Pediatric Neurology
Volume 31, Issue 1 , Pages 20-23 , July 2004

The use of bispectral index to monitor unconscious children

  • Shao-Hsuan Hsia, MD

      Affiliations

    • Division of Pediatric Critical Care Medicine, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, People's Republic of China
    • Corresponding Author InformationCommunications should be addressed to:Dr. Hsia; 2L Pediatric Intensive Care Unit; Chang Gung Children's Hospital; 5-7 Fu-Hsing St.; Kweishan, Taoyuan, Taiwan 333; R.O.C
  • ,
  • Chang-Teng Wu, MD

      Affiliations

    • Division of Pediatric Critical Care Medicine, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, People's Republic of China
  • ,
  • Huei-Shyong Wang, MD

      Affiliations

    • Division of Pediatric Neurology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, People's Republic of China
  • ,
  • Dah-Chin Yan, MD

      Affiliations

    • Division of Taipei Pediatrics, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan, People's Republic of China
  • ,
  • Shu-Ching Chen, MS

      Affiliations

    • Department of Nursing, Chang Gung Institute of Technology, Taoyuan, Taiwan, People's Republic of China

Received 15 July 2003 ,Accepted 12 January 2004.

References 

  1. Jennett B, Teasdale G, Braakman R, Minderhoud J, Knill-Jones R. Predicting outcome in individual patients after severe head injury. Lancet. 1976;1:1031–1034
  2. Jennett B, Teasdale G, Galbraith S, et al.  Severe head injuries in three countries. J Neurol Neurosurg Psychiatry. 1977;40:291–298
  3. Sandroni C, Barelli A, Piazza O, Proietti R, Mastria D, Boninsegna R. What is the best test to predict outcome after prolonged cardiac arrest. Eur J Emerg Med. 1995;2:33–37
  4. Levi L, Guilburd JN, Bar-Yosef G, Zaaroor M, Soustiel JF, Feinsod M. Severe head injury in children (Analyzing the better outcome over a decade and the role of major improvements in intensive care). Childs Nervous System. 1998;14:195–202
  5. Rowley G, Fielding K. Reliability and accuracy of the Glasgow Coma Scale with experienced and inexperienced users. Lancet. 1991;337:535–538
  6. Rampil I. A primer for EEG signal processing in anesthesia. Anesthesiology. 1998;89:980–1002
  7. Luerssen TG. Acute traumatic cerebral injuries. In:  Cheek WR editors. Pediatric neurosurgery. 3rd ed. Philadelphia: WB Saunders; 1994;p. 274
  8. Maurizio R, Handy J, Shah A. Low baseline bispectral index of the electroencephalogram in patients with dementia. Anesth Analg. 2003;96:1380–1385
  9. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. Lancet. 1974;ii:81–84
  10. Teasdale G, Knill-Jones R, Van der Sande J. Observer reliability in assessing impaired consciousness and coma. J Neurol Neurosurg Psychiatry. 1978;41:603–610
  11. Starmark J, Holmgren E, Stahlhammer D. Current reporting of responsiveness in acute cerebral disorders (A survey of the neurosurgical literature). J Neurosurg. 1998;69:692–698
  12. Lobato RD, Rivas JJ, Comez PA. Head-injured patients who talk and deteriorate into coma. J Neurosurg. 1991;75:256–261
  13. Rockswold GL, Leonard PR, Nagib MG. Analysis of management in thirty-three closed head injury patients who “talk and deteriorated”. Neurosurgery. 1987;21:51–55
  14. Wijdicks EFM. Temporomandibular joint compression in coma. Neurology. 1996;46:1774
  15. White PF, Rawal S, Recart A, Thornton L, Litle M, Stool L. Can the bispectral index be used to predict seizure time and awakening after electroconvulsive therapy?. Anesth Analg. 2003;96:1636–1639
  16. Mewasingh L, Christophe C, Fonteyne C, et al.  Predictive value of electrophysiology in children with hypoxic coma. Pediatr Neurol. 2003;28:178–183

PII: S0887-8994(04)00095-5

doi: 10.1016/j.pediatrneurol.2004.01.010

Pediatric Neurology
Volume 31, Issue 1 , Pages 20-23 , July 2004