Anesthetic drugs & techniques

Performance of the SEDLine Monitor: Age Dependency and Time Delay

Anesth AnalgPublished Mechanistic study

Authors' conclusion

With our analyses, we show that the indices presented on the SEDLine display, the PSI and the SEF, increase with age for patients under general anesthesia. Additionally, a delay of the PSI to react to sudden neurophysiologic changes due to dose of the maintenance anesthetic is of a time course that is clinically significant.

Study context

Population
Patients aged 19–88 years, ASA I–IV, under GA maintained with desflurane, sevoflurane, or propofol
Participants
141 patients
Outcome
Influence of patient's age and time delay on the patient state index (PSI) of the SEDLine monitor
Methodological detailsEEG replay to monitor, linear regression analysis, 2 min of EEG replayed for age analysis; 5 min of EEG of stable episodes (patient state index (PSI) 25–50 or >70) replayed in different orders to simulate sudden state changes
  • EEG replay to monitor
  • Linear regression analysis
  • 2 min of EEG replayed for age analysis; 5 min of EEG of stable episodes (PSI 25–50 or >70) replayed in different orders to simulate sudden state changes

Main finding

As reported in the abstract

Median time delay, adequate anesthesia to awake (Min: 46; Max: 61)

54 seconds

Median time delay, awake to adequate anesthesia (Min: 50; Max: 67)

55 seconds

Further findings

Correlation between spectral edge frequency (SEF) and PSI

Spearman's ρ (0.82; 0.89)
0.86
  • Strong correlation

Original publication

Performance of the SEDLine Monitor: Age Dependency and Time Delay. Anesth Analg. Published 20 January 2023. doi:10.1213/ane.0000000000006369

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