소아 치과진정법 시행 시 진정심도 감시를 위한 Cerebral State Monitor의 임상적 유용성
Clinical Usefulness of Cerebral State Monitor for Monitoring Sedation Depth during Dental Sedation in Children
신터전, 김영재, 김정욱, 장기택, 이상훈, 김종철, 서광석,
소속 상세정보
신터전 ( Shin Teo-Jeon ) - 서울대학교 치과병원 소아치과
김영재 ( Kim Young-Jae ) - 서울대학교 치과병원 소아치과
김정욱 ( Kim Jeong-Wook ) - 서울대학교 치과병원 소아치과
장기택 ( Jang Ki-Taeg ) - 서울대학교 치과병원 소아치과
이상훈 ( Lee Sang-Hoon ) - 서울대학교 치과병원 소아치과
김종철 ( Kim Chong-Chul ) - 서울대학교 치과병원 소아치과
서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 치과마취과
KMID : 0980220140140010011
Abstract
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.
키워드
Cerebral State Index Monitor; Deep Sedation; Dental Care for Children
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