• Tobias Werther, Monika Olischar, Vito Giordano, Christine Czaba, Thomas Waldhoer, Angelika Berger, Arnold Pollak, and Philipp Deindl.
• Division of Neonatology, Intensive Care and Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
• Neonatology. 2015 Jan 1; 107 (1): 34-41.

BackgroundThe lower margin amplitude (LMA) of the amplitude-integrated electroencephalogram (aEEG) is suppressed in neonates during deep sedation, a feature that is attributed to the bispectral index (BIS) in adults.ObjectiveWe compare the BIS and the LMA of the aEEG in neonates.MethodsThirty neurologically healthy neonates between 37 and 44 weeks postmenstrual age were included in this study. Twenty patients received sedoanalgesic therapy for various reasons. BIS and aEEG recordings were performed simultaneously. The digital data were imported in the numerical software environment Matlab®. The LMA of the aEEG was computed on a 1-min time scale and synchronized with the BIS data. The correlation between the time-dependent variables BIS and LMA was estimated using the Spearman rank correlation index.ResultsThe median correlation between BIS and LMA was 0.3. Inclusion of recordings of high signal quality only into analysis improved the median correlation index to 0.6.ConclusionsWe found a light-to-moderate correlation between BIS and LMA in our study cohort and a good correlation in the subgroup with high signal quality.© 2014 S. Karger AG, Basel.

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