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Polyspikes and Rhythmic Polyspikes During Volatile Induction of General Anesthesia With Sevoflurane Result in Bispectral Index Variations.

Michał Jan StasiowskiAnna DuławaSeweryn KrólRadosław MarciniakWojciech KasperaEwa NiewiadomskaLech KrawczykPiotr ŁadzińskiBeniamin O GrabarekPrzemysław Jałowiecki
Published in: Clinical EEG and neuroscience (2020)
Our results suggest that raw EEG correlate it with values of BIS, FiAA, FeAA, and MAC of sevoflurane during VIGA. It seems that because artifactual BIS values indicating false awareness/wakefulness as a result of presence of polyspikes and rhythmic polyspikes in patients' EEGs may be misleading to an anesthesiologist, leading to unintentional administration of toxic concentration of sevoflurane in ventilation gas.
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