XXXX -derived auditory evoked potential index and bispectral index during the induction of anesthesia with @entity1875 and @entity1937 .

@entity1 @entity26 @entity23019 @entity1875 @entity1937
A new commercial auditory evoked potential (AEP) monitor (A-line AEP monitor) was developed to calculate an index ( @entity23019 AEP index; AAI) by automatically using the amplitudes and latencies of the AEP. We investigated 30 @entity1 before spine surgery. AAI; bispectral index (BIS); relative (%) delta, theta, alpha, and beta; spectral edge frequency; median frequency; mean arterial blood pressure; heart rate; and @entity26 saturation were obtained simultaneously during stepwise (1.0 micro g/mL) induction of target-controlled @entity1875 concentration until 5.0 micro g/mL, followed by an infusion of 0.3 micro g. kg(-1). min(-1) of @entity1937 . Every minute, the @entity1 were asked to squeeze the observer's hand. Prediction probability (Pk), receiver operating characteristic, and logistic regression were used to calculate the probability to predict the conditions AWAKE, UNCONSCIOUSNESS (first loss of hand squeeze), and steady-state ANESTHESIA (5.0 micro g/mL of @entity1875 and 0.3 micro g. kg(-1). min(-1) of @entity1937 ). Although a statistically significant difference among the conditions was observed for AAI, BIS, mean arterial blood pressure, median frequency, and %alpha, only AAI and BIS were able to distinguish UNCONSCIOUSNESS versus AWAKE and ANESTHESIA versus AWAKE with better than Pk = 0.90. The modern electroencephalographic variables AAI and BIS were superior to the classic electroencephalographic and hemodynamic variables to distinguish the observed anesthetic conditions. IMPLICATIONS: The modern electroencephalographic @entity23019 -derived auditory evoked potential index and the bispectral index were superior to the classic electroencephalographic and hemodynamic variables for predicting anesthetic conditions. Variables derived from the auditory evoked potential did not provide an advantage over variables derived from spontaneous electroencephalogram.
