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Anesth Analg 2005;101:169-170
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000153528.66576.BE

TECHNOLOGY, COMPUTING, AND SIMULATION

Emergence from Propofol Anesthesia in a Nonagenarian at a Bispectral Index of 52

Manabu Kakinohana, MD, PhD, Seiya Nakamura, MD, Yuji Miyata, MD, and Kazuhiro Sugahara, MD, PhD

Department of Anesthesiology, Faculty of the Medicine, University of the Ryukyus, Okinawa, Japan

Address correspondence and reprint requests to Manabu Kakinohana, MD, PhD, Department of Anesthesiology, Faculty of Medcine, University of the Ryukyus, 207 UEHARA, Nishihara-cho, Okinawa, 903–0125, Japan. Address e-mail to mnb-shk{at}ryukyu.ne.jp.

In this case report, we describe a nonagenarian patient who could respond completely to verbal commands at a Bispectral Index (BIS) value of 52 after epidural lidocaine and IV propofol anesthesia. Measured blood lidocaine and propofol concentrations were 0.69 µg/mL and 0.74 µg/mL, respectively. Intraoperative awareness even in the recommended BIS range of 40–60 remains possible.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.