RESEARCH ARTICLE
Bispectral Index Monitoring in a Severe Comatose Patient During Surgery
Susana Fernández Galinski*, 1, Enriqueta Barrera1, Antonio Valls2, Milagros Montero3, Juan Carlos Alvarez1, Fernando Escolano1
Article Information
Identifiers and Pagination:
Year: 2007Volume: 1
First Page: 6
Last Page: 8
Publisher ID: TOATJ-1-6
DOI: 10.2174/1874321800701010006
Article History:
Received Date: 26/19/2007Revision Received Date: 26/10/2007
Acceptance Date: 15/11/2007
Electronic publication date: 6/12/2007
Collection year: 2007
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A comatose patient required a tracheostomy. His Glasgow Coma Score was 4 and he was intubated with mydriatic and isochoric pupils, without corneal and light reflexes. Two previous EEGs showed signs of severe and diffuse encephalopathy (arreactive delta and theta rhythms) and there were no somatosensory evoked potentials recordable at the scalp. When the tracheostomy procedure was carried out, the Bispectral Index (BIS) helped to titrate the hypnotic and analgesic requirements keeping the haemodynamic parameters stable.