Correlation between bispectral index and patient state index in children under sevoflurane anesthesia

Correlation between bispectral index and patient state index in children under sevoflurane anesthesia

Background Because the unanticipated arousal or hemodynamic instability during anesthesia may adversely affect the physical and emotional welfare of children, adequate management of the anesthesia depth is required. We aimed to compare Bispectral Index (BIS) and Patient State Index (PSI) in children...

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Veröffentlicht in:Pediatric anesthesia 2022-06, Vol.32 (6), p.740-746
Hauptverfasser: Kim, Doyeon, Kim, Jaeyoun, Kim, Inho, Gil, Nam‐Su, Shin, Young Hee, Jeong, Ji Seon
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Pediatrics
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container_end_page 746
container_issue 6
container_start_page 740
container_title Pediatric anesthesia
container_volume 32
creator Kim, Doyeon
Kim, Jaeyoun
Kim, Inho
Gil, Nam‐Su
Shin, Young Hee
Jeong, Ji Seon
description Background Because the unanticipated arousal or hemodynamic instability during anesthesia may adversely affect the physical and emotional welfare of children, adequate management of the anesthesia depth is required. We aimed to compare Bispectral Index (BIS) and Patient State Index (PSI) in children during sevoflurane anesthesia and evaluate PSI as depth of anesthesia monitor in children aged 6 months–12 years. Methods In this prospective observational study, children aged 6 months–12 years old scheduled for elective surgery under sevoflurane anesthesia were enrolled from November 2018 to June 2019. We monitored BIS and PSI at different sevoflurane concentrations. The primary outcome was the correlation between BIS and PSI. The correlation between BIS and PSI at different sevoflurane concentrations (at 1, 1.5, and 2 MACs) and at different age groups (6 months–2 years, 2–7 years, and 8–12 years) was also investigated. Results Bispectral index and PSI showed a fair correlation (r = .430; 95% confidence interval [CI], 0.297–0.546; p 
doi_str_mv 10.1111/pan.14422
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We aimed to compare Bispectral Index (BIS) and Patient State Index (PSI) in children during sevoflurane anesthesia and evaluate PSI as depth of anesthesia monitor in children aged 6 months–12 years. Methods In this prospective observational study, children aged 6 months–12 years old scheduled for elective surgery under sevoflurane anesthesia were enrolled from November 2018 to June 2019. We monitored BIS and PSI at different sevoflurane concentrations. The primary outcome was the correlation between BIS and PSI. The correlation between BIS and PSI at different sevoflurane concentrations (at 1, 1.5, and 2 MACs) and at different age groups (6 months–2 years, 2–7 years, and 8–12 years) was also investigated. Results Bispectral index and PSI showed a fair correlation (r = .430; 95% confidence interval [CI], 0.297–0.546; p &lt; .001). Two values were fairly correlated at 1, 1.5, and 2 MAC (r = .544; 95% CI, 0.314–0.716; p &lt; .001, r = .509; 95% CI, 0.283–0.699; p &lt; .001, and r = .315; 95% CI, 0.047–0.522; p = 0.007). BIS and PSI values showed a fair correlation in 6 months ‐ 2 year and 8–12 year groups (r = .696; 95% CI, 0.519–0.813; p &lt; .001 and r = .297; 95% CI, −0.017 to 0.543; p &lt; .021), but there was not significant correlation in 2–7 years group (r = .190; 95% CI, −0.015 to 0.374; p = .052). Conclusions There was a fair correlation between BIS and PSI in children under sevoflurane anesthesia. The use of BIS and PSI as an indicator for anesthesia depth by sevoflurane is not reliable in pediatric patients.</description><identifier>ISSN: 1155-5645</identifier><identifier>EISSN: 1460-9592</identifier><identifier>DOI: 10.1111/pan.14422</identifier><identifier>PMID: 35191119</identifier><language>eng</language><publisher>France: Wiley Subscription Services, Inc</publisher><subject>Anesthesia ; Pediatrics</subject><ispartof>Pediatric anesthesia, 2022-06, Vol.32 (6), p.740-746</ispartof><rights>2022 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2022 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-b1726ad660cc569ed58f6135ec56c5d260fcb9f0605c5cb15742f9b58809c5e33</citedby><cites>FETCH-LOGICAL-c3532-b1726ad660cc569ed58f6135ec56c5d260fcb9f0605c5cb15742f9b58809c5e33</cites><orcidid>0000-0001-5396-1030</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpan.14422$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpan.14422$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35191119$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Doyeon</creatorcontrib><creatorcontrib>Kim, Jaeyoun</creatorcontrib><creatorcontrib>Kim, Inho</creatorcontrib><creatorcontrib>Gil, Nam‐Su</creatorcontrib><creatorcontrib>Shin, Young Hee</creatorcontrib><creatorcontrib>Jeong, Ji Seon</creatorcontrib><title>Correlation between bispectral index and patient state index in children under sevoflurane anesthesia</title><title>Pediatric anesthesia</title><addtitle>Paediatr Anaesth</addtitle><description>Background Because the unanticipated arousal or hemodynamic instability during anesthesia may adversely affect the physical and emotional welfare of children, adequate management of the anesthesia depth is required. We aimed to compare Bispectral Index (BIS) and Patient State Index (PSI) in children during sevoflurane anesthesia and evaluate PSI as depth of anesthesia monitor in children aged 6 months–12 years. Methods In this prospective observational study, children aged 6 months–12 years old scheduled for elective surgery under sevoflurane anesthesia were enrolled from November 2018 to June 2019. We monitored BIS and PSI at different sevoflurane concentrations. The primary outcome was the correlation between BIS and PSI. The correlation between BIS and PSI at different sevoflurane concentrations (at 1, 1.5, and 2 MACs) and at different age groups (6 months–2 years, 2–7 years, and 8–12 years) was also investigated. Results Bispectral index and PSI showed a fair correlation (r = .430; 95% confidence interval [CI], 0.297–0.546; p &lt; .001). Two values were fairly correlated at 1, 1.5, and 2 MAC (r = .544; 95% CI, 0.314–0.716; p &lt; .001, r = .509; 95% CI, 0.283–0.699; p &lt; .001, and r = .315; 95% CI, 0.047–0.522; p = 0.007). BIS and PSI values showed a fair correlation in 6 months ‐ 2 year and 8–12 year groups (r = .696; 95% CI, 0.519–0.813; p &lt; .001 and r = .297; 95% CI, −0.017 to 0.543; p &lt; .021), but there was not significant correlation in 2–7 years group (r = .190; 95% CI, −0.015 to 0.374; p = .052). Conclusions There was a fair correlation between BIS and PSI in children under sevoflurane anesthesia. The use of BIS and PSI as an indicator for anesthesia depth by sevoflurane is not reliable in pediatric patients.</description><subject>Anesthesia</subject><subject>Pediatrics</subject><issn>1155-5645</issn><issn>1460-9592</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kMtOwzAQRS0EglJY8AMoEhtYBPzIuPWyqnhJFbCAdeQ4E2GUJsFOKPw9Ay0skJjNjEfnXo8uY0eCnwuqi8425yLLpNxiI5FpnhowcptmAZCCzmCP7cf4wrlQUstdtqdAGBKaEcN5GwLWtvdtkxTYrxCp-9ih64OtE9-U-J7Ypkw6YrDpk9jbHjd73yTu2ddlINFAm5BEfGuregi2QVJh7J8xenvAdipbRzzc9DF7urp8nN-ki_vr2_lskToFSqaFmEhtS625c6ANljCttFCA9HJQSs0rV5iKaw4OXCFgksnKFDCdcuMAlRqz07VvF9rXgX7Plz46rGs6pR1iLrUSU60mekLoyR_0pR1CQ9cRpQUoY7KMqLM15UIbY8Aq74Jf2vCRC55_ZZ9T9vl39sQebxyHYonlL_kTNgEXa2Dla_z43yl_mN2tLT8B7Y2ODg</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Kim, Doyeon</creator><creator>Kim, Jaeyoun</creator><creator>Kim, Inho</creator><creator>Gil, Nam‐Su</creator><creator>Shin, Young Hee</creator><creator>Jeong, Ji Seon</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5396-1030</orcidid></search><sort><creationdate>202206</creationdate><title>Correlation between bispectral index and patient state index in children under sevoflurane anesthesia</title><author>Kim, Doyeon ; Kim, Jaeyoun ; Kim, Inho ; Gil, Nam‐Su ; Shin, Young Hee ; Jeong, Ji Seon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-b1726ad660cc569ed58f6135ec56c5d260fcb9f0605c5cb15742f9b58809c5e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anesthesia</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Doyeon</creatorcontrib><creatorcontrib>Kim, Jaeyoun</creatorcontrib><creatorcontrib>Kim, Inho</creatorcontrib><creatorcontrib>Gil, Nam‐Su</creatorcontrib><creatorcontrib>Shin, Young Hee</creatorcontrib><creatorcontrib>Jeong, Ji Seon</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Doyeon</au><au>Kim, Jaeyoun</au><au>Kim, Inho</au><au>Gil, Nam‐Su</au><au>Shin, Young Hee</au><au>Jeong, Ji Seon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation between bispectral index and patient state index in children under sevoflurane anesthesia</atitle><jtitle>Pediatric anesthesia</jtitle><addtitle>Paediatr Anaesth</addtitle><date>2022-06</date><risdate>2022</risdate><volume>32</volume><issue>6</issue><spage>740</spage><epage>746</epage><pages>740-746</pages><issn>1155-5645</issn><eissn>1460-9592</eissn><abstract>Background Because the unanticipated arousal or hemodynamic instability during anesthesia may adversely affect the physical and emotional welfare of children, adequate management of the anesthesia depth is required. We aimed to compare Bispectral Index (BIS) and Patient State Index (PSI) in children during sevoflurane anesthesia and evaluate PSI as depth of anesthesia monitor in children aged 6 months–12 years. Methods In this prospective observational study, children aged 6 months–12 years old scheduled for elective surgery under sevoflurane anesthesia were enrolled from November 2018 to June 2019. We monitored BIS and PSI at different sevoflurane concentrations. The primary outcome was the correlation between BIS and PSI. The correlation between BIS and PSI at different sevoflurane concentrations (at 1, 1.5, and 2 MACs) and at different age groups (6 months–2 years, 2–7 years, and 8–12 years) was also investigated. Results Bispectral index and PSI showed a fair correlation (r = .430; 95% confidence interval [CI], 0.297–0.546; p &lt; .001). Two values were fairly correlated at 1, 1.5, and 2 MAC (r = .544; 95% CI, 0.314–0.716; p &lt; .001, r = .509; 95% CI, 0.283–0.699; p &lt; .001, and r = .315; 95% CI, 0.047–0.522; p = 0.007). BIS and PSI values showed a fair correlation in 6 months ‐ 2 year and 8–12 year groups (r = .696; 95% CI, 0.519–0.813; p &lt; .001 and r = .297; 95% CI, −0.017 to 0.543; p &lt; .021), but there was not significant correlation in 2–7 years group (r = .190; 95% CI, −0.015 to 0.374; p = .052). Conclusions There was a fair correlation between BIS and PSI in children under sevoflurane anesthesia. The use of BIS and PSI as an indicator for anesthesia depth by sevoflurane is not reliable in pediatric patients.</abstract><cop>France</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35191119</pmid><doi>10.1111/pan.14422</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5396-1030</orcidid></addata></record>
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Pediatrics
title Correlation between bispectral index and patient state index in children under sevoflurane anesthesia
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