Equipment/Software
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B-Aware Trial 2004. 2463 high awareness risk patients, relaxant GA. BIS group 2 episodes of awareness vs 11 in control. NNT 138, OR 0.18 P=0.022 (0.17% of BIS vs 0.91% control) refl.in/6i
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May 27, 2011
BAG-RECALL trial. 6041
patients randomly assigned to BIS + ETAC or ETAC alone. Selected patient group were at high-risk for awareness, undergoing general anesthesia based predominantly on a potent inhaled agent. Fewer patients in the ETAC group (0.28%) than in the BIS group (0.66%) experienced definite or probable awareness. Distressing awareness with secondary outcomes BIS (0.26%) vs ETAC (0.04%) Avidan et al August 2011 NEJM refl.in/e7
patients randomly assigned to BIS + ETAC or ETAC alone. Selected patient group were at high-risk for awareness, undergoing general anesthesia based predominantly on a potent inhaled agent. Fewer patients in the ETAC group (0.28%) than in the BIS group (0.66%) experienced definite or probable awareness. Distressing awareness with secondary outcomes BIS (0.26%) vs ETAC (0.04%) Avidan et al August 2011 NEJM refl.in/e7
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Aug 29, 2011
The fact that the BIS algorithm is proprietary and unpublished (compared to Entropy which is publically available) means that the BIS algorithm can be altered without notice and potentially change the effectiveness of the tool without it being subject to repeat study. refl.in/lz
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Nov 22, 2011
Surgical prep solutions can short circuit the connection.
Consider covering the connection point with a waterproof dressing like tegaderm prior to prepping.
Consider covering the connection point with a waterproof dressing like tegaderm prior to prepping.
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Nov 24, 2012