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Awake during General Anesthesia with BispectralIndex Value of 35

Lee S, Kim SI, Ok SY, Kim SH, Park SY, Kim MG, Jeon HR, Suh HJ, Cho AN, Park S

  • KMID: 2317695
  • Soonchunhyang Med Sci.
  • 2013 Jun;19(1):29-30.
Awareness of intraoperative events in patients under general anesthesia is rare, but awareness during anesthesia is a serious complication that leads to anxiety and post-traumatic stress disorder. The Bispectral Index...
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Awareness during general anesthesia despite simultaneous bispectral index and end-tidal anesthetic gas concentration monitoring

Lee J, Park C, Kim S

Awareness during general anesthesia occurs in approximately 0.1–0.2% of cases; nevertheless, particular attention is required because it can lead to critical complications including insomnia, depression, anxiety, and post-traumatic stress disorder....
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Comparative Analysis of Phase Lag Entropy and Bispectral Index as Anesthetic Depth Indicators in Patients Undergoing Thyroid Surgery with Nerve Integrity Monitoring

Seo KH, Kim KM, Lee SK, John H, Lee J

BACKGROUND: Most depth of anesthesia (DOA) monitors rely on the temporal characteristics of a single-channel electroencephalogram (EEG) and cannot provide spatial or connectivity information. Phase lag entropy (PLE) reflects DOA...
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Bispectral index monitoring correlates with the level of consciousness in brain injured patients

Jung JY, Cho CB, Min BM

BACKGROUND: In general, measuring the level of consciousness in neurological patients is important. To assess the patient's mental status, the Glasgow Coma Scale (GCS) and the level of consciousness (drowsiness,...
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Sudden Bispectral Index Reduction and Suppression Ratio Increase Associated with Bradycardia in a Patient Undergoing Breast Conserving Surgery

Jo Y, Kim JM, Jeon SB, Park SU, Kam HJ, Shim WH, Kim SH

BACKGROUND: The bispectral index (BIS) is a valuable indicator for measuring sedation levels and patient consciousness. Recent reports have highlighted its clinical value as an indicator for anesthesia-related cerebral hypoperfusion...
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Comparison of bispectral index scores from the standard frontal sensor position with those from an alternative mandibular position

Lee SY, Kim YS, Lim BG, Kim H, Kong MH, Lee IO

BACKGROUND: The standard bifrontal application of the bispectral index (BIS) sensor interferes with the operative field in neurosurgery and plastic surgery. The aim of this study was to compare the...
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The Utility of Bispectral Index Scores for Sedative Intoxication in the Emergency Department

Sung HK, Hong SY, Lee JY, Yang YM, Park GN, Yang HB, Park JK, Yi HY

  • KMID: 1997746
  • J Korean Soc Emerg Med.
  • 2010 Oct;21(5):628-636.
PURPOSE: This study was designed to determine the utility of bispectral index scores (BIS) compared to Glasgow coma scale (GCS) or Observer's Assessment of Alertness/Sedation Scale (OAA/S), in measuring changes...
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Anesthetic Experience of Spinal Anesthesia after Sedation in Un-cooperated Elderly Patients

Koo BS, Jung MJ, Lee JH, Cho SH, Kim SH, Chae WS

Regional anesthesia is mostly used in operations on the lower abdomen or lower extremities in elderly patients. It shows nearly no difference in long-term outcomes compared to general anesthesia, but...
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Effects of bispectral index monitoring as an adjunct to nurse-administered propofol combined sedation during colonoscopy: a randomized clinical trial

Heo J, Jung MK, Lee HS, Cho CM, Jeon SW, Kim SK, Jeon YH

BACKGROUND/AIMS: The efficacy of bispectral index (BIS) monitoring during colonoscopic sedation is debated. We aimed to determine whether BIS monitoring was useful for propofol dose titration, and to evaluate differences...
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Variables Influencing the Depth of Conscious Sedation in Plastic Surgery: A Prospective Study

Yeo H, Kim W, Park H, Kim H

BACKGROUND: Conscious sedation has been widely utilized in plastic surgery. However, inadequate research has been published evaluating adequate drug dosage and depth of sedation. In clinical practice, sedation is often...
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The determinants of propofol induction time in anesthesia

Adachi YU, Satomoto M, Higuchi H, Watanabe K

BACKGROUND: The required dose of anesthetics is generally smaller in patients with low cardiac output (CO). A high CO decreases the blood concentration of anesthetics during induction and maintenance of...
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Bispectral Index as a Predictive Factor for Neurological Outcome in Post-Resuscitated Patients who Undergo Hypothermia

Cho YJ, Moon JM, Chun BJ

  • KMID: 2332882
  • J Korean Soc Emerg Med.
  • 2011 Feb;22(1):30-36.
PURPOSE: Bispectral index (BIS) is a non-invasive parameter that expresses the level of consciousness using a numerical value that ranges from 0-100. It can be easily conducted at the patient...
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The Significance of Sedation Control in Patients Receiving Mechanical Ventilation

Jung YJ, Chung WY, Lee M, Lee KS, Park JH, Sheen SS, Hwang SC, Park KJ

BACKGROUND: Adequate assessment and control of sedation play crucial roles in the proper performance of mechanical ventilation. METHODS: A total of 30 patients with various pulmonary diseases were prospectively enrolled. The...
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Continuous Peritransplant Assessment of Consciousness using Bispectral Index Monitoring for Patients with Fulminant Hepatic Failure

Park JI, Hwang S, Lee SG, Hwang GS, Kim KH, Ahn CS, Moon DB, Ha TY, Song GW, Jung DH, Ryu JH, Lee HJ, Jeong SM, Hong SK

  • KMID: 2244207
  • Korean J Hepatobiliary Pancreat Surg.
  • 2008 Mar;12(1):51-57.
PURPOSE: Deterioration of consciousness is the most critical problem in patients with fulminant hepatic failure (FHF). Electroencephalography (EEG) is a standard procedure to determine the brain activity in unconscious patients....
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Bispectral index monitoring to assess the level of consciousness in patients with brain injury

Cho JH, Cheong SH, Kim HS, Kim SH, Cho KR, Lee SE, Kim YH, Lim SH, Lee JH, Lee KM, Choi YK, Kim YJ, Shin CM

BACKGROUND: It is important to assess the level of consciousness in patients with brain injuries to determine modes of treatment and prognosis. We evaluated the Bispectral Index (BIS) to determine...
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Assessment of phase-lag entropy, a new measure of electroencephalographic signals, for propofol-induced sedation

Jun MR, Yoo JH, Park SY, Na S, Kwon H, Nho JH, Kim SI

BACKGROUND: Phase-lag entropy (PLE) was recently described as a measurement of temporal pattern diversity in the phase relationship between two electroencephalographic signals from prefrontal and frontal montages. This study was...
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Interruption of bispectral index monitoring by nerve integrity monitoring during tympanoplasty: A case report

Kim JH, Kim AN, Kim KW, Lee SI, Kim JY, Kim KT, Park JS, Kim JW, Choe WJ

We report that intraoperative NIM-2 monitoring devices can interfere with bispectral index monitoring. A 45-year-old male with chronic otits media underwent tympanolasty under general anesthesia with NIM-2 monitoring and bispectral...
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The BIS and hemodynamic changes in major burn patients according to a slow infusion of propofol for induction

Bae JY, Choi DY, Woo CH, Kwak IS, Mun SH, Kim KM

BACKGROUND: Many pathophysiologic alterations in patients with major burns can cause changes in the response of propofol. The aim of this study is to determine the appropriate induction dose of...
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Validity of bispectral index monitoring during deep sedation in children with spastic cerebral palsy undergoing injection of botulinum toxin

Jung SM, Lee E, Park SJ

BACKGROUND: This prospective study aimed to determine whether the bispectral index (BIS) is a valid objective tool for differentiating adequate from inadequate deep sedation in spontaneously breathing children with cerebral...
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Does Bispectral Index Monitoring Detect the Sedative Effect of Epidural Anesthesia?

Shin BC, Lee HW, Shin HW, Cho H, Lim HJ, Yoon SM, Chang SH

BACKGROUND: Epidural anesthesia has been shown to a have direct sedative effect and to markedly reduce the amount of hypnotic agents required for sedation. A Bispectral Index (BIS) is a...
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