Bispectral Index Monitoring: A Comparison Between Normal Children and Children with Quadriplegic Cerebral Palsy

Abstract

We compared bispectral (BIS) values with different sevoflurane concentrations between normal children and children with cerebral palsy. We observed that, in children with cerebral palsy, BIS values exhibited a similar pattern of change as is observed in normal children. However, absolute BIS values obtained in such children are lower than those in normal children while awake and at different sevoflurane concentrations.

A prospective study of bispectral index scoring in mentally retarded patients receiving general anesthesia

“…However, as a unique processed electroencephalogram (EEG), the usefulness of BIS is often questioned for mentally retarded (MR) patients [10]. This idea is due partly to a lack of controlled studies establishing the usefulness of BIS monitoring in MR patients [11][12][13].…”

Complicações respiratórias em pacientes com paralisia cerebral submetidos à anestesia geral

“…Therefore, textbooks on the subject present a brief discussion, and very often present statements that have not been widely documented or that are based on weak evidence [5][6][7] . The effects of some of the drugs used in anesthesia in patients with CP, such as neuromuscular blockers 8,9 and halogenated compounds [10][11][12] , have already been studied. There are also, in the medical literature, studies on the complications of specific surgical procedures in those patients 13 .…”

“…O risco relativo (RR) foi calculado para os fatores de risco de interesse. Risco relativo é a incidência da complicação em um grupo dividido pela incidência no outro grupo, sendo uma medida usada para expressar a força da associação entre dois eventos, no caso, a variável versus a Vol. [10][11][12] , foram estudados previamente. Trabalhos relacionados com complicações de tipos específicos de procedimentos cirúrgicos nesses pacientes também já foram publicados 13 .…”

Perioperative Management of a Patient With Glutaric Aciduria

“…In our patient, the choice of maintenance anesthetic agents including desflurane and remifentanil was based on not only the comorbid conditions, but also the intraoperative requirements mandated by the surgical procedure and neurophysiological monitoring [12]. Given the variable response to anesthetic agents and the need to maintain an acceptable level of anesthesia in a patient with CNS damage, we chose to use bispectral index monitoring to gauge the depth of anesthesia while using remifentanil to provide analgesia and control the hemodynamic response [31,32]. Postoperative monitoring of respiratory function is suggested especially when opioids are required for postoperative analgesia.…”