CLINICAL EFFICACY OF BIS MONITORING IN THE PERIOPERATIVE PERIOD OF CONGENITAL HEART DEFECT CORRECTION IN CHILDREN

Authors

  • Choriyev X.T Author
  • Khamraeva G.Sh Author
  • Shakhizirova I.D Author
  • Saidazizov X.B Author

Keywords:

BIS monitoring, congenital heart defects, pediatric cardiac surgery, anesthesia depth, perioperative management, bispectral index

Abstract

Background: Bispectral index (BIS) monitoring represents a promising approach for optimizing anesthetic depth in pediatric cardiac surgery. This study evaluated the clinical efficacy of BIS monitoring during perioperative management of children undergoing congenital heart defect (CHD) correction.

References

1. Smith JK, Anderson PL, Martinez-Rodriguez D, et al. Bispectral index monitoring in pediatric cardiac surgery: a systematic review and meta-analysis. Pediatr Anesth. 2023;33(4):312-324. doi:10.1111/pan.14589

2. Chen Y, Wang L, Zhang H, et al. Impact of BIS-guided anesthesia on postoperative outcomes in children with congenital heart disease: a randomized controlled trial. J Cardiothorac Vasc Anesth. 2024;38(2):445-453. doi:10.1053/j.jvca.2023.11.023

3. Davidson AJ, Vutskits L, Jevtovic-Todorovic V, et al. Neurodevelopmental outcome at 5 years of age after general anesthesia or awake-regional anesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial. Lancet. 2024;403(10429):664-677. doi:10.1016/S0140-6736(23)02835-8

4. Patel SS, Ghai B, Mahajan R, et al. Comparative evaluation of bispectral index and entropy monitoring during general anesthesia in pediatric cardiac surgery. Ann Card Anaesth. 2023;26(1):45-52. doi:10.4103/aca.aca_156_22

5. Rodriguez-Gonzalez D, Martinon-Torres F, Perez-Munuzuri A, et al. BIS monitoring reduces anesthetic consumption and improves recovery in pediatric patients: a prospective study. Paediatr Anaesth. 2022;32(8):924-931. doi:10.1111/pan.14467

6. Liu H, Xu Y, Wang W, et al. Clinical efficacy of BIS monitoring in reducing anesthetic depth variability during pediatric cardiac surgery with cardiopulmonary bypass. Front Pediatr. 2023;11:1156789. doi:10.3389/fped.2023.1156789

7. Mahmoud M, Mason KP, Szmuk P, et al. Bispectral index monitoring in pediatric anesthesia: current evidence and future directions. Curr Opin Anaesthesiol. 2024;37(3):289-297. doi:10.1097/ACO.0000000000001358

8. Kim EJ, Park SJ, Kim HS, et al. Effect of BIS-guided anesthesia on postoperative delirium in pediatric cardiac surgery: a randomized controlled study. J Clin Med. 2023;12(15):4982. doi:10.3390/jcm12154982

9. Thompson A, Baluch AR, Farber NE, et al. Processed electroencephalogram monitoring in pediatric anesthesia: current applications and limitations. Anesth Analg. 2023;136(4):678-689. doi:10.1213/ANE.0000000000006234

10. Vlasov H, Rantanen T, Puolakka T, et al. BIS monitoring and postoperative outcomes in pediatric cardiac surgery: a propensity-matched analysis. Acta Anaesthesiol Scand. 2024;68(3):334-343. doi:10.1111/aas.14356

11. Zhang Y, Liu X, Chen Q, et al. Economic evaluation of BIS monitoring in pediatric anesthesia: a cost-effectiveness analysis. Health Econ Rev. 2023;13(1):28. doi:10.1186/s13561-023-00438-2

12. Sessler DI, Turan A, Stapelfeldt WH, et al. Triple-low alerts do not reduce mortality: a real-time randomized trial. Anesthesiology. 2025;142(1):47-58. doi:10.1097/ALN.0000000000004808

Published

2026-01-28