Article Name: Anesthesia awareness and the bispectral index.
Short Citation: N Engl J Med 2008;358(11):1097-108.
Article Year: 2008
Lead Author(s): Avidan MS, Zhang L, Burnside BA, Finkel KJ, Searleman AC, Selvidge JA, et al.
PubMed PMID: 18337600
Full Citation: Avidan MS, Zhang L, Burnside BA, Finkel KJ, Searleman AC, Selvidge JA, Saager L, Turner MS, Rao S, Bottros M, Hantler C, Jacobsohn E, Evers AS. Anesthesia awareness and the bispectral index. N Engl J Med 2008;358(11):1097-108.
Organ System: Neurological
Science Area: Measurement / Investigation / Monitoring / Equipment
Article Type: Randomised Control Trial
Authors' Conclusions: We did not reproduce the results of previous studies that reported a lower incidence of anesthesia awareness with BIS monitoring, and the use of the BIS protocol was not associated with reduced administration of volatile anesthetic gases. Anesthesia awareness occurred even when BIS values and ETAG concentrations were within the target ranges. Our findings do not support routine BIS monitoring as part of standard practice.