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Analysis of electroencephalogram-derived indexes for anesthetic depth monitoring in pediatric patients with intellectual disability undergoing dental surgery

2018-08Journal article Open access
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dc.contributor.authorSilva, A.
dc.contributor.authorAmorim, P.
dc.contributor.authorFelix, L.
dc.contributor.authorAbelha, F.
dc.contributor.authorMourão, J.
dc.date.accessioned2019-11-18T09:35:53Z
dc.date.available2019-11-18T09:35:53Z
dc.date.issued2018-08
dc.description.abstractBackground: Patients with intellectual disability (ID) often require general anesthesia during oral procedures. Anesthetic depth monitoring in these patients can be difficult due to their already altered mental state prior to anesthesia. In this study, the utility of electroencephalographic indexes to reflect anesthetic depth was evaluated in pediatric patients with ID. Methods: Seventeen patients (mean age, 9.6 ± 2.9 years) scheduled for dental procedures were enrolled in this study. After anesthesia induction with propofol or sevoflurane, a bilateral sensor was placed on the patient's forehead and the bispectral index (BIS) was recorded. Anesthesia was maintained with sevoflurane, which was adjusted according to the clinical signs by an anesthesiologist blinded to the BIS value. The index performance was accessed by correlation (with the end-tidal sevoflurane [EtSevo] concentration) and prediction probability (with a clinical scale of anesthesia). The asymmetry of the electroencephalogram between the left and right sides was also analyzed. Results: The BIS had good correlation and prediction probabilities (above 0.5) in the majority of patients; however, BIS was not correlated with EtSevo or the clinical scale of anesthesia in patients with Lennox-Gastaut, West syndrome, cerebral palsy, and epilepsy. BIS showed better correlations than SEF95 and TP. No significant differences were observed between the left- and right-side indexes. Conclusion: BIS may be able to reflect sevoflurane anesthetic depth in patients with some types of ID; however, more research is required to better define the neurological conditions and/or degrees of disability that may allow anesthesiologists to use the BIS.pt_PT
dc.description.sponsorshipAura Silva’s work was supported by Portuguese Foundation for Science and Technology, reference SFRH/BPD /75697/2011pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Dent Anesth Pain Med. 2018 Aug;18(4):235-244pt_PT
dc.identifier.doi10.17245/jdapm.2018.18.4.235pt_PT
dc.identifier.issn2383-9309
dc.identifier.issn2383-9317
dc.identifier.urihttp://hdl.handle.net/10400.16/2298
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherThe Korean Dental Society of Anesthesiologypt_PT
dc.relation.publisherversionhttps://jdapm.org/DOIx.php?id=10.17245/jdapm.2018.18.4.235pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectBispectral Indexpt_PT
dc.subjectElectroencephalogrampt_PT
dc.subjectGeneral Anesthesiapt_PT
dc.subjectIntellectual Disabilitypt_PT
dc.titleAnalysis of electroencephalogram-derived indexes for anesthetic depth monitoring in pediatric patients with intellectual disability undergoing dental surgerypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/SFRH/SFRH%2FBPD%2F75697%2F2011/PT
oaire.citation.conferencePlaceKorea (South)pt_PT
oaire.citation.endPage244pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage235pt_PT
oaire.citation.titleJournal of Dental Anesthesia and Pain Medicinept_PT
oaire.citation.volume18pt_PT
oaire.fundingStreamSFRH
person.familyNameAmorim
person.givenNamePedro
person.identifier.orcid0000-0001-7466-4174
person.identifier.scopus-author-id55429654100
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationaad38f74-e8d1-431c-a230-8ca77db9f190
relation.isAuthorOfPublication.latestForDiscoveryaad38f74-e8d1-431c-a230-8ca77db9f190
relation.isProjectOfPublication6b396b57-c35a-4759-a848-cca649755032
relation.isProjectOfPublication.latestForDiscovery6b396b57-c35a-4759-a848-cca649755032

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