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 ,Revised 6 January 2009 ,Accepted 8 January 2009.

References 

  1. Johansen JW, Sebel PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology. 2000;93:1336–1344
  2. Sinha P, Jacob D, Koshy T. Rapid decrease in bispectral index following a single intravenous injection of metoprolol. Anesth Analg. 2007;105:548
  3. Morimoto Y, Monden Y, Kazunobu O, Sakabe T, Hagihira S. The detection of cerebral hypoperfusion with bispectral index monitoring during general anesthesia. Anesth Analg. 2005;100:158–161
  4. England M. The changes in bispectral index during a hypovolemic cardiac arrest. Anesthesiology. 1999;91:1947–1949
  5. Puri GD, Kumar A, Thignam S. BIS as an indicator of cerebral perfusion during closed mitral commissurotomy. Can J Anaesth. 2003;50:971–972
  6. Billard V. Brain injury under general anesthesia: is monitoring of the EEG helpful?. Can J Anaesth. 2001;48:1055–1060
  7. Szekely B, Saint-Marc T, Degremont AC, Castelain MH, Fischler M. Value of bispectral index monitoring during cardiopulmonary resuscitation. Br J Anaesth. 2002;88:443–444
  8. Azim N, Wang CY. The use of bispectral index during a cardiopulmonary arrest: a potential predictor of cerebral perfusion. Anaesthesia. 2004;59:610–612
  9. Chakravarthy M, Patil T, Jayaprakash K, Shivananda N, Jawali V. Bispectral index is an indicator of adequate perfusion during cardiopulmonary resuscitation. J Cardiothorac Vasc Anesth. 2003;17:506–508
  10. 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
  11. Myles PS, Cairo S. Artifact in the bispectral index in a patient with severe ischemic brain injury. Anesth Analg. 2004;98:706–707
  12. Fatovich D, Jacobs I, Celenza A, Paech M. An observational study of bispectral index monitoring for out of hospital cardiac arrest. Resuscitation. 2006;69:207–212
  13. Losasso TJ, Muzzi DA, Meyer FB, Sharbrough FW. Electroencephalographic monitoring of cerebral function during asystole and successful cardiopulmonary resuscitation. Anesth Analg. 1992;75:1021–1024
  14. Fabregas N, Gambus P, Valero R, et al. Can bispectral index monitoring predict recovery of consciousness in patients with severe brain injury?. Anesthesiology. 2004;101:43–51
  15. Vivien B, Paqueron X, Le Cosquer P, Langeron O, Coriat P, Riou B. Detection of brain death onset using the bispectral index in severely comatose patients. Intensive Care Med. 2002;28:419–425

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

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