Pediatric anesthesia & critical care

Electroencephalographic density spectral array monitoring during propofol/sevoflurane coadministration in children, an exploratory observational study

Anaesth Crit Care Pain MedPublished Exploratory observational study

Authors' conclusion

DSA-guided augmentation of propofol anesthesia with sevoflurane provides sufficient depth of anesthesia at doses usually considered sub-anesthetic in children, leading to less anesthetic drug exposure for the individual child.

Study context

Population
Children from birth to 11 years under propofol/sevoflurane anaesthesia with fixed sevoflurane and variable propofol dosagessuitable for analysis
Participants
78 children
Outcome
Correlation between variable propofol dosages and expression of the four EEG frequency bands β, α, θ, δ

Main finding

As reported in the abstract

Correlation of propofol dosage with relative percentage of EEG bands (patients >1 year)

Dose-dependent correlation with relative percentage of β, p < 0.001

−12.2%

Dose-dependent correlation with relative percentage of δ, p < 0.001

5.1%

Observational data: associations, not effects.

Secondary outcomes

Intra-operative total EEG power

Age-dependent trend toward increasing mean EEG power, most significant increase in the first year of life

Burst suppression (at least one episode)

Prevalence of at least one episode of burst suppression
14.1%

Original publication

Electroencephalographic density spectral array monitoring during propofol/sevoflurane coadministration in children, an exploratory observational study. Anaesth Crit Care Pain Med. Published 22 December 2023. doi:10.1016/j.accpm.2023.101342

Composed by AI from the published abstract and checked against it. How Briefs are made →

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