Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study

Abstract Background and objectives According to the manufacturer, the Bispectral Index (BIS) has a processing time delay of 5-10 s. Studies addressing this have suggested longer delays. We evaluated the time delay in the Bispectral Index response. Methods Based on clinical data from 45 patients, using the difference between the predicted and the real BIS, calculated during a fixed 3 minutes period after the moment the Bispectral Index dropped below 80 during the induction of general anesthesia with propofol and remifentanil. Results The difference between the predicted and the real BIS was in average 30.09 ± 18.73 s. Conclusion Our results may be another indication that the delay in BIS processing may be much longer than stated by the manufacture, a fact with clinical implications.

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Main Authors: Ferreira,Ana Leitão, Mendes,Joaquim Gabriel, Nunes,Catarina Sofia, Amorim,Pedro
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Anestesiologia 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000400007
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spelling oai:scielo:S0034-709420190004000072019-10-08Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational studyFerreira,Ana LeitãoMendes,Joaquim GabrielNunes,Catarina SofiaAmorim,Pedro Bispectral index monitor Depth of anesthesia Awareness Time delay Abstract Background and objectives According to the manufacturer, the Bispectral Index (BIS) has a processing time delay of 5-10 s. Studies addressing this have suggested longer delays. We evaluated the time delay in the Bispectral Index response. Methods Based on clinical data from 45 patients, using the difference between the predicted and the real BIS, calculated during a fixed 3 minutes period after the moment the Bispectral Index dropped below 80 during the induction of general anesthesia with propofol and remifentanil. Results The difference between the predicted and the real BIS was in average 30.09 ± 18.73 s. Conclusion Our results may be another indication that the delay in BIS processing may be much longer than stated by the manufacture, a fact with clinical implications.info:eu-repo/semantics/openAccessSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia v.69 n.4 20192019-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000400007en10.1016/j.bjane.2019.04.006
institution SCIELO
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country Brasil
countrycode BR
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region America del Sur
libraryname SciELO
language English
format Digital
author Ferreira,Ana Leitão
Mendes,Joaquim Gabriel
Nunes,Catarina Sofia
Amorim,Pedro
spellingShingle Ferreira,Ana Leitão
Mendes,Joaquim Gabriel
Nunes,Catarina Sofia
Amorim,Pedro
Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study
author_facet Ferreira,Ana Leitão
Mendes,Joaquim Gabriel
Nunes,Catarina Sofia
Amorim,Pedro
author_sort Ferreira,Ana Leitão
title Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study
title_short Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study
title_full Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study
title_fullStr Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study
title_full_unstemmed Evaluation of Bispectral Index time delay in response to anesthesia induction: an observational study
title_sort evaluation of bispectral index time delay in response to anesthesia induction: an observational study
description Abstract Background and objectives According to the manufacturer, the Bispectral Index (BIS) has a processing time delay of 5-10 s. Studies addressing this have suggested longer delays. We evaluated the time delay in the Bispectral Index response. Methods Based on clinical data from 45 patients, using the difference between the predicted and the real BIS, calculated during a fixed 3 minutes period after the moment the Bispectral Index dropped below 80 during the induction of general anesthesia with propofol and remifentanil. Results The difference between the predicted and the real BIS was in average 30.09 ± 18.73 s. Conclusion Our results may be another indication that the delay in BIS processing may be much longer than stated by the manufacture, a fact with clinical implications.
publisher Sociedade Brasileira de Anestesiologia
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000400007
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AT nunescatarinasofia evaluationofbispectralindextimedelayinresponsetoanesthesiainductionanobservationalstudy
AT amorimpedro evaluationofbispectralindextimedelayinresponsetoanesthesiainductionanobservationalstudy
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