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Bispectral Index Monitoring and Combinations in Anesthesia Safety

Year 2024, , 120 - 125, 28.07.2024
https://doi.org/10.56766/ntms.1384163

Abstract

Anesthesia should ideally provide an adequate level of hypnosis (sleep, unawareness/non-recall), analgesia and a suitable environment for surgery (immobility, muscle relaxation). Monitoring of the depth of anesthesia is recommended to reduce awareness during anesthesia and to improve the administration of anesthetic drugs. The bispectral index (BIS) is a numerical scale based on the analysis of EEG parameters and can reduce the adverse effects associated with over- or under-dosing of anesthetic drugs. BIS is the most studied and best documented method of cerebral monitoring
This summary is based on selected literature on BIS monitoring and its combination with other monitoring modalities over the last 20 years.

References

  • 1. American Society of Anesthesiologists Task Force on Intraoperative Awareness. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006; 104(4):847-64.
  • 2. Federal Drug Administration Consumer Guide 1998 July–August. Available at: http://www.fda.gov/fdac/departs/ 1998/498_upd.html
  • 3. Johansen JW. Update on bispectral index monitoring. Best Pract Res Clin Anaesthesiol. 2006; 20(1):81-99.
  • 4. Ghoneim MM, Block RI. Learning and consciousness during general anesthesia. Anesthesiology. 1992; 76(2):279-305.
  • 5. Sebel PS, Bowdle TA, Ghoneim MM, et al. The incidence of awareness during anesthesia: a multicenter United States study. Anesth Analg. 2004; 99:833-39.
  • 6. Bergman IJ, Kluger MT, Short TG. Awareness during general anaesthesia: a review of 81 cases from the Anaesthetic Incident Monitoring Study. Anaesthesia. 2002; 57(6):549-56.
  • 7. Ekman A, Lindholm ML, Lennmarken C, Sandin R. Reduction in the incidence of awareness using BIS monitoring. Acta Anesthesiol Scand. 2004; 48(1):20-26.
  • 8. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-aware randomized controlled trail. Lancet. 2004; 363:1757-63.
  • 9. Avidan MS, Zhang L, Burnside BA, et al. Anesthesia awareness and the bispectral index. N Engl J Med. 2008: 358(11):1097-108.
  • 10. Avidan MS, Jacobsohn E, Glick D, et al; BAG-RECALL Research Group. Prevention of intraoperative awareness in a high-risk surgical population. N Engl J Med. 2011; 365(7):591-600.
  • 11. Sudhakaran R, Makkar JK, Jain D, Wig J, Chabra R. Comparison of bispectral index and end-tidal anaesthetic concentration monitoring on recovery profile of desflurane in patients undergoing lumbar spine surgery. Indian J Anaesth. 2018; 62(7):516-23.
  • 12. Wong J, Song D, Blanshard H, Grady D, Chung F. Titration of isoflurane using BIS index improves early recovery of elderly patients undergoing orthopedic surgery. Can J Anesth. 2002; 49:13-18.
  • 13. Liu SS. Effects of bispectral index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology. 2004; 101:311-15.
  • 14. Mashour GA, Shanks A, Tremper KK, et al. Prevention of intraoperative awareness in an unselected surgical population: a randomized comparative effectiveness trial. Anesthesiology. 2012; 117(4):717-25.
  • 15. Zhang C, Xu L, Ma YQ, et al. Bispectral index monitoring prevent awareness during total intravenous anesthesia: a prospective, randomized, double-blinded, multi-center controlled trial. Chinese Medical Journal. 2011; 124:3664-69.
  • 16. Chan MT, Cheng BC, Lee TM, Gin T; CODA Trial Group. BIS-guided anesthesia decreases postoperative delirium and cognitive decline. J Neurosurg Anesthesiol. 2013; 25(1):33-42.
  • 17. Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev. 2014;2014(6):CD003843.
  • 18. Verheecke G. Early postoperative vomiting and volatile anaesthetics or nitrous oxide. Br J Anaesth. 2003; 90(1):109-10
  • 19. Pavlin JD, Souter KJ, Hong JY, Freund PR, Bowdie TA, Bower JO. Effects of bispectral index monitoring on recovery from surgical anesthesia in 1,580 inpatients from an academic medical center. Anesthesiology. 2005; 102:566-73.
  • 20. Fritz BA, Rao P, Mashour GA, et al. Postoperative recovery with bispectral index versus anesthetic concentration-guided protocols. Anesthesiology. 2013; 118:1113-22.
  • 21. Chaudhuri S, Banerjee S, Chattopadhyay U, Hussain SS. Comparison of recovery times by using bispectral index monitoring versus end-tidal agent concentration monitoring in patients undergoing inhalational general anaesthesia. Indian J Anaesth. 2022; 66(3):161-68.
  • 22. Vakil E, Sarkiss M, Ost D, et al. Safety of Monitored Anesthesia Care Using Propofol-Based Sedation for Pleuroscopy. Respiration. 2018; 95(1):1-7.
  • 23. Anderson BJ, Hodkinson B. Are there still limitations for the use of target-controlled infusion in children? Curr Opin Anaesthesiol. 2010; 23(3):356-62.
  • 24. Albertin A, Poli D, La Colla L, et al. Preditive performance of ‘Servin’s formula’ during BIS-guided propofol-remifentanil target -controlled infusion in morbidly obese patients. Br J Anaesth. 2007; 98:66-75.
  • 25. Struys M, De Smet T, Versichelen LF, Van De Velde S, Van den Broecke R, Mortier EP. Comparison of closed-loop controlled administration of propofol using Bispectral Index as the controlled variable versus "Standart Practice" controlled administration. Anesthesiology. 2001; 95:6-17.
  • 26. Pasin L, Nardelli P, Pintaudi M, et al. Closed-Loop Delivery Systems Versus Manually Controlled Administration of Total IV Anesthesia: A Meta-analysis of Randomized Clinical Trials. Anesth Analg. 2017 Feb;124(2):456-64.
  • 27. Badenes R, García-Pérez ML, Bilotta F. Intraoperative monitoring of cerebral oximetry and depth of anaesthesia during neuroanesthesia procedures. Curr Opin Anaesthesiol. 2016; 29(5): 576-81.
  • 28. Thudium M, Heinze I, Ellerkmann RK, Hilbert T. Cerebral Function and Perfusion during Cardiopulmonary Bypass: A Plea for a Multimodal Monitoring Approach. Heart Surg Forum. 2018; 21(1):E028-E035.
Year 2024, , 120 - 125, 28.07.2024
https://doi.org/10.56766/ntms.1384163

Abstract

References

  • 1. American Society of Anesthesiologists Task Force on Intraoperative Awareness. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006; 104(4):847-64.
  • 2. Federal Drug Administration Consumer Guide 1998 July–August. Available at: http://www.fda.gov/fdac/departs/ 1998/498_upd.html
  • 3. Johansen JW. Update on bispectral index monitoring. Best Pract Res Clin Anaesthesiol. 2006; 20(1):81-99.
  • 4. Ghoneim MM, Block RI. Learning and consciousness during general anesthesia. Anesthesiology. 1992; 76(2):279-305.
  • 5. Sebel PS, Bowdle TA, Ghoneim MM, et al. The incidence of awareness during anesthesia: a multicenter United States study. Anesth Analg. 2004; 99:833-39.
  • 6. Bergman IJ, Kluger MT, Short TG. Awareness during general anaesthesia: a review of 81 cases from the Anaesthetic Incident Monitoring Study. Anaesthesia. 2002; 57(6):549-56.
  • 7. Ekman A, Lindholm ML, Lennmarken C, Sandin R. Reduction in the incidence of awareness using BIS monitoring. Acta Anesthesiol Scand. 2004; 48(1):20-26.
  • 8. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-aware randomized controlled trail. Lancet. 2004; 363:1757-63.
  • 9. Avidan MS, Zhang L, Burnside BA, et al. Anesthesia awareness and the bispectral index. N Engl J Med. 2008: 358(11):1097-108.
  • 10. Avidan MS, Jacobsohn E, Glick D, et al; BAG-RECALL Research Group. Prevention of intraoperative awareness in a high-risk surgical population. N Engl J Med. 2011; 365(7):591-600.
  • 11. Sudhakaran R, Makkar JK, Jain D, Wig J, Chabra R. Comparison of bispectral index and end-tidal anaesthetic concentration monitoring on recovery profile of desflurane in patients undergoing lumbar spine surgery. Indian J Anaesth. 2018; 62(7):516-23.
  • 12. Wong J, Song D, Blanshard H, Grady D, Chung F. Titration of isoflurane using BIS index improves early recovery of elderly patients undergoing orthopedic surgery. Can J Anesth. 2002; 49:13-18.
  • 13. Liu SS. Effects of bispectral index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology. 2004; 101:311-15.
  • 14. Mashour GA, Shanks A, Tremper KK, et al. Prevention of intraoperative awareness in an unselected surgical population: a randomized comparative effectiveness trial. Anesthesiology. 2012; 117(4):717-25.
  • 15. Zhang C, Xu L, Ma YQ, et al. Bispectral index monitoring prevent awareness during total intravenous anesthesia: a prospective, randomized, double-blinded, multi-center controlled trial. Chinese Medical Journal. 2011; 124:3664-69.
  • 16. Chan MT, Cheng BC, Lee TM, Gin T; CODA Trial Group. BIS-guided anesthesia decreases postoperative delirium and cognitive decline. J Neurosurg Anesthesiol. 2013; 25(1):33-42.
  • 17. Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev. 2014;2014(6):CD003843.
  • 18. Verheecke G. Early postoperative vomiting and volatile anaesthetics or nitrous oxide. Br J Anaesth. 2003; 90(1):109-10
  • 19. Pavlin JD, Souter KJ, Hong JY, Freund PR, Bowdie TA, Bower JO. Effects of bispectral index monitoring on recovery from surgical anesthesia in 1,580 inpatients from an academic medical center. Anesthesiology. 2005; 102:566-73.
  • 20. Fritz BA, Rao P, Mashour GA, et al. Postoperative recovery with bispectral index versus anesthetic concentration-guided protocols. Anesthesiology. 2013; 118:1113-22.
  • 21. Chaudhuri S, Banerjee S, Chattopadhyay U, Hussain SS. Comparison of recovery times by using bispectral index monitoring versus end-tidal agent concentration monitoring in patients undergoing inhalational general anaesthesia. Indian J Anaesth. 2022; 66(3):161-68.
  • 22. Vakil E, Sarkiss M, Ost D, et al. Safety of Monitored Anesthesia Care Using Propofol-Based Sedation for Pleuroscopy. Respiration. 2018; 95(1):1-7.
  • 23. Anderson BJ, Hodkinson B. Are there still limitations for the use of target-controlled infusion in children? Curr Opin Anaesthesiol. 2010; 23(3):356-62.
  • 24. Albertin A, Poli D, La Colla L, et al. Preditive performance of ‘Servin’s formula’ during BIS-guided propofol-remifentanil target -controlled infusion in morbidly obese patients. Br J Anaesth. 2007; 98:66-75.
  • 25. Struys M, De Smet T, Versichelen LF, Van De Velde S, Van den Broecke R, Mortier EP. Comparison of closed-loop controlled administration of propofol using Bispectral Index as the controlled variable versus "Standart Practice" controlled administration. Anesthesiology. 2001; 95:6-17.
  • 26. Pasin L, Nardelli P, Pintaudi M, et al. Closed-Loop Delivery Systems Versus Manually Controlled Administration of Total IV Anesthesia: A Meta-analysis of Randomized Clinical Trials. Anesth Analg. 2017 Feb;124(2):456-64.
  • 27. Badenes R, García-Pérez ML, Bilotta F. Intraoperative monitoring of cerebral oximetry and depth of anaesthesia during neuroanesthesia procedures. Curr Opin Anaesthesiol. 2016; 29(5): 576-81.
  • 28. Thudium M, Heinze I, Ellerkmann RK, Hilbert T. Cerebral Function and Perfusion during Cardiopulmonary Bypass: A Plea for a Multimodal Monitoring Approach. Heart Surg Forum. 2018; 21(1):E028-E035.
There are 28 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Review
Authors

Elvan Tekir Yılmaz 0000-0001-8631-2520

Publication Date July 28, 2024
Submission Date November 1, 2023
Acceptance Date July 17, 2024
Published in Issue Year 2024

Cite

EndNote Tekir Yılmaz E (July 1, 2024) Bispectral Index Monitoring and Combinations in Anesthesia Safety. New Trends in Medicine Sciences 5 Supplemental Issue 120–125.