학술논문

Usefulness of Bispectral Index Monitoring for the Detection and Diagnosis of the Brain Death
Document Type
article
Source
Türk Yoğun Bakim Derneği Dergisi, Vol 21, Iss 1, Pp 1-7 (2023)
Subject
bispectral index monitoring
brain death
ancillary method
Medicine
Internal medicine
RC31-1245
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
Turkish
ISSN
2146-6416
2147-267X
Abstract
Objective:Bispectral index (BIS) is a parameter generated from a mathematical analysis of frontal cortex activity. BIS monitoring has been widely used in cerebral pathologies such as traumatic brain injury, brain death, metabolic coma and barbiturate coma and some studies have reported a good correlation between neurological status and BIS values. We evaluated the validity of BIS monitoring for the detection and diagnosis of brain death in our studyMaterials and Methods:Our study was a methodological prospective study. Twenty-eight patients with severe coma [Glasgow coma scale score (GCS)0 in the remainders. When the receiver operating characteristic curve analysis was performed for the 34041 BIS values of 20 patients, the area under curve was found as 0.582 (0.576-0.588), which was statistically significant (p