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Bispectral index‐guided management of anaesthesia in permanent vegetative state
Author(s) -
Pandit J. J.,
SchmelzleLubiecki B.,
Goodwin M.,
Saeed N.
Publication year - 2002
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1046/j.1365-2044.2002.02891.x
Subject(s) - bispectral index , medicine , anesthesia , index (typography) , general anaesthesia , surgery , propofol , world wide web , computer science
Summary A patient in a permanent vegetative state required general anaesthesia for dental surgery. Because of the uncertainties involved in the appropriate monitoring and assessment of the conscious level of patients in a permanent vegetative state, it was decided to use the bispectral index to help guide the anaesthetic depth during surgery. We found that the bispectral index profile during anaesthesia and surgery was similar to that of a normal subject. The findings raise the possibility that patients in permanent vegetative states might sense noxious stimuli at a cortical level.