Meyer T, Apfel CC, et al. Consensus guidelines for managing postoperative nausea and vomiting. Anesth Analg 2003;97:62-71. (Pubitemid 36736540)
14. Myles PS, Leslie K, McNeil J, et al. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004;363:1757-1763. (Pubitemid 38698378)
15. Sebel PS, Bowdle TA, Ghoneim MM, et al. The incidence of awareness during anesthesia: a multicenter United States study. Anesth Analg 2004;99:833-839. (Pubitemid 39100377)
16. Ekman A, Lindholm ML, Lennmarken C, Sandin R. Reduction in the incidence of awareness using BIS monitoring. Acta Anaesthesiol Scand 2004;48:20-26. (Pubitemid 38058138)
17. Avidan MS, Zhang L, Burnside BA, et al. Anesthesia awareness and the bispectral index. N Engl J Med 2008;358:1097-1108. (Pubitemid 351398484)
18. Avidan MS, Palanca BJ, Glick D, et al. Protocol for the BAG-RECALL clinical trial: a prospective, multicenter, randomized, controlled trial to determine whether a bispectral index-guided protocol is superior to an anesthesia gas-guided protocol in reducing intraoperative awareness with explicit recall in high risk surgical patients. BMC Anesthesiol 2009;9:8.
19. Mashour GA, Tremper KK, Avidan MS. Protocol for the 'Michigan Awareness Control Study': a prospective, randomized, controlled trial comparing electronic alerts based on bispectral index monitoring or minimum alveolar concentration for the prevention of intraoperative awareness. BMC Anesthesiol 2009;9:7.
20. Monk TG, Saini V, Weldon BC, Sigl JC. Anesthetic management and one-year mortality after noncardiac surgery. Anesth Analg 2005;100:4-10. (Pubitemid 40013594)
21. Berry AJ. Observational studies identify associations, not causality. Anesth Analg 2005;101:1238. (Pubitemid 41383107)
22. Lindholm ML, Traff S, Granath F, et al. Mortality within 2 years after surgery in relation to low intraoperative bispectral index values and preexisting malignant disease. Anesth Analg 2009;108:508-512. The analysis demonstrates that association between low BIS values and increased mortality is likely weaker than that between pre-existing comorbidities and mortality. The need for a randomized controlled trial to study this phenomenon is highlighted.
23. Kertai MD, Pal N, Palanca BJ, et al. Association of perioperative risk factors and cumulative duration of low bispectral index with intermediate-term mortality after cardiac surgery in the B-Unaware Trial. Anesthesiology 2010;112:1116-1127.
24. O'Connor MF, Daves SM, Tung A, et al. BIS monitoring to prevent awareness during general anesthesia. Anesthesiology 2001;94:520-522. (Pubitemid 32198463)
25. Abenstein JP. Is BIS monitoring cost-effective? Conf Proc IEEE Eng Med Biol Soc 2009;2009:7041-7044.