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Case Reports
Misinterpretation and Limitations of pEEG Monitoring During Multimodal General Anesthesia: A Case Report.
- Francisco Salgado-Seixas, Rui Pereira, Humberto Machado, and Carla Cavaleiro.
- From the Departamento de Anestesiologia, Cuidados Intensivos e Emergência, Centro Hospitalar Universitário do Porto.
- A A Pract. 2020 Feb 15; 14 (4): 109-111.
AbstractThe adequate titration of hypnotic agents can be achieved using processed electroencephalogram (pEEG) monitors. pEEG monitors with a spectrogram, such as bilateral bispectral index (BIS), are useful because they can show different signatures that suggest the effect of a given drug on brain activity. Multimodal general anesthesia is based on a combination of hypnotic and antinociceptive agents. We report a case of awareness in a patient monitored with bilateral BIS during multimodal general anesthesia. This case illustrates the limitations of the index and the value of the spectrogram in the assessment of hypnosis.
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