Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Clinical Usefulness of Cerebral State Monitor for Monitoring Sedation Depth during Dental Sedation in Children

소아 치과진정법 시행 시 진정심도 감시를 위한 Cerebral State Monitor의 임상적 유용성

  • Shin, Teo-Jeon (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Hyun, Hong-Keun (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Kim, Young-Jae (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Kim, Jung-Wook (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Jang, Ki-Taeg (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Lee, Sang-Hoon (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Kim, Chong-Chul (Department of Pediatric Dentistry, Seoul National University Dental Hospital) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University Dental Hospital)
  • 신터전 (서울대학교치과병원 소아치과) ;
  • 현홍근 (서울대학교치과병원 소아치과) ;
  • 김영재 (서울대학교치과병원 소아치과) ;
  • 김정욱 (서울대학교치과병원 소아치과) ;
  • 장기택 (서울대학교치과병원 소아치과) ;
  • 이상훈 (서울대학교치과병원 소아치과) ;
  • 김종철 (서울대학교치과병원 소아치과) ;
  • 서광석 (서울대학교치과병원 치과마취과)
  • Received : 2014.03.21
  • Accepted : 2014.04.02
  • Published : 2014.03.31
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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.

Keywords

References

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