The Bispectral Index Scale: Its Use in the Detection of Brain Death

Confirmation of brain death diagnosis: A study on French practice

“…Eighty-two out of 188 ICUs filled out the questionnaire (a response rate of 44% [10][11][12][13][14][15][16][17][18]. The number of brain dead patients admitted per ICU each year was 11 [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

“…In France, these tests have no legal value but they can shorten the time between clinical diagnosis of BD and confirmation by mandatory tests [10,11].…”

Diagnosing Brain Death by CT Perfusion and Multislice CT Angiography

“…Electrophysiological tools such as evoked potentials, electroencephalogram (EEG) [10], and the Bispectral index [11,12] are the mainstay for BD determination. However, when the patient has been administered a sedative drug, techniques that assess cerebral blood flow (CBF) are required such as cerebral angiography, Tc99-HMPAO radionuclide angiography, Xenon-CT, or transcranial Doppler ultrasonography (TCD) [13][14][15][16].…”

Spike‐monitoring of anaesthesia for corpus callosotomy using bilateral bispectral index

“…While there have been reports of use of BIS as an adjunct to the diagnosis of conditions such as cerebral ischaemia [12], detection of brain death [13], pseudoseizures [14], and severe head trauma [15], BIS can only serve as an adjunct tool in the diagnosis of epilepsy [16]. We used the raw EEG signal from the BIS monitors and as a result satisfactory detection of spike activity was possible.…”