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KMID : 0980220140140010011
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Journal of the Korean Dental Society of Anesthesiology
2014 Volume.14 No. 1 p.11 ~ p.15
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Clinical Usefulness of Cerebral State Monitor for Monitoring Sedation Depth during Dental Sedation in Children
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Shin Teo-Jeon
Kim Young-Jae
Kim Jeong-Wook
Jang Ki-Taeg
Lee Sang-Hoon
Kim Chong-Chul
Seo Kwang-Suk
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Abstract
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Background: It is imperative that adequate sedation level should be maintained for safe and effective dental sedation. Cerebral state index (CSI) is a empirically derived parameter calculated from the processed electroencephalography (EEG). We investigated whether CSI can be used as a sedation depth indicator.
Methods: We continuously recorded CSI and bispectral index (BIS) values from 10 healthy children aged 3.6 yr undergoing dental sedation. We also evaluated sedation level using the Modified Observer’s Assessment of Alertness/Sedation (MOAA/S). The correlation between CSI and BIS, or CSI and sedation score were sought a regression analysis.
Results: There were good linearity between CSI values and sedation score. (r = 0.916, P < 0.001) The paired CSI and BIS values showed a significant correlation between the two values. (r = 0.895, P < 0.001) The difference between CSI and BIS values was not statistically significant at deep and conscious sedative levels.
Conclusions: The CSI monitor can be easy to monitor sedation depth during dental sedation for children.
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KEYWORD
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Cerebral State Index Monitor, Deep Sedation, Dental Care for Children
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