Bispectral Index in a 3-year old undergoing deep hypothermia and circulatory arrest

Luis Zabala, Mohammed Iqbal Ahmed, William T. Denman

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

We report a 3-year-old girl who presented with Scimitar syndrome and underwent hypothermic circulatory arrest for correction of anomalous pulmonary veins and an atrial septal defect. In this case the Bispectral Index (BIS) correlated significantly with the gradual onset of hypothermia and circulatory arrest. However, BIS remained low during the rewarming phase of cardiopulmonary bypass, in spite of adequate pump flows and stable haemodynamics. We postulate that this significant lag in BIS during the rewarming phase of deep hypothermic circulatory arrest may represent neuronal bewilderment or perhaps stunning, and differs from previous studies that show significant increase in BIS during rewarming from mild hypothermia.

Original languageEnglish (US)
Pages (from-to)355-359
Number of pages5
JournalPaediatric Anaesthesia
Volume13
Issue number4
DOIs
StatePublished - 2003

Fingerprint

Rewarming
Hypothermia
Deep Hypothermia Induced Circulatory Arrest
Scimitar Syndrome
Confusion
Atrial Heart Septal Defects
Pulmonary Veins
Cardiopulmonary Bypass
Hemodynamics

Keywords

  • Bispectral Index
  • Cardiopulmonary bypass
  • Circulatory arrest
  • Hypothermia
  • Scimitar syndrome

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Bispectral Index in a 3-year old undergoing deep hypothermia and circulatory arrest. / Zabala, Luis; Ahmed, Mohammed Iqbal; Denman, William T.

In: Paediatric Anaesthesia, Vol. 13, No. 4, 2003, p. 355-359.

Research output: Contribution to journalArticle

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