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Editorial Comment
Restrict relaxants, be aware, and know the limitations of your depth of anaesthesia monitor.
Interesting editorial accompanying Dr Peter Schuller's excellent study of BIS values in awake, paralysed volunteers.
The editors make a very interesting point critiquing the probabilistic, database-based approach to processed-EEG awareness monitors like BIS: (emphasis added)
summary"This database-driven approach may have limitations, in particular for the detection of intraoperative wakefulness: it is very unlikely that data from an awake and paralyzed subject are included in this database. Therefore, the resulting anaesthesia index has not been trained with a dataset that contains this clinical situation..."
- G Schneider and S Pilge.
- Department of Anaesthesiology, HELIOS Clinic Wuppertal, Witten/Herdecke University, Heusnerstr. 40, Wuppertal 42283, Germany gerhard.schneider@uni-wh.de.
- Br J Anaesth. 2015 Jul 1;115 Suppl 1:i11-i12.
no abstract available
This article appears in the collection: Neuromuscular myths: the lies we tell ourselves.
Notes
Interesting editorial accompanying Dr Peter Schuller's excellent study of BIS values in awake, paralysed volunteers.
The editors make a very interesting point critiquing the probabilistic, database-based approach to processed-EEG awareness monitors like BIS: (emphasis added)
"This database-driven approach may have limitations, in particular for the detection of intraoperative wakefulness: it is very unlikely that data from an awake and paralyzed subject are included in this database. Therefore, the resulting anaesthesia index has not been trained with a dataset that contains this clinical situation..."
Daniel Jolley
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