Processed electroencephalogram during donation after cardiac death.

Published

Journal Article

We present a case series of increased bispectral index values during donation after cardiac death (DCD). During the DCD process, a patient was monitored with processed electroencephalogram (EEG), which showed considerable changes traditionally associated with lighter planes of anesthesia immediately after withdrawal of care. Subsequently, to validate the findings of this case, processed EEG was recorded during 2 other cases in which care was withdrawn without the use of hypnotic or anesthetic drugs. We found that changes in processed EEG immediately after withdrawal of care were not only reproducible, but can happen in the absence of changes in major electromyographic or electrocardiographic artifact. It is well documented that processed EEG is prone to artifacts. However, in the setting of DCD, these changes in processed EEG deserve some consideration. If these changes are not due to artifact, dosing of hypnotic or anesthetic drugs might be warranted. Use of these drugs during DCD based primarily on processed EEG values has never been addressed.

Full Text

Duke Authors

Cited Authors

  • Auyong, DB; Klein, SM; Gan, TJ; Roche, AM; Olson, D; Habib, AS

Published Date

  • May 2010

Published In

Volume / Issue

  • 110 / 5

Start / End Page

  • 1428 - 1432

PubMed ID

  • 20237048

Pubmed Central ID

  • 20237048

Electronic International Standard Serial Number (EISSN)

  • 1526-7598

International Standard Serial Number (ISSN)

  • 0003-2999

Digital Object Identifier (DOI)

  • 10.1213/ane.0b013e3181d27067

Language

  • eng