Anesthetic drugs & techniques

The Effect of Electroencephalographic Trajectory During Anesthesia Emergence on the Indices Monitoring the Hypnotic Component

Anesth AnalgPublished Secondary analysis of EEG recordings

Authors' conclusion

Our analysis revealed that the course of the different indices reflects spectral EEG patterns during the emergence from general anesthesia.

Study context

Population
Patients emerging from GA, from the database of the study by Hesse et al
Participants
59 EEGs
Comparison
Index values of SE, qCON, BIS and PSI across 3 emergence EEG trajectories (TrajAbrupt and TrajHigh vs TrajRef)
  • Traj Refn = 19reference
  • Traj Abruptn = 20
  • Traj Highn = 20
Primary endpoint
Index values of neuromonitoring devices (SE, qCON, BIS, PSI) during emergence by EEG trajectory
Follow-up
Emergence from GA
Methodological detailsretrospective analysis of a prior study database, EEG replay to monitors
  • Retrospective analysis of a prior study database
  • EEG replay to monitors

Primary result

As reported in the abstract

Index values during emergence
  • SE and PSI showed significant differences between Traj Ref and Traj Abrupt during a major part of emergence
  • Traj Ref: almost linear increase of index values; Traj Abrupt: episode of low index values followed by sudden increase
  • qCON, PSI and BIS showed significant differences between Traj Ref and Traj High, especially at beginning of emergence; Traj Ref had significantly lower index values

Original publication

The Effect of Electroencephalographic Trajectory During Anesthesia Emergence on the Indices Monitoring the Hypnotic Component. Anesth Analg. Published 25 April 2025. doi:10.1213/ane.0000000000007499

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