Erschienen in:
24.02.2018 | Review Paper
Journal of clinical monitoring and computing 2017 end of year summary: anesthesia
verfasst von:
Jan F. A. Hendrickx, Andre M. De Wolf, Stanley Skinner
Erschienen in:
Journal of Clinical Monitoring and Computing
|
Ausgabe 2/2018
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Excerpt
Bispectral index (BIS) monitoring can be used to help assess the hypnotic component of general anesthesia, but its use varies widely. Using retrospectively collected intraoperative data on 55,210 surgical cases at a tertiary care hospital, Gelfand et al. [
1] found the following factors to be related to BIS usage: increased age, greater ASA physical status, extremes of BMI, use of TIVA, use of a long-acting paralytic agent, use of an endotracheal tube, emergency surgery, increasing length of case, and certain surgical services. BIS use was also associated with previously documented risk factors for intraoperative awareness. These factors are also indicators of case complexity, which by itself increases the likelihood of using BIS. …