82 -5 (67) 2024 - Kh.T.Choriev, G.Sh.Khamraeva - BISPECTRAL INDEX MONITORING AND INTRAOPERATIVE AWARENESS

BISPECTRAL INDEX MONITORING AND INTRAOPERATIVE AWARENESS

Kh.T.Choriev - Center for professional development of medical staff under the Ministry of Health of the Republic of Uzbekistan, "Ikhlos" multidisciplinary private clinic, Tashkent, Uzbekistan

G.Sh.Khamraeva - Center for professional development of medical staff under the Ministry of Health of the Republic of Uzbekistan

Resume

• Intraoperative awareness is a distressing complication of general anaesthesia associated with posttraumatic stress disorder. • Bispectral index (BIS) values are generated from an empirically derived algorithm and are meant to reflect a patient’s hypnotic level during general anaesthesia. • The reliability of BIS values is influenced by age, electrical impedance, electrical interference, electromyographic activity, and use of ketamine or nitrous oxide. • A BIS-guided protocol performs equally well as an end-tidal anaesthetic gas (ETAG)–guided protocol, which incorporates alarms for BIS/ETAG values outside of a prespecified range. • BIS monitoring likely decreases the incidence of intraoperative awareness when compared with monitoring for clinical signs alone and may be relevant during total intravenous anaesthesia cases. • BIS-guided anaesthesia may reduce postoperative recovery time and anaesthetic drug consumption.

Keywords: bispectral index monitoring, intraoperative awareness.

First page

461

Last page

470

For citation: Kh.T.Choriev, G.Sh.Khamraeva - BISPECTRAL INDEX MONITORING AND INTRAOPERATIVE AWARENESS//New Day in Medicine 5(67)2024 461-470 https://newdayworldmedicine.com/en/article/3758

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