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Overview

Perfecting your anesthetic delivery

You want the best outcomes for your patients. So, delivering just the right dose of anesthetic agent to personalize care is essential.

In a simple, configurable interface, the completely redesigned Bispectral Index™ (BIS™) Advance monitor helps you personalize anesthesia dosing to improve patient outcomes and support faster recovery. It gives you reliable feedback based on objective, quantified EEG science that you can use to individualize and optimize anesthetic dosage.1

Using less anesthesia can lead to faster extubation and faster discharge from the PACU for optimized patient throughput and a more efficient workflow.2

Why choose the BIS ™ Advance Brain Monitor? 

This brain monitor will help you to:
  • Improve emergence and recovery times for faster PACU discharge3-7
  • Use less anesthetic agent to help control cost3-6,8-16
  • Reduce postoperative delirium for better patient outcomes3-6,8
Request a free demo

Features of the new BIS™ advance brain monitor

The BIS™ Advance is designed for a more efficient workflow.

 

Simple to read - through the large, high-resolution touchscreen monitor you can set system-wide default preferences to save time, as there is no need to re-set every time.
See the information you want - the configurable data and settings support you to save time with data output protocols that enable connectivity to Electronic Medical Records (EMRs).
Quickly review readings - the color-coordinated data enable you to maintain the continuous monitoring when moving between care settings.

Features

  1. EMG (electromyogram) shown in numerical and as a bar
  2. SQI (signal quality index)
  3. BIS™ value (with alarm range if programmed)
  4. SR (suppression ratio) percentage (with alarm limit if programmed)
  5. ST (suppression time) in minutes and seconds
  6. MF (median frequency)
  7. SEF (spectral edge frequency)
  8. Adjustable EEG amplitude scale and sweep speed
  9. Built-in troubleshooting guides
  10. Graphic display of BIS™ value and secondary variable
  11. High-resolution DSA (density spectral array)
  12. Two or four channel capabilities

Request a free demo    

BIS™ Brain Monitoring: Discover a more personalized anesthetic approach

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See the clinical evidence for the BIS™ proven algorithm.

A circular illustration representing 38 percent

Use up to 38% less anesthetic agents to help control cost.3-6,8-16

A circular illustration representing a 27 to 53 percent range

Patients monitored with BIS™ technology wake up 27-53% faster in the OR.2,17-19

A circular illustration representing 87 percent

Patients monitored with BIS™ technology are 87% more fully awake and oriented upon arrival in the PACU and ready for discharge faster.2,19

BIS™ brain monitoring for the ICU 

In the ICU, routine monitoring alone may result in oversedation or undersedation, which can each have negative consequences.

The Bispectral Index (BIS™) monitor can help you provide just the right dose for each patient so you can feel confident you’re providing the highest level of care.2,8,17,19

Contact us for more information and to request a free BIS™ Advance demo

Please complete this form and we will contact you as soon as possible.

Additional Resources

  • 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. BIS™ Complete Monitoring System - Operators Manual.

  • 2. Lewis SR, Pritchard MW, Fawcett LJ, Punjasawadwong Y. Bispectral index for improving intraoperative awareness and early postoperative recovery in adults. Cochrane Database System Review. 2019;9:CD003843. doi:10.1002/14651858.CD003843.pub4.

  • 3. Sanders R, Pandharipande P, Davidson A, et al. Anticipating and managing postoperative delirium and cognitive dedine in adults. BMJ. 2011; 343:d4331.

  • 4. Whitlock E, Vannucci A, Avidan M. Postoperative Delirium. Minerva Anestesiol. 2011 April; 77(4): 448-456.

  • 5. Abelha FJ, Luís C, Veiça D, et al. Outcome and quality of life in patients with postoperative delirium during an ICU stay following major surgery. Crit Care. 2013;17(5):R257.

  • 6. Zywiel MG, Hurley RT, Perruccio AV, et al. Health economic implications of perioperative delirium in older patients after surgery for a fragility hip fracture. J Bone Joint Surg Am. 2015;97(10):829-836.

  • 7. White PF, Ma H, Tang J, et al. Does the use of electroencephalographic bispectral index or auditory evoked potential index monitoring facilitate recovery after desflurane anesthesia in the ambulatory setting? Anesthesiology. 2004;100:811-817.

  • 8. Punjasawadwong Y, Boonjeungmonkol N, Phongchiewboon A. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev. 2014;(6):CD003843.

  • 9. Chan MT, Cheng BC, Lee TM, Gin T; CODA Trial Group. BIS-guided anesthesia decreases postoperative delirium and cognitive decline. Neurosurg Anesthesiol. 2013 Jan; 25(1), 33-42.

  • 10. Inouye SK, et al. Postoperative delirium in older adults: best practice statement from the American Geriatrics Society. Intraoperative Measures to Prevent Delirium. J Am Coll Surg. 2014; 220(2):136-148.e1.

  • 11. Checketts M, Alladi R, Ferguson K., et al. Recommendations for standards of monitoring during anaesthesia and recovery 2015: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2016;71(1):85-93. doi:1111/anae.13316.

  • 12. Nunes R, Fonseca N, Simões C., et al. Brazilian consensus cn anesthetic depth monitoring. Braz JAnesthesiol. 2015;65(6):427-436. doi: 10.1016j.bjane.2015.10.001.

  • 13. Veiga D, Luis C, Parente D, et al. Postoperative delirium in intensive care patients: risk factors and outcome. Rev Bra: Anestesiol. 2012;62(4):469-483.

  • 14. Koster S, Hensens AG, Schuurmans MJ, et al. Consequences of delirium after cardiac operations. Ann Thorac Surg. 2012; 93(3):705-711.

  • 15. Sieber FE, Zakriya KJ, Gottschalk A, et al. Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair. Mayo Clin Proc. 2010; 85(1), 18-26. 

  • 16. Radtke FM, Franck M, Lendner J, Kruger S, Wernecke KD, Spies CD. Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction. Br J Anaesth. 2013; 110 (51):98-1105.

  • 17. Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology. 1997;87(4):842–848.

  • 18. Luginbühl M, Wüthrich 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.   

  • 19. Gan TJ, Glass PS, Windsor A, et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxice anesthesia, BIST Utility Study Group. Anesthesiology. 1997:87:808-815.

  • 20. 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.

  • 21. 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.

  • 22. Guidelines - ERAS™* Society. ERAS™* Society. https://erassociety.org/guidelines/. Published 2022. Accessed September 27, 2022.

  • 23. Zhang C, Xu L, Ma Y-Q, et al. BIS™pectral index monitoring prevent awareness during total intravenous anesthesia: a prospective, randomized, double-blinded, multi- center controlled trial. Chin Med J (Engl ). 2011;124 (22 ):3664-9.

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