BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]

A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment,...

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Main Author: Matthew M. J. Smith
Format: Article
Language:English
Published: F1000 Research Ltd 2014-01-01
Series:F1000Research
Subjects:
Online Access:http://f1000research.com/articles/3-5/v1
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author Matthew M. J. Smith
author_facet Matthew M. J. Smith
author_sort Matthew M. J. Smith
collection DOAJ
description A patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment, with the patient making a full recovery. Widely regarded as a ‘depth of anaesthesia’ monitor, this case demonstrates the potential extra clinical benefit BIS may have in the detection of critical incidents such as anaphylaxis during general anaesthesia.
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spelling doaj.art-46c136ca424f44ef9eb8c36f326408d72022-12-22T00:00:30ZengF1000 Research LtdF1000Research2046-14022014-01-01310.12688/f1000research.3-5.v13474BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]Matthew M. J. Smith0Department of Anaesthetics, Sheffield Teaching Hospitals, Sheffield, S10 2JF, UKA patient undergoing general anaesthesia for neurosurgery exhibited an unexpected sudden decrease in the BiSpectral Index (BIS) value to near-zero. This prompted the detection of profound hypotension using non-invasive blood pressure (NIBP) measurement and expedited urgent assessment and treatment, with the patient making a full recovery. Widely regarded as a ‘depth of anaesthesia’ monitor, this case demonstrates the potential extra clinical benefit BIS may have in the detection of critical incidents such as anaphylaxis during general anaesthesia.http://f1000research.com/articles/3-5/v1Perioperative Critical CareTechnology & Monitoring in Anesthesiology
spellingShingle Matthew M. J. Smith
BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]
F1000Research
Perioperative Critical Care
Technology & Monitoring in Anesthesiology
title BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]
title_full BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]
title_fullStr BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]
title_full_unstemmed BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]
title_short BiSpectral Index (BIS) monitoring may detect critical hypotension before automated non-invasive blood pressure (NIBP) measurement during general anaesthesia; a case report. [v1; ref status: indexed, http://f1000r.es/2oi]
title_sort bispectral index bis monitoring may detect critical hypotension before automated non invasive blood pressure nibp measurement during general anaesthesia a case report v1 ref status indexed http f1000r es 2oi
topic Perioperative Critical Care
Technology & Monitoring in Anesthesiology
url http://f1000research.com/articles/3-5/v1
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