Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery

BackgroundBispectral index (BIS) monitoring reduces the cases of intraoperative awareness. Several factors can alter BIS readings without affecting the depth of anesthesia. We conducted a study to assess the impact of beach chair position (sitting position) on BIS readings.MethodsGeneral anesthesia...

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Main Authors: Sang Wook Lee, Soo Eun Choi, Jin Hee Han, Sung-Wook Park, Wha Ja Kang, Young Kyoo Choi
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2014-10-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-67-235.pdf
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author Sang Wook Lee
Soo Eun Choi
Jin Hee Han
Sung-Wook Park
Wha Ja Kang
Young Kyoo Choi
author_facet Sang Wook Lee
Soo Eun Choi
Jin Hee Han
Sung-Wook Park
Wha Ja Kang
Young Kyoo Choi
author_sort Sang Wook Lee
collection DOAJ
description BackgroundBispectral index (BIS) monitoring reduces the cases of intraoperative awareness. Several factors can alter BIS readings without affecting the depth of anesthesia. We conducted a study to assess the impact of beach chair position (sitting position) on BIS readings.MethodsGeneral anesthesia was administered to 30 patients undergoing arthroscopic shoulder surgery. Patients were kept in neutral position (supine) for 10 minutes and BIS readings, mean arterial blood pressure, heart rate, end-tidal carbon dioxide, and end-tidal sevoflurane were recorded. Patients were then shifted to beach chair position. After 15 minutes, data were recorded.ResultsA significant decrease in BIS values (P < 0.01) associated with a position change from neutral position to beach chair position was evident.ConclusionsBIS values are significantly decreased in the beach chair position compared with the neutral position and might affect interpretation of the depth of anesthesia.
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spelling doaj.art-97665e8ce05441449e6b08c63cc4768d2022-12-22T00:24:13ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-10-0167423523910.4097/kjae.2014.67.4.2357928Effect of beach chair position on bispectral index values during arthroscopic shoulder surgerySang Wook Lee0Soo Eun Choi1Jin Hee Han2Sung-Wook Park3Wha Ja Kang4Young Kyoo Choi5Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Korea University Anam Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kyung Hee University Medical Center, Seoul, Korea.BackgroundBispectral index (BIS) monitoring reduces the cases of intraoperative awareness. Several factors can alter BIS readings without affecting the depth of anesthesia. We conducted a study to assess the impact of beach chair position (sitting position) on BIS readings.MethodsGeneral anesthesia was administered to 30 patients undergoing arthroscopic shoulder surgery. Patients were kept in neutral position (supine) for 10 minutes and BIS readings, mean arterial blood pressure, heart rate, end-tidal carbon dioxide, and end-tidal sevoflurane were recorded. Patients were then shifted to beach chair position. After 15 minutes, data were recorded.ResultsA significant decrease in BIS values (P < 0.01) associated with a position change from neutral position to beach chair position was evident.ConclusionsBIS values are significantly decreased in the beach chair position compared with the neutral position and might affect interpretation of the depth of anesthesia.http://ekja.org/upload/pdf/kjae-67-235.pdfbispectral indexsitting position
spellingShingle Sang Wook Lee
Soo Eun Choi
Jin Hee Han
Sung-Wook Park
Wha Ja Kang
Young Kyoo Choi
Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
Korean Journal of Anesthesiology
bispectral index
sitting position
title Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
title_full Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
title_fullStr Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
title_full_unstemmed Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
title_short Effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
title_sort effect of beach chair position on bispectral index values during arthroscopic shoulder surgery
topic bispectral index
sitting position
url http://ekja.org/upload/pdf/kjae-67-235.pdf
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