Utilización del BIS para monitorizar la profundidad anestésica en el coma inducido con Propofol en un paciente con estatus epiléptico refractario
DOI:
https://doi.org/10.30445/rear.v5i10.328Palabras clave:
BIS, Coma inducido, Estatus epilépticoResumen
El estatus epiléptico (EE) es una emergencia neurológica que debe ser tratada de manera precoz para disminuir su elevada morbi-mortalidad. La monitorización de la actividad cortical es esencial en el manejo del EE. La monitorización EEG continua diagnostica actividad crítica e intercrítica, grafoelementos epileptiformes, evalúa la profundidad anestésica y ofrece patrones pronósticos. Su limitada disponibilidad y la complejidad de su interpretación hace del BIS (Bispectral Index Signal) una herramienta más sencilla para la monitorización de la profundidad del coma inducido.
Citas
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4.- Abend NS, Dlugos DJ, Hahn CD, Hirsch LJ, Herman ST. Use of EEG monitoring and management of non-convulsive seizures in critically ill patients: a survey of neurologists. Neurocrit Care. 2010; 12 (3):382–9.
5.- Trinka E, Höfler J, Zerbs A. Causes of status epilepticus. Epilepsia. 2012 Sep; 53 Suppl 4:127-38.
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8.- Hans-Christian Hansen, Jan Claassen. EEG and Evoked Potentials in Neuroanesthesia, Intraoperative Neurological Monitoring, and Neurointensive Care; Niedermeyer, Ernst; da Silva, Fernando Lopes Da Silva. Electroencephalography, basic principles, clinical applications, and related fields. 5th Edition. (googlebooks)
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10.- Kennedy JD, Gerard EE. Continuous EEG monitoring in the intensive care unit. Curr Neurol Neurosci Rep. 2012 Aug; 12 (4):419-28.
11.- Leira EC, Bertrand ME, Hogan ER, Cruz-Flores S, Wyrwich KW, Albaker OJ, Holzemer EM. (2004) Continuous or emergent EEG: can bedside caregivers recognize epileptiform discharges? Intensive Care Med 30:207–212.
12.- Johansen JW. (2006) Update on Bispectral Index monitoring. Best Pract Res Clin Anaesthesiol 1:81–99.
13.- Musialowicz T, Mervaala E, Kälviäinen R, Uusaro A, Ruokonen E, Parviainen I. Can BIS monitoring be used to assess the depth of propofol anesthesia in the treatment of refractory status epilepticus? Epilepsia. 2010 Aug; 51 (8):1580-6.
14.- Riker RR, Fraser GL, Wilkins ML. Comparing the bispectral index and suppression ratio with burst suppression of the electroencephalogram during pentobarbital infusions in adult intensive care patients. Pharmacotherapy. 2003 Sep; 23 (9):1087-93.
15.- Rossetti AO, Reichhart MD, Schalle MD, Despland PA, Bogousslavsky J. Propofol treatment of refractory status epilepticus: a study of 31 episodes. Epilepsia. 2004 Jul; 45 (7):757-63.
16.- Jaggi P, Schwabe MJ, Gill K, Horowitz IN. (2003) Use of an anesthesia cerebral monitor bispectral index to assess burst-suppression in pentobarbital coma. Pediatr Neurol 28:219–222.
17.- Power KN, Flaatten H, Gilhus NE, Engelsen BA. (2011) Propofol treatment in adult refractory status epilepticus. Mortality risk and outcome. Epilepsy Res 94:53–60.
18.- Yoon JR, Kim YS, Kim TK. Thiopental-induced burst suppression measured by the bispectral index is extended during propofol administration compared with sevoflurane. J Neurosurg Anesthesiol. 2012 Apr; 24 (2):146-51. doi: 10.1097/ANA.0b013e3182429829. PubMed PMID: 22210231.
19.- Dahaba AA, Liu DW, Metzler H. Bispectral index (BIS) monitoring of acute encephalitis with refractory, repetitive partial seizures (AERRPS). Minerva Anestesiol. 2010 Apr; 76 (4):298-301. PubMed PMID: 20332745.
2.- Treiman, D.M. Treatment of status epilepticus. En: Engel, J., Pedley, T.A. (Eds.). Epilepsy: A comprehensive text book. Lippincott-Raven, Philadelpia 1997; 1317-1323).
3.- Meierkord H, Boon P, Engelsen B, Göcke K, Shorvon S, Tinuper P, Holtkamp M; European Federation of Neurological Societies. EFNS guideline on the management of status epilepticus in adults. Eur J Neurol. 2010 Mar; 17(3):348-55. doi: 10.1111/j.1468-1331.2009.02917.x. Epub 2009 Dec 30. PubMed PMID: 20050893.
4.- Abend NS, Dlugos DJ, Hahn CD, Hirsch LJ, Herman ST. Use of EEG monitoring and management of non-convulsive seizures in critically ill patients: a survey of neurologists. Neurocrit Care. 2010; 12 (3):382–9.
5.- Trinka E, Höfler J, Zerbs A. Causes of status epilepticus. Epilepsia. 2012 Sep; 53 Suppl 4:127-38.
6.- Rossetti AO, Lowenstein DH. Management of refractory status epilepticus in adults: still more questions than answers. Lancet Neurol. 2011 Oct; 10 (10):922-30. doi: 10.1016/S14744422 (11) 70187-9. Review. PubMed PMID: 21939901; PubMed Central PMCID: PMC3202016.
7.- Smith M. Anesthestic agents and status epilepticus. Epilepsia. 2011 Oct; 52 Suppl 8:42-4. doi: 10.1111/j.1528-1167.2011.03234.x. Review. PubMed PMID: 21967360.
8.- Hans-Christian Hansen, Jan Claassen. EEG and Evoked Potentials in Neuroanesthesia, Intraoperative Neurological Monitoring, and Neurointensive Care; Niedermeyer, Ernst; da Silva, Fernando Lopes Da Silva. Electroencephalography, basic principles, clinical applications, and related fields. 5th Edition. (googlebooks)
9.- Monk TG, Weldon BC – Anesthetic depth is a predictor of mortality. Anesthesiology, 2010; 112:1070-1072.
10.- Kennedy JD, Gerard EE. Continuous EEG monitoring in the intensive care unit. Curr Neurol Neurosci Rep. 2012 Aug; 12 (4):419-28.
11.- Leira EC, Bertrand ME, Hogan ER, Cruz-Flores S, Wyrwich KW, Albaker OJ, Holzemer EM. (2004) Continuous or emergent EEG: can bedside caregivers recognize epileptiform discharges? Intensive Care Med 30:207–212.
12.- Johansen JW. (2006) Update on Bispectral Index monitoring. Best Pract Res Clin Anaesthesiol 1:81–99.
13.- Musialowicz T, Mervaala E, Kälviäinen R, Uusaro A, Ruokonen E, Parviainen I. Can BIS monitoring be used to assess the depth of propofol anesthesia in the treatment of refractory status epilepticus? Epilepsia. 2010 Aug; 51 (8):1580-6.
14.- Riker RR, Fraser GL, Wilkins ML. Comparing the bispectral index and suppression ratio with burst suppression of the electroencephalogram during pentobarbital infusions in adult intensive care patients. Pharmacotherapy. 2003 Sep; 23 (9):1087-93.
15.- Rossetti AO, Reichhart MD, Schalle MD, Despland PA, Bogousslavsky J. Propofol treatment of refractory status epilepticus: a study of 31 episodes. Epilepsia. 2004 Jul; 45 (7):757-63.
16.- Jaggi P, Schwabe MJ, Gill K, Horowitz IN. (2003) Use of an anesthesia cerebral monitor bispectral index to assess burst-suppression in pentobarbital coma. Pediatr Neurol 28:219–222.
17.- Power KN, Flaatten H, Gilhus NE, Engelsen BA. (2011) Propofol treatment in adult refractory status epilepticus. Mortality risk and outcome. Epilepsy Res 94:53–60.
18.- Yoon JR, Kim YS, Kim TK. Thiopental-induced burst suppression measured by the bispectral index is extended during propofol administration compared with sevoflurane. J Neurosurg Anesthesiol. 2012 Apr; 24 (2):146-51. doi: 10.1097/ANA.0b013e3182429829. PubMed PMID: 22210231.
19.- Dahaba AA, Liu DW, Metzler H. Bispectral index (BIS) monitoring of acute encephalitis with refractory, repetitive partial seizures (AERRPS). Minerva Anestesiol. 2010 Apr; 76 (4):298-301. PubMed PMID: 20332745.
Publicado
2013-10-31
Cómo citar
García Bellón, M., Paz Martín, D., Martín Jiménez, M., & Pérez Martín, F. (2013). Utilización del BIS para monitorizar la profundidad anestésica en el coma inducido con Propofol en un paciente con estatus epiléptico refractario. Revista Electrónica AnestesiaR, 5(10), 2. https://doi.org/10.30445/rear.v5i10.328
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Revista Electrónica AnestesiaR by 