Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 609-612, December 2009

Predicting ischemic brain injury after intraoperative cardiac arrest during cardiac surgery using the BIS monitor

  • Patrick G. Goodman, MD (Senior Resident)

      Affiliations

    • Medical College of Georgia, Department of Anesthesiology and Perioperative Medicine, Augusta, GA 30912
    • Corresponding Author InformationCorresponding author.
  • ,
  • Anand R. Mehta, MBBS (Clinical Assistant Professor)

      Affiliations

    • Medical College of Georgia, Department of Anesthesiology and Perioperative Medicine, Augusta, GA 30912
  • ,
  • Manuel R. Castresana, MD (Professor, Director)

      Affiliations

    • Medical College of Georgia, Department of Anesthesiology and Perioperative Medicine, Augusta, GA 30912
    • Division of Cardiothoracic and Vascular Anesthesiology and Critical Care, Medical College of Georgia, Augusta, GA 30912

Received 14 May 2008; received in revised form 6 January 2009; accepted 8 January 2009. published online 30 October 2009.

Abstract 

Two patients in whom the bispectral index (BIS) decreased to zero following cardiac arrest during cardiothoracic surgery are described. The BIS value decreased to zero after cardiac arrest, and the value remained low for the remainder of the anesthetic despite successful cardiopulmonary resuscitation. Both patients were found to have severe brain injuries in the postoperative period.

Keywords: BIS monitor, Cardiac arrest, Ischemic brain injury

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PII: S0952-8180(09)00281-5

doi:10.1016/j.jclinane.2009.01.014

Journal of Clinical Anesthesia
Volume 21, Issue 8 , Pages 609-612, December 2009