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Oral Clonidine Pretreatment Prior to Venous Cannulation

David L. Hall DDS,

Ehsan Rezvan DDS,

Dimitris N. Tatakis DDS, PhD, and

John D. Walters DDS, MS

Article Category: Research Article

Volume/Issue: Volume 53: Issue 2

Online Publication Date: Jan 01, 2006

DOI: 10.2344/0003-3006(2006)53[34:OCPPTV]2.0.CO;2

Page Range: 34 – 42

of subjects required for this study ( N = 13) was determined by power analysis of data from a previous bispectral index (BIS) study. 19 Each subject took nothing by mouth for 8–12 hours and was accompanied and transported by a responsible adult. All subjects arrived 1 hour prior to scheduled periodontal surgery (time = 0) and were seated in a semi-supine position in a standard dental chair. Baseline skin temperatures (T1, finger, and T2, forearm), BIS ( Figure 1 ), Observer's Assessment of Alertness/Sedation Scale (OAA/S; Table 1 ), frontal temporal

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Bispectral Index Monitoring (BIS) as a Guide for Intubation Without Neuromuscular Blockade in Office‐Based Pediatric General Anesthesia: A Retrospective Evaluation

Zakaria S Messieha DDS,

Samuel Guirguis DO, and

Sherine Hanna MD

Article Category: Research Article

Volume/Issue: Volume 58: Issue 1

Online Publication Date: Jan 01, 2011

DOI: 10.2344/0003-3006-58.1.3

Page Range: 3 – 7

other airway‐related complications such as negative‐pressure pulmonary edema or laryngotracheal damage during the intubation phase. The Bispectral Index System (BIS) is a monitor (Covidien Healthcare, formerly Aspect Medical Systems, Newton, Mass) that derives its data from an electroencephalogram using bispectral and time domain parameters. 1 It is frequently used to monitor the depth of anesthesia in patients undergoing general anesthesia. Studies have shown the value of BIS monitoring in reducing extubation and recovery times in pediatric ambulatory patients

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Figure 4; Changes in bispectral index (BIS). At the optimum sedation level, BIS was significantly lower than pretreatment values in the 2 groups. During maintenance administration, the fluctuation of BIS in Group D was greater than that in Group P.

Kiichi Taniyama,

Hideki Oda,

Kazuko Okawa,

Katsuhito Himeno,

Koki Shikanai, and

Tohru Shibutani

Figure 4

Changes in bispectral index (BIS). At the optimum sedation level, BIS was significantly lower than pretreatment values in the 2 groups. During maintenance administration, the fluctuation of BIS in Group D was greater than that in Group P.

Figure 1; Clinical photograph of BIS monitor and 4 electrodes placed on patient's forehead.

Christel M. Haberland,

Suher Baker, and

Haibei Liu

Figure 1

Clinical photograph of BIS monitor and 4 electrodes placed on patient's forehead.

Anesthetic Management of a Patient With a Vagal Nerve Stimulator

Kazuaki Yamagata DDS, PhD,

Yohsuke Hirose DDS, PhD,

Kenji Tanaka DDS,

Miki Yoshida DDS, PhD,

Tomotaka Ohnuki DDS, PhD,

Ryozo Sendo DDS,

Hitoshi Niwa DDS, PhD, and

Mitsutaka Sugimura DDS, PhD

Article Category: Case Report

Volume/Issue: Volume 67: Issue 1

Online Publication Date: Jan 01, 2020

DOI: 10.2344/anpr-66-03-02

Page Range: 16 – 22

electrocardiogram. She was morbidly obese and, according to her mother, did not have a definitive diagnosis of OSA, but snored frequently. Preoperative physical assessment confirmed no impairment or restriction to her maximum interincisal distance, but her Mallampati classification could not be determined because of lack of compliance. She took her 3 daily prescribed anticonvulsants on the morning of the surgery and no other premedication was administered. Standard anesthesia monitors (pulse oximetry, standard electrocardiography, bispectral index [BIS] monitoring, and

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Figure 2 ; BIS monitor electrode Electrical potential difference between electrodes 1 and 3, and between 1 and 4, are reflected in the BIS Index. Electrode 2 is a reference electrode.

Figure 2

BIS monitor electrode Electrical potential difference between electrodes 1 and 3, and between 1 and 4, are reflected in the BIS Index. Electrode 2 is a reference electrode.

General Anesthesia for a Patient With Pelizaeus-Merzbacher Disease

Nobuhito Kamekura DDS, PhD,

Yukie Nitta DDS, PhD,

Shigeru Takuma DDS, PhD, and

Toshiaki Fujisawa DDS, PhD

Article Category: Research Article

Volume/Issue: Volume 63: Issue 2

Online Publication Date: Jan 01, 2016

DOI: 10.2344/15-00022.1

Page Range: 91 – 94

heart rate was 120 bpm. In addition to standard electrocardiogram, pulse oximetry, noninvasive blood pressure, and end-tidal CO 2 , bispectral index (BIS) and train-of-4 (TOF) monitoring were performed. General anesthesia was induced with thiamylal (150 mg), fentanyl (0.1 mg), and desflurane (1.2 minimum alveolar concentration [MAC]) in air and oxygen. After these drugs were administered, his blood pressure decreased to 108/66 mm Hg and his heart rate to 103 bpm. Rocuronium (20 mg) was administered to facilitate nasal tracheal intubation. Anesthesia was

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Figure 2; Results of BIS values at the different stages of the procedure (baseline, start of procedure, and recovery) for all patients (n = 35).

Christel M. Haberland,

Suher Baker, and

Haibei Liu

Figure 2

Results of BIS values at the different stages of the procedure (baseline, start of procedure, and recovery) for all patients (n = 35).

Figure 3 ; Scatter plots of bispectral index (BIS) versus salivary weight in (A) without-movements (closed circles) and (B) with-movements (open circles) states.

Yoko Sasaki,

Seiichi Kato,

Masaaki Miura, and

Haruhisa Fukayama

Figure 3

Scatter plots of bispectral index (BIS) versus salivary weight in (A) without-movements (closed circles) and (B) with-movements (open circles) states.

Figure 5; Changes in bispectral index (BIS) and Ramsay score (RS). BIS decreased significantly from 10 minutes after the start of dexmedetomidine (Dex) infusion to 30 minutes after the end of Dex infusion (P < .05). RS showed the optimal sedation level from 10 minutes to 30 minutes after the start of Dex infusion.

Sachie Ogawa,

Hiroaki Seino,

Hiroshi Ito,

Shinya Yamazaki,

Steven Ganzberg, and

Hiroyoshi Kawaai

Figure 5

Changes in bispectral index (BIS) and Ramsay score (RS). BIS decreased significantly from 10 minutes after the start of dexmedetomidine (Dex) infusion to 30 minutes after the end of Dex infusion (P < .05). RS showed the optimal sedation level from 10 minutes to 30 minutes after the start of Dex infusion.

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eISSN: 1878-7177

ISSN: 0003-3006