Bispectral Index Monitoring in a Severe Comatose Patient During Surgery

Galinski, Susana Fernández; Barrera, Enriqueta; Valls, Antonio; Montero, Milagros; Alvarez, Juan Carlos; Escolano, Fernando

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

¹ Anaesthesiology Department

² Neurophysiology Department

³ Internal Medicine Department, Hospital Universitario del Mar, Universidad Autónoma de Barcelona, Spain

Article Information

Identifiers and Pagination:

Year: 2007
Volume: 1
First Page: 6
Last Page: 8
Publisher ID: TOATJ-1-6
DOI: 10.2174/1874321800701010006

Article History:

Received Date: 26/19/2007
Revision Received Date: 26/10/2007
Acceptance Date: 15/11/2007
Electronic publication date: 6/12/2007
Collection year: 2007

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Galinski et al.; Licensee Bentham Open

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.

^* Address correspondence to this author at the Department of Anaesthesiology, Hospital Universitario del Mar, UAB, Paseo Marítimo 25-29 08003 Barcelona, Spain; Tel: 34932483350; Fax: 34932483617; E-mails: 18569@imas.imim.es

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.

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The Open Anesthesia Journal
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RESEARCH ARTICLE

Bispectral Index Monitoring in a Severe Comatose Patient During Surgery

Article Information

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Abstract

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