Document Detail


Bispectral index-guided management of anaesthesia in permanent vegetative state.
MedLine Citation:
PMID:  12437711     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient in a permanent vegetative state required general anaesthesia for dental surgery. Because of the uncertainties involved in the appropriate monitoring and assessment of the conscious level of patients in a permanent vegetative state, it was decided to use the bispectral index to help guide the anaesthetic depth during surgery. We found that the bispectral index profile during anaesthesia and surgery was similar to that of a normal subject. The findings raise the possibility that patients in permanent vegetative states might sense noxious stimuli at a cortical level.
Authors:
J J Pandit; B Schmelzle-Lubiecki; M Goodwin; N Saeed
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  57     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-19     Completed Date:  2002-12-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  England    
Other Details:
Languages:  eng     Pagination:  1190-4     Citation Subset:  AIM; IM    
Affiliation:
Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford, UK.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, Dental / methods
Anesthesia, Inhalation*
Electroencephalography*
Female
Humans
Methyl Ethers
Middle Aged
Monitoring, Intraoperative / methods*
Nitrous Oxide
Persistent Vegetative State / physiopathology*
Tooth Extraction
Chemical
Reg. No./Substance:
0/Methyl Ethers; 10024-97-2/Nitrous Oxide; 28523-86-6/sevoflurane

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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