A comparison of bispectral index and ARX-derived auditory evoked potential index in measuring the clinical interaction between ketamine and propofol anaesthesia

HEM Vereecke*, MMRF Struys, EP Mortier

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

80 Citations (Scopus)

Abstract

We evaluated the effects of a bolus ( 0.4 mg. kg(-1)) and continuous infusion (1 mg. kg(-1). h(-1)) of ketamine on Bispectral Index (BIS) and A-Line(R) ARX Index (AAI) during propofol anaesthesia. We included 15 ASA I patients scheduled for general anaesthesia. Induction was performed by infusion of propofol at 100 ml. h(-1) until loss of consciousness. Both BIS and AAI monitors responded appropriately at that time. The calculated effect site concentration of propofol at loss of consciousness was maintained by means of a computer controlled infusion system. A 'pseudo' steady-state effect site concentration was reached after 4 min. After 1 min of baseline measurements, ketamine was administered. BIS values increased from the 3rd to the 8th min after the administration of ketamine. The AAI showed no significant increase or decrease, but between-patient variability increased.

Original languageEnglish
Pages (from-to)957-961
Number of pages5
JournalAnaesthesia
Volume58
Issue number10
DOIs
Publication statusPublished - Oct-2003
Externally publishedYes

Keywords

  • monitoring : auditory evoked potentials
  • bispectral index
  • anaesthetic drugs : ketamine
  • propofol
  • SPECTRAL EDGE FREQUENCY
  • DEPTH
  • ENTROPY
  • EEG

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