Too much or too little anesthesia can be associated with challenges such as longer recovery times and postoperative neurocognitive disorders. The BIS™ technology reflects the anesthetic effect on each patient’s brain which helps you to personalize dosing to improve emergence and recovery times.1–4
Ths BIS™ monitor translates the raw EEG data into the easy-to-read BIS™ index.
Both 2-channel and 4-channel monitors provide:
The 4-channel monitor provides:
Use up to 38% less anesthetic agents to help control cost.1, 5-8
Patients monitored with BIS™ technology have been shown to wake up 27–53% faster in the OR.1,7-9
87% increase in “excellent/fully oriented” status on PACU admission.8
The BIS™ monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment. Reliance on the BIS™ monitoring system alone for intraoperative anesthetic management is not recommended.
1. Lewis SR, Pritchard MW, Fawcett LJ, Punjasawadwong Y. Bispectral index™ for improving intraoperative awareness and early postoperative recovery in adults. Cochrane Database Syst Rev. 2019;9:CD003843. doi:10.1002/14651858.CD003843.pub4.
2. Zhang C, Xu L, Ma Y-Q, et al. Bispectral index™ monitoring prevent awareness during total intravenous anesthesia: a prospective, randomized, double-blinded, multi-center controlled trial. Chin Med J (Engl). 2011;124(22):3664–3669.
3. Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index™ monitoring to prevent awareness during anaesthesia: The B-Aware randomised controlled trial. Lancet. 2004;363(9423):1757-1763. doi:10.1016/S0140-6736(04)16300–9.
4. Ekman A, Lindholm ML, Lennmarken C, Sandin R. Reduction in the incidence of awareness using BIS™ monitoring. Acta Anaesthesiol Scand. 2004;48(1):20-26. doi:10.1111/j.1399–6576.2004.00260.x.
5. Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index™ for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev. 2014;(6):CD003843. doi:10.1002/14651858.CD003843.pub3.
6. Luginbuhl M, Wuthrich S, Petersen-Felix S, Zbinden AM, Schnider TW. Different benefit of bispectal index™ (BIS™) in desflurane and propofol anesthesia. Acta Anaesthesiol Scand. 2003;47(2):165–73.
7. Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index™ facilitates recovery after ambulatory anesthesia. Anesthesiology. 1997;87(4):842–848.
8. Gan TJ, Glass PS, Windsor A, et al. Bispectral index™ monitoring allows faster emergence and improved recovery … . Anesthesiology. 1997;87(4):808–815. doi:10.1097/00000542-199710000-00014.
9. Wong J, Song D, Blanshard H, Grady D, Chung F. Titration of isoflurane using BIS™ index improves early recovery of elderly patients undergoing orthopedic surgeries. Can J Anaesth. 2002;49(1):13–18. doi:10.1007/BF03020413.
10. Punjasawadwong Y, Chau-In W, Laopaiboon M, Punjasawadwong S, Pin-On P. Processed electroencephalogram and evoked potential techniques for amelioration of postoperative delirium and cognitive dysfunction following non-cardiac and non-neurosurgical procedures in adults. Cochrane Database Syst Rev. 2018;5:CD01128.