Effect of sugammadex or neostigmine neuromuscular block reversal on bispectral index monitoring of propofol/remifentanil anaesthesia

British Journal of Anaesthesia

Volumn 108, Issue 4, 2012, Pages 602-606

  Dahaba, A A ^a   Bornemann, H ^a   Hopfgartner, E ^a   Ohran, M ^a   Kocher, K ^a   Liebmann, M ^a   Wilfinger, G ^a   Metzler, H ^a  

^a MEDICAL UNIVERSITY OF GRAZ   (Austria)

Author keywords

anaesthesia, depth; measurement techniques, mechanomyography; measurement techniques, neuromuscular block; monitoring, intraoperative; monitoring, neuromuscular function; neuromuscular blocking agents; NM relaxant, reversal

Indexed keywords

GLYCOPYRRONIUM BROMIDE; NEOSTIGMINE; PROPOFOL; REMIFENTANIL; ROCURONIUM; SUGAMMADEX;

ADULT; ANESTHESIA LEVEL; ARTICLE; BISPECTRAL INDEX; CLINICAL ARTICLE; CONTROLLED STUDY; DRUG EFFECT; ELECTROMYOGRAM; FEMALE; GENERAL ANESTHESIA; HUMAN; MALE; MUSCLE CONTRACTION; NEUROMUSCULAR BLOCKING; NEUROMUSCULAR BLOCKING REVERSAL; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL;

EID: 84858428460     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aer495     Document Type: Article

References (29)

1. Yang LP, Keam SJ. Sugammadex: A review of its use in anaesthetic practice. Drugs 2009; 69: 919-42
2. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology 1998; 89: 980-1002
3. Sleigh JW, Steyn-Ross DA, Steyn-Ross ML, Williams ML, Smith P. Comparison of changes in electroencephalographic measures during induction of general anaesthesia: Influence of the gamma frequency band and electromyogram signal. Br J Anaesth 2001; 86: 50-8
4. Bruhn J, Bouillon TW, Shafer SL. Electromyographic activity falsely elevates the bispectral index. Anesthesiology 2000; 92: 1485-7
5. Dahaba AA, Mattweber M, Fuchs A, et al. The effect of different stages of neuromuscular block on the bispectral index and the bispectral index-XP under remifentanil/propofol anesthesia. Anesth Analg 2004; 99: 781-7
6. Greif R, Greenwald S, Schweitzer E, et al. Muscle relaxation does not alter hypnotic level during propofol anesthesia. Anesth Analg 2002; 94: 604-8
7. Vasella FC, Frascarolo PR, Spahn D, Magnusson L. Antagonism of neuromuscular blockade but not muscle relaxation affects depth of anaesthesia. Br J Anaesth 2005; 94: 742-7
8. Ekman A, Stalberg E, Sundman E, Eriksson LI, Brudin L, Sandin R. The effect of neuromuscular block and noxious stimulation on hypnosis monitoring during sevoflurane anesthesia. Anesth Analg 2007; 105: 688-95
9. Messner M, Beese U, Romstock J, Dinkel M, Tschaikowsky K. The bispectral index declines during neuromuscular block in fully awake persons. Anesth Analg 2003; 97: 488-91
10. Vivien B, Di Maria S, Ouattara A, Langeron 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
11. Liu N, Chazot T, Huybrechts I, Law-Koune JD, Barvais L, Fischler M. The influence of a muscle relaxant bolus on bispectral and Datex- Ohmeda entropy values during propofol-remifentanil induced loss of consciousness. Anesth Analg 2005; 101: 1713-8
12. Fuchs-Buder T, Claudius C, Skovgaard LT, Eriksson LI, Mirakhur RK, Viby-Mogensen J. Good Clinical research Practice (GCRP) in pharmocodynamic studies of neuromuscular blocking agents II: The Stockholm revision. Acta Anaesthesiol Scand 2007; 51: 789-808
13. Moher D, Schulz KF, Altman DG, for the CONSORT group. The CONSORT statement: Revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet 2001; 357: 1191-4
14. Mathews DM, Kumaran KR, Neuman GG. Bispectral index-derived facial electromyography-guided fentanyl titration in the opiate-exposed patient. Anesth Analg 2003; 96: 1062-4
15. Dahaba AA, von Klobucar F, Rehak PH, List WF. The neuromuscular transmission module vs the relaxometer mechanomyograph for neuromuscular block monitoring. Anesth Analg 2002; 94: 591-6
16. Marsh B, White M, Morton N, Kenny GNC. Pharmacokinetic model driven infusion of propofol in children. Br J Anaesth 1991; 67: 41-8
17. Godet G, Reina M, Raux M, Amour J, De Castro V, Coriat P. Anaesthesia for carotid endarterectomy: Comparison of hypnotic- and opioid-based techniques. Br J Anaesth 2004; 92: 329-34
18. Jensen EW, Litvan H, Struys M, Martinez Vazquez P. Pitfalls and challenges when assessing the depth of hypnosis during general anaesthesia by clinical signs and electronic indices. Acta Anaesthesiol Scand 2004; 48: 1260-7
19. Illman H, Antila H, Olkkola KT. Reversal of neuromuscular blockade by sugammadex does not affect EEG derived indices of depth of anesthesia. J Clin Monit Comput 2010; 24: 371-6
20. Lanier W, Iaizzo P, Milde JH, Sharbrough FW. The cerebral and systemic effects of movement in response to a noxious stimulus in lightly anesthetized dogs. Possible modulation of cerebral function by muscle afferents. Anesthesiology 1994; 80: 392-401
21. Hunter JM, Flockton EA. The doughnut and the hole: A new pharmacological concept for anaesthetists. Br J Anaesth 2006; 97: 123-6
22. Dahaba AA. Different conditions that could result in the bispectral index indicating incorrect hypnotic state. Anesth Analg 2005; 101: 765-73
23. Dahaba AA, Worm HC, Zhu SM, et al. Sensitivity and specificity of bispectral index for classification of overt hepatic encephalopathy: A multicentre, observer-blinded, validation study. Gut 2008; 57: 77-83
24. Dahaba AA, Xue JX, Xu GX, Liu QH, Metzler H. Bilateral Bispectral Index (BIS)-Vista as a measure of physiologic sleep in sleepdeprived anaesthesiologists. Minerva Anestesiol 2011; 77: 388-93
25. Puhringer F, Rex C, Sielenkamper A, et al. Reversal of profound, high-dose rocuronium-induced neuromuscular blockade by sugammadex at two different time points. Anesthesiology 2008; 109: 188-97
26. Sparr HJ, Vermeyen KM, Beaufort AM, et al. Early reversal of profound rocuronium-induced neuromuscular blockade by sugammadex in a randomized multicenter study: Efficacy, safety, and pharmacokinetics. Anesthesiology 2007; 106: 935-43
27. Plaud B, Meretoja O, Hofmockel R, et al. Reversal of rocuronium-induced neuromuscular blockade with sugammadex in pediatric and adult surgical patients. Anesthesiology 2009; 110: 284-94
28. Dahaba AA, Rehak PH, List WF. Assessment of accelerography with the TOF-GUARD: A comparison with electromyography. Eur J Anaesthesiol 1997; 14: 623-9
29. Dahaba AA, Von Klobucar F, Rehak PH, List WF. Comparison of a new piezoelectric train-of-four neuromuscular monitor, the Para- Graph, and the Relaxometer mechanomyograph. Br J Anaesth 1999; 82: 780-2