BJA Advance Access originally published online on June 24, 2005
British Journal of Anaesthesia 2005 95(2):197-206; doi:10.1093/bja/aei113
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NEUROSCIENCES AND NEUROANAESTHESIA |
Concurrent recording of AEP, SSEP and EEG parameters during anaesthesia: a factor analysis
1 Department of Anaesthesiology, Universität Erlangen-Nürnberg, Germany. 2 Department of Anaesthesiology, Technische Universität München, Germany. 3 Department of Anaesthesiology, Universität München, Germany. 4 Department of Information Technology, Universität Duisburg-Essen, Germany. 5 Department of Medical Psychology, Universität München, Germany
* Corresponding author. Klinik für Anästhesiologie, Krankenhausstraße 12, D-91054 Erlangen, Germany. E-mail: schwilden{at}kfa.imed.uni-erlangen.de
Background. Spontaneous EEG, mid-latency auditory evoked potentials (AEP) and somatosensory evoked potentials (SSEP) have been used to monitor anaesthesia. This poses the question as to whether or not EEG, AEP and SSEP vary in parallel with varying conditions during surgical anaesthesia.
Methods. A total of 81 variables (31 EEG, 22 SSEP, 28 AEP) were simultaneously recorded in 48 surgical patients during anaesthesia. A total of 307 cases of the 81 variables in stable anaesthetic states were recorded. A factor analysis was performed for this data set.
Results. Sixteen variables were excluded because of multicollinearity. We extracted 13 factors with eigenvalues >1, representing 78.3% of the total variance, from the remaining 65 x 307 matrix. The first three factors represented 12%, 11% and 10% of the total variance. Factor 1 had only significant loadings from EEG variables, factor 2 only significant loadings from AEP variables and factor 3 only significant loadings from SSEP variables.
Conclusion. EEG, AEP and SSEP measure different aspects of neural processing during anaesthesia. This gives rise to the hypothesis that simultaneous monitoring of these quantities may give additional information compared with the monitoring of each quantity alone.
H. Schwilden and E. Kochs contributed equally to this work.
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