Clinically Relevant Asymmetry of Bispectral Index During Anesthesia for ENT Surgery in Adults and Children
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Reaction; Anesthesia
- Sponsor
- University Hospital Schleswig-Holstein
- Enrollment
- 88
- Locations
- 1
- Primary Endpoint
- Movement reaction to external stimulation during emergence from anesthesia
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
BIS for monitoring depth of anesthesia is usually obtained unilaterally. Obtaining BIS bilaterally revealed side differences in previous studies. This study investigates the incidence of clinically relevant side differences of BIS during maintenance and emergence from anesthesia for ENT surgery in both adults and children.
Detailed Description
BIS was measured bilaterally in 42 adults and 46 children during ENT surgery under general anesthesia using two BIS-Monitors. Side differences of more than 10% were defined as BIS asymmetries. An increase of BIS of more than 10% from the value at the time of finishing anesthesia administration on only one side followed by movement after stimulation was defined as clinically relevant.
Investigators
Axel Fudickar
Dr. med.
University Hospital Schleswig-Holstein
Eligibility Criteria
Inclusion Criteria
- •Children and adults during anesthesia for ENT surgery -
Exclusion Criteria
- •Neurologic or psychiatric disease
Outcomes
Primary Outcomes
Movement reaction to external stimulation during emergence from anesthesia
Time Frame: 30 minutes
After surgery, administration of propofol and remifentanil was stopped and the measurement of BIS was continued. BIS was noted every minute and on each occasion BIS exceeded 10% of the value at stopping the application of anesthetics on one or both sides. If such a 10% increase was observed, arousal and movement after external stimulation was examined by suction of the mouth. BIS asymmetry on only one side followed by movement reaction to external stimulation within a 60 seconds period was defined as clinically relevant.