BIS Monitoring of the Depth of Anaesthesia in Children
Completed
University Hospital Ostrava
N/A
2015-06-01
General anaesthesia (GA) is, according to many definitions, the greatest gift presented to
the medical art (S. B. Nuland). One of the aims of GA is to achieve the optimal depth of
anaesthesia and rapid emergence from general anaesthesia. In order to achieve this goal, it
is necessary to observe the clinical condition of the patient, and at the same time monitor
the patient's overall condition. With the currently available options of GA management (e.g.
use of intravenous anaesthetics, strong analgesics and modern volatile anaesthetics, in
combination with various methods of topical anaesthesia) the importance of methods measuring
the depth of GA increases. The depth of GA may be defined as a continuous progressive
decreasing of the central nervous system, together with a decreased reactivity to stimuli. In
the course of GA, perioperative awareness is detected in 0.1-0.2% of cases. Awakening during
a surgical procedure may result in significant psychological complications (e.g.
post-traumatic stress disorder), and the patient may suffer from a serious long-time
disorder.
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