Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Nov 2001
Review[Automatic analysis of electroencephalogram: what is its value in the year 2000 for monitoring anesthesia depth?].
Spontaneous EEG has been proposed for monitoring depth of anaesthesia and adjusting anesthetic drugs doses. This review describes the main features of spontaneous EEG, the principles of EEG signal analysis used in anaesthesia, and the EEG effects of the different anesthetic drugs in adults and children. ⋯ The best signal analysis technique available today for routine use seems to be bispectral analysis, which returns, in the available monitors, a single number called bispectral index or BIS. Based upon the recent literature, clinical uses, performances and limits of use of BIS are described and discussed.
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Ann Fr Anesth Reanim · Nov 2001
[Dural puncture in obstetric analgesia. Epidemiologic features and therapeutic management].
To assess the time of occurrence, circumstances and presenting symptoms of unintentional dural puncture (UDP), the location and intensity of postdural puncture headaches (PDPH), and the efficacy of their treatment by epidural blood-patch (EBP). ⋯ In parturients, UDP usually results in PDPH. A rapid and effective treatment is required, mainly EBP. Another EBP is eventually necessary in some patients.