Monitoring depth of anesthesia utilizing a combination of electroencephalographic and standard measures

Anesthesiology

Volumn 120, Issue 4, 2014, Pages 819-828

  Schneider, Gerhard ^a,b   Jordan, Denis ^b   Schwarz, Gerhard ^c   Bischoff, Petra ^d,e   Kalkman, Cornelis J ^f   Kuppe, Hermann ^g   Rundshagen, Ingrid ^h   Omerovic, Adem ^b   Kreuzer, Matthias ^b   Stockmanns, Gudrun ^i,j   Kochs, Eberhard F ^b,i   Blum, Jasmin ^b   Hock, Andreas ^b   Horn, Bettina ^b   Jochum, Sybille ^b   Litscher, Gerhard ^c   Müller, Jakob ^e   Ningler, Michael ^b   Pichlmaier, Eva Christine ^a   Pilge, Stefanie ^b,e   Rutenberg, Argid ^g   Rutenberg, Raimund ^g   Schöpfer, Andreas ^c   Untergehrer, Gisela ^a,b   Arenbeck, Henry ⁱ   Gallinat, Michael ⁱ   Hensel, Thomas ⁱ   Lücke Janssen, Daniela ⁱ   more..

^a UNIVERSITY OF WITTEN HERDECKE   (Germany)

^b TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^c MEDICAL UNIVERSITY OF GRAZ   (Austria)

^d ST JOSEF HOSPITAL   (Germany)

^e UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

^f UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^g DEUTSCHES HERZZENTRUM BERLIN   (Germany)

^h CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

ⁱ UNIVERSITY OF DUISBURG ESSEN   (Germany)

^j NIEDERRHEIN UNIVERSITY OF APPLIED SCIENCES   (Germany)

more..

Author keywords

[No Author keywords available]

Indexed keywords

DESFLURANE; ETOMIDATE; ISOFLURANE; NARCOTIC ANALGESIC AGENT; PROPOFOL; REMIFENTANIL; SEVOFLURANE; SUFENTANIL; THIOPENTAL; ANESTHETIC AGENT;

ADULT; ANESTHESIA INDUCTION; ANESTHESIA LEVEL; ARTICLE; BISPECTRAL INDEX; CLINICAL INDICATOR; CONSCIOUSNESS LEVEL; ELECTROENCEPHALOGRAPHY; FEMALE; GENERAL ANESTHESIA; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; MONITOR; MULTICENTER STUDY; PRIORITY JOURNAL; WAKEFULNESS; BLOOD; BLOOD PRESSURE; BREATHING; CLINICAL TRIAL; CONSCIOUSNESS; DEEP SEDATION; DRUG EFFECT; EUROPE; HEART RATE; METHODOLOGY; PATIENT MONITORING; STATISTICS;

ANESTHESIA, GENERAL; ANESTHETICS; BLOOD PRESSURE; CONSCIOUSNESS; DEEP SEDATION; ELECTROENCEPHALOGRAPHY; EUROPE; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; RESPIRATION;

EID: 84902001285     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0000000000000151     Document Type: Article

References (37)

1. Schneider G, Kochs EF, Horn B, Kreuzer M, Ningler M: Narcotrend does not adequately detect the transition between awareness and unconsciousness in surgical patients. Anesthesiology 2004; 101:1105-11.
2. Hoymork SC, Hval K, Jensen EW, Raeder J: Can the cerebral state monitor replace the bispectral index in monitoring hypnotic effect during propofol/remifentanil anaesthesia? Acta Anaesthesiol Scand 2007; 51:210-6.
3. Messner M, Beese U, Romstöck J, Dinkel M, Tschaikowsky K: The bispectral index declines during neuromuscular block in fully awake persons. Anesth Analg 2003; 97:488-91.
4. Pilge S, Zanner R, Schneider G, Blum J, Kreuzer M, Kochs EF: Time delay of index calculation: Analysis of cerebral state, bispectral, and narcotrend indices. Anesthesiology 2006; 104:488-94.
5. Schneider G, Hollweck R, Ningler M, Stockmanns G, Kochs EF: Detection of consciousness by electroencephalogram and auditory evoked potentials. Anesthesiology 2005; 103:934-43.
6. Zanner R, Pilge S, Kochs EF, Kreuzer M, Schneider G: Time delay of electroencephalogram index calculation: Analysis of cerebral state, bispectral, and Narcotrend indices using perioperatively recorded electroencephalographic signals. Br J Anaesth 2009; 103:394-9.
7. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT: Bispectral index monitoring to prevent awareness during anaesthesia: The B-Aware randomised controlled trial. Lancet 2004; 363:1757-63.
8. Avidan MS, Zhang L, Burnside BA, Finkel KJ, Searleman AC, Selvidge JA, Saager L, Turner MS, Rao S, Bottros M, Hantler C, Jacobsohn E, Evers AS: Anesthesia awareness and the bispectral index. N Engl J Med 2008; 358:1097-108.
9. Avidan MS, Jacobsohn E, Glick D, Burnside BA, Zhang L, Villafranca A, Karl L, Kamal S, Torres B, O'Connor M, Evers AS, Gradwohl S, Lin N, Palanca BJ, Mashour GA; BAG-RECALL Research Group: Prevention of intraoperative awareness in a high-risk surgical population. N Engl J Med 2011; 365:591-600.
10. Tunstall ME: Detecting wakefulness during general anaesthesia for caesarean section. Br Med J 1977; 1:1321.
11. Brice DD, Hetherington RR, Utting JE: A simple study of awareness and dreaming during anaesthesia. Br J Anaesth 1970; 42:535-42.
12. Kochs E, Kalkman CJ, Thornton C, Newton D, Bischoff P, Kuppe H, Abke J, Konecny E, Nahm W, Stockmanns G: Middle latency auditory evoked responses and electroencephalographic derived variables do not predict movement to noxious stimulation during 1 minimum alveolar anesthetic concentration isoflurane/nitrous oxide anesthesia. Anesth Analg 1999; 88:1412-7.
13. Kochs E, Stockmanns G, Thornton C, Nahm W, Kalkman CJ: Wavelet analysis of middle latency auditory evoked responses: Calculation of an index for detection of awareness during propofol administration. Anesthesiology 2001; 95:1141-50.
14. Jordan C, Weller C, Thornton C, Newton DE: Monitoring evoked potentials during surgery to assess the level of anaesthesia. J Med Eng Technol 1995; 19:77-9.
15. Stockmanns G, Ningler M, Omerovic A, Kochs E, Schneider G: NeuMonD: A tool for the development of new indicators of anaesthetic effect. Biomed Tech 2007; 52:96-101.
16. Jordan D, Stockmanns G, Kochs EF, Pilge S, Schneider G: Electroencephalographic order pattern analysis for the separation of consciousness and unconsciousness: An analysis of approximate entropy, permutation entropy, recurrence rate, and phase coupling of order recurrence plots. Anesthesiology 2008; 109:1014-22.
17. Kreuzer M, Kochs EF, Pilge S, Stockmanns G, Schneider G: Construction of the electroencephalogram player: A device to present electroencephalogram data to electroencephalogram- based anesthesia monitors. Anesth Analg 2007; 104:135-9.
18. Bruhn J, Röpcke H, Hoeft A: Approximate entropy as an electroencephalographic measure of anesthetic drug effect during desflurane anesthesia. Anesthesiology 2000; 92:715-26.
19. Horn B, Pilge S, Kochs EF, Stockmanns G, Hock A, Schneider G: A combination of electroencephalogram and auditory evoked potentials separates different levels of anesthesia in volunteers. Anesth Analg 2009; 108:1512-21.
20. Jordan D, Stockmanns G, Kochs EF, Schneider G: Median frequency revisited: An approach to improve a classic spectral electroencephalographic parameter for the separation ofconsciousness from unconsciousness. Anesthesiology 2007; 107:397-405.
21. Rampil IJ: A primer for EEG signal processing in anesthesia. Anesthesiology 1998; 89:980-1002.
22. Nickalls RW, Mapleson WW: Age-related iso-MAC charts for isoflurane, sevoflurane and desflurane in man. Br J Anaesth 2003; 91:170-4.
23. Marsh B, White M, Morton N, Kenny GN: Pharmacokinetic model driven infusion of propofol in children. Br J Anaesth 1991; 67:41-8.
24. Mamdani EH, Assilian S: An experiment in linguistic synthesis with a fuzzy logic controller. Int J Man Mach Stud 1975; 7:1-13.
25. Takagi T, Sugeno M: Fuzzy identification of systems and its application to modeling and control. IEEE Trans Syst Man Cybern 1985; 15:116-32.
26. Jang J-SR: ANFIS: Adaptive-network-based fuzzy inference systems. IEEE Trans Syst Man Cybern 1993; 23:665-84.
27. Avidan MS, Mashour GA: Prevention of intraoperative awareness with explicit recall: Making sense of the evidence. Anesthesiology 2013; 118:449-56.
28. Jordan D, Steiner M, Kochs EF, Schneider G: A program for computing the prediction probability and the related receiver operating characteristic graph. Anesth Analg 2010; 111:1416-21.
29. Smith WD, Dutton RC, Smith NT: Measuring the performance of anesthetic depth indicators. Anesthesiology 1996; 84:38-51.
30. Davison AC, Hinkley DV: Bootstrap methods and their application, Cambridge Series in Statistical and Probabilistic Mathematics. Cambridge, Cambridge University Press, 1997, pp 191-55.
31. Sanders RD, Tononi G, Laureys S, Sleigh JW: Unresponsiveness ≠ unconsciousness. Anesthesiology 2012; 116:946-59.
32. Sleigh JW: Depth of anesthesia: Perhaps the patient isn't a submarine. Anesthesiology 2011; 115:1149-50.
33. Alkire MT, Hudetz AG, Tononi G: Consciousness and anesthesia. Science 2008; 322:876-80.
34. Imas OA, Ropella KM, Ward BD, Wood JD, Hudetz AG: Volatile anesthetics disrupt frontal-posterior recurrent information transfer at gamma frequencies in rat. Neurosci Lett 2005; 387:145-50.
35. Bandt C, Pompe B: Permutation entropy: A natural complexity measure for time series. Phys Rev Lett 2002; 88:174102.
36. Viertiö-Oja H, Maja V, Särkelä M, Talja P, Tenkanen N, Tolvanen-Laakso H, Paloheimo M, Vakkuri A, Yli-Hankala A, Meriläinen P: Description of the Entropy algorithm as applied in the Datex-Ohmeda S/5 Entropy Module. Acta Anaesthesiol Scand 2004; 48:154-61.
37. Bonhomme V, Hans P: Muscle relaxation and depth of anaesthesia: Where is the missing link? Br J Anaesth 2007; 99:456-60.