Different conditions that could result in the bispectral index indicating an incorrect hypnotic state
- PMID: 16115989
- DOI: 10.1213/01.ane.0000167269.62966.af
Different conditions that could result in the bispectral index indicating an incorrect hypnotic state
Abstract
Since its introduction in 1996, the Bispectral Index (BIS) has gained increasing popularity in daily anesthesia practice. However, numerous reports have been appearing in the literature of paradoxical BIS changes and inaccurate readings. The purpose of this review is to assess the utility of BIS monitoring through examining the various published reports of all BIS values not coinciding with a clinically judged sedative-hypnotic state, whether arising from an underlying pathophysiology of electroencephalographic (EEG) cerebral function or because of shortcomings in the performance and design of the BIS monitor. High electromyographic activity and electric device interference could create subtle artifact signal pollution without their necessarily being displayed as artifacts. This would be misinterpreted by the BIS algorithm as EEG activity and assigned a spuriously increased BIS value. Numerous clinical conditions that have a direct effect on EEG cerebral function could also directly influence the BIS value.
Comment in
-
Cardiopulmonary bypass machine can interfere with accuracy of BIS monitor.Anesth Analg. 2007 Aug;105(2):534; author reply 534-5. doi: 10.1213/01.ane.0000265661.56155.08. Anesth Analg. 2007. PMID: 17646520 No abstract available.
Similar articles
-
Bispectral index monitor: an evidence-based analysis.Ont Health Technol Assess Ser. 2004;4(9):1-70. Epub 2004 Jun 1. Ont Health Technol Assess Ser. 2004. PMID: 23074459 Free PMC article.
-
When the bispectral index (bis) can give false results.Rev Bras Anestesiol. 2009 Jan-Feb;59(1):99-109. doi: 10.1590/s0034-70942009000100013. Rev Bras Anestesiol. 2009. PMID: 19374221 Review. English, Portuguese.
-
Comparison of the EEG-based SNAP index and the Bispectral (BIS) index during sevoflurane-nitrous oxide anaesthesia.J Clin Monit Comput. 2005 Dec;19(6):383-9. doi: 10.1007/s10877-005-5871-4. Epub 2006 Jan 25. J Clin Monit Comput. 2005. PMID: 16437288
-
The effect of cerebral monitoring on recovery after general anesthesia: a comparison of the auditory evoked potential and bispectral index devices with standard clinical practice.Anesth Analg. 2003 Dec;97(6):1667-1674. doi: 10.1213/01.ANE.0000087041.63034.8C. Anesth Analg. 2003. PMID: 14633540 Clinical Trial.
-
Awareness during general anesthesia: new technology for an old problem.CRNA. 1998 May;9(2):39-43. CRNA. 1998. PMID: 9726194 Review.
Cited by
-
Stimulation artefact on EEG trace with BIS monitoring during D-wave recording.J Clin Monit Comput. 2023 Jun;37(3):929-931. doi: 10.1007/s10877-022-00951-w. Epub 2022 Dec 12. J Clin Monit Comput. 2023. PMID: 36508115
-
Neuromuscular transmission monitoring: Beyond the electric shocks and the shaking hands.Saudi J Anaesth. 2013 Apr;7(2):115-7. doi: 10.4103/1658-354X.114045. Saudi J Anaesth. 2013. PMID: 23956706 Free PMC article. No abstract available.
-
Influence of electrocautery-induced electromagnetic interference on quantitative electroencephalographic monitoring of hypnosis during general anesthesia: comparison between the ADMS® and the BIS VISTATM.Korean J Anesthesiol. 2018 Oct;71(5):368-373. doi: 10.4097/kja.d.18.27154. Epub 2018 Apr 24. Korean J Anesthesiol. 2018. PMID: 29684988 Free PMC article.
-
The arousal effect of sugammadex reversal of neuromuscular blockade differs with anesthetic depth in propofol-remifentanil anesthesia: a randomized controlled trial.Sci Rep. 2023 Nov 27;13(1):20776. doi: 10.1038/s41598-023-48031-6. Sci Rep. 2023. PMID: 38012277 Free PMC article. Clinical Trial.
-
Closed-loop anesthesia: foundations and applications in contemporary perioperative medicine.J Clin Monit Comput. 2024 Apr;38(2):487-504. doi: 10.1007/s10877-023-01111-4. Epub 2024 Jan 6. J Clin Monit Comput. 2024. PMID: 38184504 Review.
References
-
- Guingo LD, Chabot RJ, Prichep LS, et al. Quantitative EEG changes associated with loss and return of consciousness in healthy adult volunteers anaesthetized with propofol or sevoflorane. Br J Anaesth 2001;87:421–8.
-
- Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology 1998;89:980–1002.
-
- Rampil IJ, Kim J, Lenhardt R, et al. Bispectral EEG index during nitrous oxide administration. Anesthesiology 1998;89:671–7.
-
- Puri GD. Paradoxical changes in bispectral index during nitrous oxide administration. Br J Anaesth 2001;86:141–2.
-
- Henrie JR, Parkhouse J, Bickford RG. Alteration of human consciousness by nitrous oxide as assessed by electroencephalography and psychological tests. Anesthesiology 1961;22:247–59.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous