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Guidelines for Complications of Cancer Treatment Vol VIII Part B

Guidelines for Complications of Cancer Treatment Vol VIII Part B

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anesthesia awareness occurred in each group (absolutedifference, 0%; 95% confidence interval [CI], -0.56 to 0.57%).The BIS value was greater than 60 in one case <strong>of</strong> definiteanesthesia awareness, and the ETAG concentrations were lessthan 0.7 MAC in three cases. For all patients, the mean (+/-SD) time-averaged ETAG concentration was 0.81+/-0.25MAC in the BIS group and 0.82+/-0.23 MAC in the ETAGgroup (P=0.10; 95% CI <strong>for</strong> the difference between the BISand ETAG groups, -0.04 to 0.01 MAC).Conclusions: Authors did not reproduce the results <strong>of</strong> previousstudies that reported a lower incidence <strong>of</strong> anesthesia awarenesswith BIS monitoring, and the use <strong>of</strong> the BIS protocol was notassociated with reduced administration <strong>of</strong> volatile anestheticgases. Anesthesia awareness occurred even when BIS valuesand ETAG concentrations were within the target ranges.Authors findings do not support routine BIS monitoring aspart <strong>of</strong> standard practice.73

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