title: Utility of bispectral index monitoring during deep sedation in pediatric dental patients.
abstract: OBJECTIVE
  The aim of this study was to compare the total medicament doses and recovery profiles of patients for whom Bispectral Analysis (BIS) monitor was used to monitor sedation.
  
  
  METHODS
  Thirty-four uncooperative paediatric patients aged 3-6 years who attended to the Department of Pediatric Dentistry for dental treatment were enrolled in the study. Patients were randomly divided into 2 groups of 17 patients each. Physiological variables including oxygen saturation, blood pressure and heart rate were recorded. In one group (BIS-monitored group), drugs were administered to maintain patients' BIS values between 60-70, while the other group (Non-BIS-monitored Group) was not monitored using BIS. Data was evaluated by Chi-square, Mann Whitney U, Independent Samples t, Paired Samples t and Wilcoxon signed tests, with a p-value of <0.05 considered to be statistically significant.
  
  
  RESULTS
  There was no significant difference in total anesthetic doses, incidence of adverse events or recovery profiles of patients between non- BIS-monitored and BIS-monitored groups (p ≥ 0.05). However, distinct correlation was determined among mean values of UMSS and BIS values (p<0.05).
  
  
  CONCLUSIONS
  BIS represents no advantage over the current commonly accepted methods for monitoring sedation depth in children.
authors: Department of Pediatric Dentistry, Ankara University, Faculty of Dentistry.
authors: C
authors: C
authors: Dag
authors: Department of Pediatric Dentistry, Ankara University, Faculty of Dentistry.
authors: T
authors: T
authors: Bezgin
authors: Department of Pediatric Dentistry, Ankara University, Faculty of Dentistry.
authors: N
authors: N
authors: Özalp
authors: Department of Oral and Maxillo-Facial Surgery, Ankara University, Faculty of Dentistry.
authors: G
authors: G
authors: Gölcüklü Aydın
mesh_terms: D000762:Anesthesia Recovery Period; D000766:Anesthesia, Dental; D001794:Blood Pressure / Q000187:drug effects; D002648:Child; D002652:Child Behavior / Q000187:drug effects; D002675:Child, Preschool; D056805:Consciousness Monitors; D003299:Cooperative Behavior; D054810:Deep Sedation; D019140:Dental Care for Children / Q000145:classification; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D008991:Monitoring, Physiologic / Q000295:instrumentation*; D010100:Oxygen / Q000097:blood; D010880:Piperidines / Q000008:administration & dosage; D015742:Propofol / Q000008:administration & dosage; D000077208:Remifentanil
chemical_list: D006993:Hypnotics and Sedatives; D010880:Piperidines; D000077208:Remifentanil; D008874:Midazolam; D010100:Oxygen; D015742:Propofol
keywords: Bispectral index; deep sedation; pediatric patients