Bispectral index transiently decreased to "0" during per-embolization rupture of an intracranial aneurysm.

Autor: Uhrig L; Department of Anesthesiology and Intensive Care, Adolphe de Rothschild Fondation, 25-29 rue Manin, 75019 Paris, France. Electronic address: lynn.uhrig@gmail.com., Devys JM; Department of Anesthesiology and Intensive Care, Adolphe de Rothschild Fondation, 25-29 rue Manin, 75019 Paris, France., Piotin M; Department of Interventional Neuroradiology, Adolphe de Rothschild Fondation, 25-29 rue Manin, 75019 Paris, France., Taylor G; Department of Anesthesiology and Intensive Care, Adolphe de Rothschild Fondation, 25-29 rue Manin, 75019 Paris, France.
Jazyk: angličtina
Zdroj: Annales francaises d'anesthesie et de reanimation [Ann Fr Anesth Reanim] 2014 Jan; Vol. 33 (1), pp. e15-7. Date of Electronic Publication: 2013 Dec 27.
DOI: 10.1016/j.annfar.2013.11.023
Abstrakt: Interpreting a Bispectral Index (BIS) of "0", corresponding to an isolelectric electroencephalography, can be difficult. After ruling out technical issues, such as leads disconnection, several possible causes for a decrease in the BIS persists, including deep anesthesia, hypothermia, decrease in the cerebral perfusion pressure and cerebral ischemia. We report a sudden transient decrease of the BIS to "0" in a patient that underwent a coil embolization of a ruptured intracranial aneurysm and suggest that the change in BIS values could provide useful information about the cerebral hemodynamic during aneurysm treatment and might provide indications of a serious cerebral event.
(Copyright © 2013 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.)
Databáze: MEDLINE
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