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Journal of equine science2016; 27(4); 169-173; doi: 10.1294/jes.27.169

Validation of the bispectral index as an indicator of anesthetic depth in Thoroughbred horses anesthetized with sevoflurane.

Abstract: To evaluate the bispectral index (BIS) as an indicator of anesthetic depth in Thoroughbred horses, BIS values were measured at multiple stages of sevoflurane anesthesia in five horses anesthetized with guaifenesin and thiopental following premedication with xylazine. There was no significant difference between the BIS values recorded at end-tidal sevoflurane concentrations of 2.8% (median 60 ranging from 47 to 68) and 3.5% (median 71 ranging from 49 to 82) in anesthetized horses. These BIS values during anesthesia were significantly lower (P<0.01) than those in awake horses (median 98 ranging from 98 to 98) or sedated horses (median 92 ranging from 80 to 93). During the recovery phase, the BIS values gradually increased over time but did not significantly increase until the horses showed movement. In conclusion, the BIS value could be useful as an indicator of awakening during the recovery period in horses, as previous reported.
Publication Date: 2016-12-15 PubMed ID: 27974877PubMed Central: PMC5155136DOI: 10.1294/jes.27.169Google Scholar: Lookup
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  • Journal Article

Summary

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The research discusses validation of bispectral index (BIS) as a significant indicator of the depth of anesthesia in Thoroughbred horses. The BIS values are measured under multiple stages of sevoflurane anesthesia and the study suggests that these values could be beneficial for monitoring recovery period in horses.

Objective of the Research

  • The main objective of the research is to evaluate the Bispectral index (BIS) as an indicator for monitoring the depth of anesthesia in Thoroughbred horses anesthetized with Sevoflurane.

Methodology

  • Five Thoroughbred horses were used for the experiment. The horses were premedicated with xylazine and then anesthetized with guaifenesin and thiopental.
  • BIS values were recorded at different stages of sevoflurane anesthesia and these values were compared with the BIS values when the horses were awake, sedated and during the recovery phase.

Findings

  • The BIS values at end-tidal sevoflurane concentrations of 2.8% and 3.5% showed no significant difference in anesthetized horses. Hence, these levels of anesthesia could be considered safe and appropriate for surgical procedures in horses.
  • Compare to the above BIS values, BIS values under awake conditions or sedated conditions were significantly higher indicating the effect of anesthesia in dropping the BIS values.
  • BIS values showed a gradual increase during the recovery phase and a more significant increase was noticeable when the horses showed movement. This indicates that BIS values could be effectively used for monitoring the recovery phase.

Conclusion

  • The study concludes that BIS is a useful indicator of the level of anesthesia and the recovery phase in Thoroughbred horses anesthetized with sevoflurane.

Cite This Article

APA
Tokushige H, Kakizaki M, Ode H, Okano A, Okada J, Kuroda T, Wakuno A, Ohta M. (2016). Validation of the bispectral index as an indicator of anesthetic depth in Thoroughbred horses anesthetized with sevoflurane. J Equine Sci, 27(4), 169-173. https://doi.org/10.1294/jes.27.169

Publication

ISSN: 1340-3516
NlmUniqueID: 9503751
Country: Japan
Language: English
Volume: 27
Issue: 4
Pages: 169-173

Researcher Affiliations

Tokushige, Hirotaka
  • Racehorse Clinic, Miho Training Center, Japan Racing Association, Ibaraki 300-0493, Japan.
Kakizaki, Masashi
  • Racehorse Clinic, Miho Training Center, Japan Racing Association, Ibaraki 300-0493, Japan.
Ode, Hirotaka
  • Racehorse Clinic, Miho Training Center, Japan Racing Association, Ibaraki 300-0493, Japan.
Okano, Atsushi
  • Racehorse Clinic, Miho Training Center, Japan Racing Association, Ibaraki 300-0493, Japan.
Okada, Jun
  • Racehorse Clinic, Ritto Training Center, Japan Racing Association, Shiga 520-3085, Japan.
Kuroda, Taisuke
  • Equine Research Institute, Japan Racing Association, Tochigi 329-0412, Japan.
Wakuno, Ai
  • Racehorse Clinic, Ritto Training Center, Japan Racing Association, Shiga 520-3085, Japan.
Ohta, Minoru
  • Equine Research Institute, Japan Racing Association, Tochigi 329-0412, Japan.

References

This article includes 19 references
  1. Belda E, Blissitt KJ, Duncan JC, Laredo FG, Escobar Gil de Montes M, Clutton RE. The bispectral index during recovery from halothane and sevoflurane anaesthesia in horses.. Vet Anaesth Analg 2010 Jan;37(1):25-34.
  2. Bruhn J, Bouillon TW, Shafer SL. Electromyographic activity falsely elevates the bispectral index.. Anesthesiology 2000 May;92(5):1485-7.
  3. Detsch O, Schneider G, Kochs E, Hapfelmeier G, Werner C. Increasing isoflurane concentration may cause paradoxical increases in the EEG bispectral index in surgical patients.. Br J Anaesth 2000 Jan;84(1):33-7.
  4. Glass PS, Bloom M, Kearse L, Rosow C, Sebel P, Manberg P. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers.. Anesthesiology 1997 Apr;86(4):836-47.
  5. Greene SA, Benson GJ, Tranquilli WJ, Grimm KA. Relationship of canine bispectral index to multiples of sevoflurane minimal alveolar concentration, using patch or subdermal electrodes.. Comp Med 2002 Oct;52(5):424-8.
    pubmed: 12405634
  6. Haga HA, Dolvik NI. Evaluation of the bispectral index as an indicator of degree of central nervous system depression in isoflurane-anesthetized horses.. Am J Vet Res 2002 Mar;63(3):438-42.
    pubmed: 11911581doi: 10.2460/ajvr.2002.63.438google scholar: lookup
  7. Hans P, Dewandre PY, Brichant JF, Bonhomme V. Comparative effects of ketamine on Bispectral Index and spectral entropy of the electroencephalogram under sevoflurane anaesthesia.. Br J Anaesth 2005 Mar;94(3):336-40.
    pubmed: 15591328doi: 10.1093/bja/aei047google scholar: lookup
  8. Johansen JW. Update on bispectral index monitoring.. Best Pract Res Clin Anaesthesiol 2006 Mar;20(1):81-99.
    pubmed: 16634416doi: 10.1016/j.bpa.2005.08.004google scholar: lookup
  9. Johansen JW, Sebel PS, Sigl JC. Clinical impact of hypnotic-titration guidelines based on EEG bispectral index (BIS) monitoring during routine anesthetic care.. J Clin Anesth 2000 Sep;12(6):433-43.
    pubmed: 11090728doi: 10.1016/s0952-8180(00)00187-2google scholar: lookup
  10. Katoh T, Suzuki A, Ikeda K. Electroencephalographic derivatives as a tool for predicting the depth of sedation and anesthesia induced by sevoflurane.. Anesthesiology 1998 Mar;88(3):642-50.
  11. Kim HS, Oh AY, Kim CS, Kim SD, Seo KS, Kim JH. Correlation of bispectral index with end-tidal sevoflurane concentration and age in infants and children.. Br J Anaesth 2005 Sep;95(3):362-6.
    pubmed: 16024583doi: 10.1093/bja/aei196google scholar: lookup
  12. Olofsen E, Dahan A. The dynamic relationship between end-tidal sevoflurane and isoflurane concentrations and bispectral index and spectral edge frequency of the electroencephalogram.. Anesthesiology 1999 May;90(5):1345-53.
  13. Rinaldi S, Consales G, De Gaudio AR. State entropy and bispectral index: correlation with end tidal sevoflurane concentrations.. Minerva Anestesiol 2007 Jan-Feb;73(1-2):39-48.
    pubmed: 17356506
  14. Rosow C, Manberg PJ. Bispectral index monitoring.. Anesthesiol Clin North Am 2001 Dec;19(4):947-66, xi.
    pubmed: 11778388doi: 10.1016/s0889-8537(01)80018-3google scholar: lookup
  15. Sigl JC, Chamoun NG. An introduction to bispectral analysis for the electroencephalogram.. J Clin Monit 1994 Nov;10(6):392-404.
    pubmed: 7836975doi: 10.1007/BF01618421google scholar: lookup
  16. Struys MM, Jensen EW, Smith W, Smith NT, Rampil I, Dumortier FJ, Mestach C, Mortier EP. Performance of the ARX-derived auditory evoked potential index as an indicator of anesthetic depth: a comparison with bispectral index and hemodynamic measures during propofol administration.. Anesthesiology 2002 Apr;96(4):803-16.
  17. Tirel O, Wodey E, Harris R, Bansard JY, Ecoffey C, Senhadji L. Variation of bispectral index under TIVA with propofol in a paediatric population.. Br J Anaesth 2008 Jan;100(1):82-7.
    pmc: PMC2657834pubmed: 18070785doi: 10.1093/bja/aem339google scholar: lookup
  18. Vernon JM, Lang E, Sebel PS, Manberg P. Prediction of movement using bispectral electroencephalographic analysis during propofol/alfentanil or isoflurane/alfentanil anesthesia.. Anesth Analg 1995 Apr;80(4):780-5.
  19. YAMASHITA K, AKASHI N, KATAYAMA Y, UCHIDA Y, UMAR MA, ITAMI T, INOUE H, SAMS RA, MUIR WW 3rd. Evaluation of bispectral index (BIS) as an indicator of central nervous system depression in horses anesthetized with propofol.. J Vet Med Sci 2009 Nov;71(11):1465-71.
    pubmed: 19959897doi: 10.1292/jvms.001465google scholar: lookup

Citations

This article has been cited 2 times.
  1. Gozalo-Marcilla M, Ringer SK. Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature.. Animals (Basel) 2021 Jun 14;11(6).
    doi: 10.3390/ani11061777pubmed: 34198637google scholar: lookup
  2. Santangelo B, Robin A, Simpson K, Potier J, Guichardant M, Portier K. The Modification and Performance of a Large Animal Anesthesia Machine (Tafonius(®)) in Order to Deliver Xenon to a Horse.. Front Vet Sci 2017;4:162.
    doi: 10.3389/fvets.2017.00162pubmed: 29034250google scholar: lookup