Anesthetic drugs & techniques

Performance of the bispectral index and electroencephalograph derived parameters of anesthetic depth during emergence from xenon and sevoflurane anesthesia

J Clin Monit ComputPublished Randomised controlled trial

Authors' conclusion

The BIS index is lower at equivalent stages of behavioural response during emergence from xenon anesthesia when compared to sevoflurane anesthesia, most likely due to differences in how these two agents influence the relative beta ratio.

Study context

Population
Participants scheduled for lithotripsy
Participants
24 participants
Comparison
Xenon vs sevoflurane anaesthesia
Primary endpoint
Response of the BIS during emergence from xenon vs sevoflurane anesthesia

Primary result

As reported in the abstract

BIS index values at emergence timepoints · First response, eyes open, removal of airway
  • BIS significantly lower with xenon than sevoflurane at each emergence timepoint

Further findings

Relative beta ratio · Emergence

Increased significantly during emergence with sevoflurane but not with xenon

Spectral edge frequency and composite cortical state · Emergence

Increased significantly in both groups during emergence

Original publication

Performance of the bispectral index and electroencephalograph derived parameters of anesthetic depth during emergence from xenon and sevoflurane anesthesia. J Clin Monit Comput. Published 19 April 2022. doi:10.1007/s10877-022-00860-y

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