title: Bispectral index as a possible early marker of cerebral hypoperfusion.
abstract: We report a case of unexplained transient ventricular fibrillation in a child with ventricular septal defect (VSD) scheduled for VSD closure. The bispectral index (BIS) values dropped within 15s of transient cardiac arrest and it showed recovery within 15 s of restoration of circulation. Monitoring BIS during surgery, especially cardiac surgeries may help identify periods of cerebral ischemia early.
authors.affiliation: Department of Critical Care Medicine, Fortis Hospitals, Bangalore, India.
authors.forename: T V Bharath
authors.initials: TV
authors.lastname: Kumar
authors.affiliation: Department of Cardiac Anesthesia, Advanced Cardiac Centre, Post-Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Goverdhan Dutt
authors.initials: GD
authors.lastname: Puri
keywords: Bispectral index monitor; cerebral ischemia; ventricular septal defect