Sudden Bispectral Index Reduction and Suppression Ratio Increase Associated with Bradycardia in a Patient Undergoing Breast Conserving Surgery
Journal of Neurocritical Care
; (2): 39-42, 2018.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-765897
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
The bispectral index (BIS) is a valuable indicator for measuring sedation levels and patient consciousness. Recent reports have highlighted its clinical value as an indicator for anesthesia-related cerebral hypoperfusion and ischemic brain damage. CASE REPORT A 55-year-old female patient underwent right breast conservation surgery during general anesthesia. During surgery, the patient experienced abrupt bradycardia (heart rate of 36 bpm) without hypotension. During bradycardia, her BIS was severely reduced from 45 to 20 along with elvated suppression ratio (50). After injection of 0.5mg of atropine, her BIS level was recovered, her heart rate was increased, and her suppression ratio was decreased.CONCLUSION:
The patient recovered from anesthesia without showing any signs of neurological sequelae based on BIS level monitoring.
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Atropina
/
Bradicardia
/
Encéfalo
/
Mama
/
Mastectomia Segmentar
/
Estado de Consciência
/
Monitores de Consciência
/
Frequência Cardíaca
/
Hipotensão
/
Anestesia
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Neurocritical Care
Ano de publicação:
2018
Tipo de documento:
Artigo