Continuous Peritransplant Assessment of Consciousness using Bispectral Index Monitoring for Patients with Fulminant Hepatic Failure
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1 Continuous Peritransplant Assessment of Consciousness using Bispectral Index Monitoring for Patients with Fulminant Hepatic Failure Purpose: Deterioration of consciousness is the most critical problem in patients with fulminant hepatic failure (FHF). Electroencephalography (EEG) is a standard procedure to determine the brain activity in unconscious patients. The bispectral (BIS) index derived from EEG was primarily developed to monitor the depth of unconsciousness. Methods: A prospective study was performed to assess the clinical utility of peritransplant BIS monitoring in 11 fulminant hepatic failure (FHF) patients who were undergoing emergency living donor liver transplantation (LT) with using a right liver graft. All the patients recovered their consciousness after LT. Results: There was a significant correlation between the BIS index values and the derived GCS score (r 2 =0.634, p <0.001). Timing of eye opening to voice command matched the BIS index value of 64±9.5, which was after 14±9.4 hours passing BIS index of 50. All the patients with endotracheal intubation during the early posttransplant period showed progressive increase of their BIS index, which appeared slightly earlier and more evident than the rise of derived GCS scores. Conclusion: BIS monitoring is a noninvasive, simple and easy-to-interpret method and it also appears to be a useful to assess and predict the recovery of a patient s consciousness level after LT. Therefore, we concluded that BIS monitoring can be an indispensable component of the peritransplant intensive care for patients with FHF and who require emergency LT.
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6 Camino intracranial pressure monitor: prospective study of accuracy and complications. J Neurol Neurosurg Psychiatry 2000; 69: Noninvasive monitoring of cerebral perfusion by transcranial Doppler during fulminant hepatic failure and liver transplantation. Anesth Analg 1995;80: Cerebral hemodynamic and metabolic profiles in fulminant hepatic failure: relationship to outcome. Liver Transpl 2005;11: Therapy of intracranial hypertension in patients with fulminant hepatic failure. Neurocrit Care 2006;4: Liver transplantation for fulminant hepatitis at Stanford University. J Gastroenterol 2002;37 Suppl 13: Liver transplantation for fulminant hepatic failure: experience with more than 200 patients over a 17-year period. Ann Surg 2003;237: Review of bispectral index monitoring in the emergency department and pediatric intensive care unit. Pediatr Emerg Care 2006;22: Detection of brain death onset using the bispectral index in severely comatose patients. Intensive Care Med 2002; 28: The Bispectral Index Scale: its use in the detection of brain death. Transplant Proc 2005;37: Early indicators of prognosis in fulminant hepatic failure. Gastroenterology 1989; 97: Acute liver failure: clinical features, outcome analysis, and applicability of prognostic criteria. Liver Transpl 2000;6: How to decide when to list a patient with acute liver failure for liver transplantation Clichy or king's college criteria, or something else J Hepatol 2007;46: Multivariate analysis of prognostic factors in fulminant hepatitis B. Hepatology 1986;6: Which types of graft to use in patients with acute liver failure (B) I prefer living donor liver transplantation. J Hepatol 2007;46: Acute liver failure: Bridging to transplant or recovery- are we there yet J Hepatol 2007;46: Propofol to control intracranial pressure in fulminant hepatic failure. Transplant Proc 2002;34:
7 Brain edema in acute liver failure: Can it be prevented Can it be treated J Hepatol 2007;46: Mild hypothermia prevents brain edema and attenuates upregulation of the astrocytic benzodiazepine receptor in experimental acute liver failure. J Hepatol 2005;42: Pulmonary complications following adult liver transplantation. Transplant Proc 2006;38: Appropriate use of the Glasgow Coma Scale in intubated patients: a linear regression prediction of the Glasgow Verbal Score from the Glasgow Eye and Motor Scores. J Trauma 1996;41: The conundrum of the Glasgow Coma Scale in intubated patients: a linear regression prediction of the Glasgow verbal score from the Glasgow eye and motor scores. J Trauma 1998;44: Tailoring transection of segment V vein for optimal sharing of middle hepatic vein in right-lobe living donor liver transplantation. Hepatogastroenterology 2006;53: Hepatic vein reconstruction for living donor liver transplantation using a modified right lobe graft: Experience at asan medical center and focused on middle hepatic vein reconstruction. Korean J HPB Surg 2007;11:1-7. Results of a prospective study of acute liver failure at 17 tertiary care centers in the United States. Ann Intern Med 2002;137: Bispectral Index monitoring correlates with sedation scales in brain-injured patients. Crit Care Med 2004;32: Correlation of bispectral index with glasgow coma score in mild and moderate head injuries. J Clin Monit Comput 2006;20: Bispectral index monitoring in unconscious palliative care patients. J Palliat Care 2001;17:
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