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BJA Advance Access published online on May 27, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei162
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org
Accepted April 22, 2005

Case Report

Increases in bispectral index lead to interventions that prevent possible intraoperative awareness

D. M. Mathews 1*, S. S. Rahman 1, P. M. Cirullo 1, and R. J. Malik 1

1 Department of Anesthesiology, St Vincent Catholic Medical Centers, St Vincent's Manhattan and New York Medical College, Valhalla, New York, USA

* To whom correspondence should be addressed.
D. M. Mathews, E-mail: dmathews{at}svcmcny.org


  Abstract

In this case a woman underwent a cervical laminectomy with a total i.v. anaesthesia technique and during her care two problems occurred with propofol delivery. In both cases, bispectral index increases alerted caregivers to the decreased propofol delivery and allowed them to make corrections in a manner timely enough to prevent the occurrence of awareness during anaesthesia. The case illustrates how intraoperative processed electroencephalographic monitoring may decrease the incidence of recall of awareness following surgery.


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