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Comparison of two depth of anaesthesia monitors during general anaesthesia: electrophysiological and clinical assessment.
Acta Physiol Hung. 2012 Jun; 99(2):111-7.AP

Abstract

Cerebral state monitor (CSM) is a recently developed anaesthesia depth monitor based on EEG measurement. Medline search confirmed that the accuracy of this monitor has already been compared with BIS monitoring; however, we did not find any studies comparing CSM monitor with AEP monitoring. Therefore, the aim of our study was to investigate the correlation between AAI using AEP monitor and CSI (cerebral state index) using CSM monitor.

METHODS

Prospective, observational study involving 39 ASA I-III patients undergoing lumbar discuss hernia operation. Simultaneous registration of CSI and AAI was performed during general anaesthesia. The identical values were off-line analysed. Additionally in 20 patients parallel registration of CSI and AAI was undertaken while anaesthesia was guided based on routine clinical signs.

RESULTS

While analysing the data in the superficial, ideal and deep anaesthesia zones, we found that a relationship between CSI and AAI is weak. Our patients spent roughly the half of the clinical anaesthesia in the ideal zone based on the AAI index and less than 50% based on CSI. Almost one fifth of clinical anaesthesia based on AAI and nearly 40% based on CSI was spent in the deep anaesthesia zones. A superficial anaesthesia has been detected in 27% of time based on AAI and 17% based on CSI.

CONCLUSIONS

CSI and AAI weakly correlated to each other. Depth of anaesthesia monitors may be useful in detecting patients who spend valuable time within the deep anaesthetic zone.

Authors+Show Affiliations

University of Debrecen, Department of Anaesthesiology and Intensive Care, Debrecen, Hungary.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22849834

Citation

Molnár, Cs, et al. "Comparison of Two Depth of Anaesthesia Monitors During General Anaesthesia: Electrophysiological and Clinical Assessment." Acta Physiologica Hungarica, vol. 99, no. 2, 2012, pp. 111-7.
Molnár C, Kovács Z, Simon E, et al. Comparison of two depth of anaesthesia monitors during general anaesthesia: electrophysiological and clinical assessment. Acta Physiol Hung. 2012;99(2):111-7.
Molnár, C., Kovács, Z., Simon, E., Gál, J., Mikos, B., & Fülesdi, B. (2012). Comparison of two depth of anaesthesia monitors during general anaesthesia: electrophysiological and clinical assessment. Acta Physiologica Hungarica, 99(2), 111-7. https://doi.org/10.1556/APhysiol.99.2012.2.3
Molnár C, et al. Comparison of Two Depth of Anaesthesia Monitors During General Anaesthesia: Electrophysiological and Clinical Assessment. Acta Physiol Hung. 2012;99(2):111-7. PubMed PMID: 22849834.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of two depth of anaesthesia monitors during general anaesthesia: electrophysiological and clinical assessment. AU - Molnár,Cs, AU - Kovács,Zs, AU - Simon,E, AU - Gál,J, AU - Mikos,B, AU - Fülesdi,Béla, PY - 2012/8/2/entrez PY - 2012/8/2/pubmed PY - 2012/9/7/medline SP - 111 EP - 7 JF - Acta physiologica Hungarica JO - Acta Physiol Hung VL - 99 IS - 2 N2 - UNLABELLED: Cerebral state monitor (CSM) is a recently developed anaesthesia depth monitor based on EEG measurement. Medline search confirmed that the accuracy of this monitor has already been compared with BIS monitoring; however, we did not find any studies comparing CSM monitor with AEP monitoring. Therefore, the aim of our study was to investigate the correlation between AAI using AEP monitor and CSI (cerebral state index) using CSM monitor. METHODS: Prospective, observational study involving 39 ASA I-III patients undergoing lumbar discuss hernia operation. Simultaneous registration of CSI and AAI was performed during general anaesthesia. The identical values were off-line analysed. Additionally in 20 patients parallel registration of CSI and AAI was undertaken while anaesthesia was guided based on routine clinical signs. RESULTS: While analysing the data in the superficial, ideal and deep anaesthesia zones, we found that a relationship between CSI and AAI is weak. Our patients spent roughly the half of the clinical anaesthesia in the ideal zone based on the AAI index and less than 50% based on CSI. Almost one fifth of clinical anaesthesia based on AAI and nearly 40% based on CSI was spent in the deep anaesthesia zones. A superficial anaesthesia has been detected in 27% of time based on AAI and 17% based on CSI. CONCLUSIONS: CSI and AAI weakly correlated to each other. Depth of anaesthesia monitors may be useful in detecting patients who spend valuable time within the deep anaesthetic zone. SN - 0231-424X UR - https://www.unboundmedicine.com/medline/citation/22849834/Comparison_of_two_depth_of_anaesthesia_monitors_during_general_anaesthesia:_electrophysiological_and_clinical_assessment_ L2 - https://akjournals.com/doi/10.1556/APhysiol.99.2012.2.3 DB - PRIME DP - Unbound Medicine ER -