Open AccessA Comparison in Adolescents of Composite Auditory Evoked Potential Index and Bispectral Index During Propofol-Remifentanil Anesthesia for Scoliosis Surgery with Intraoperative Wake-Up Test
Author(s) -
Heleen J. Blussé van Oud-Alblas,
Jeroen Peters,
Thomas G. de Leeuw,
Kris Vermeylen,
Luuk W. L. de Klerk,
Dick Tibboel,
Jan Klein,
Frank Weber
Publication year - 2008
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0b013e3181852d94
Subject(s) - bispectral index , remifentanil , propofol , medicine , anesthesia , intraoperative awareness , hypnotic , midazolam , sedation
The electroencephalogram-derived Bispectral Index (BIS), and the composite A-line ARX index (cAAI), derived from the electroencephalogram and auditory evoked potentials, have been promoted as anesthesia depth monitors. Using an intraoperative wake-up test, we compared the performance of both indices in distinguishing different hypnotic states, as evaluated by the University of Michigan Sedation Scale, in children and adolescents during propofol-remifentanil anesthesia for scoliosis surgery. Postoperative explicit recall was also evaluated.