This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 6 No. 3, September 2001
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mancuso, T. J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Mancuso, T. J.
Related Collections
Right arrow Anesthesiology

AAP Grand Rounds 6:31 (2001)
© 2001 American Academy of Pediatrics

ANESTHESIOLOGY

The Bispectral Index Scale (BIS), A New Monitor of Hypnosis or Depth of Anesthesia

Source: Johansen JW, Sebel PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology. 2000; 93:1336–1344.[Medline]

The first 20% of the full text of this article appears below.

This paper reviews the history and development of the Bispectral Index Scale (BIS), a new monitor which is currently approved by the FDA and which is being used not only as a research tool but also, increasingly, as a routine monitor in operating rooms. The monitor, which is a processed EEG, is used to estimate the so-called "depth" of anesthesia, also called the degree of hypnosis. Balanced anesthesia consists of areflexia, analgesia and hypnosis. The adequacy of analgesia is determined by the presence or absence of autonomic and somatic responses to surgical stimuli, while hypnosis is considered satisfactory if patients have no awareness or recall of the surgical procedure.

The rationale for use of a processed EEG as a monitor of the depth of anesthesia derives from the theory of general anesthesia. It is thought that general anesthetic agents cause unconsciousness by depressing . . . [Full Text of this Article]

Thomas J. Mancuso, MD, FAAP
Anesthesiology, Children’s Hospital, Boston, MA