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Anesth Analg 2004;98:1036-1038
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000103261.86889.DE

TECHNOLOGY, COMPUTING, AND SIMULATION

Unusually Low Bispectral Index Values During Emergence from Anesthesia

Satoshi Hagihira, MD, PhD*, Kenta Okitsu, MD{dagger}, and Maki Kawaguchi, MD{dagger}

*Department of Anesthesiology, Osaka University Graduate School of Medicine, and the {dagger}Department of Anesthesiology, Osaka Prefectural Habikino Hospital, Osaka, Japan

Address correspondence and reprint requests to Satoshi Hagihira, Department of Anesthesiology, Osaka University Graduate School of Medicine, 2–2 Yamadaoka, Suita City, Osaka, Japan 565–0871. Address email to hagihira{at}masui.med.osaka-u.ac.jp

We observed unusually low BIS values during emergence from anesthesia apparently caused by misanalysis (as "suppression") of low voltage electroencephalogram.

IMPLICATIONS: When BIS values do not adequately correspond with clinical status, it is necessary to check raw electroencephalogram waveforms to more clearly characterize patient status.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2004 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.