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Clinical Usefulness of Cerebral State Monitor for Monitoring Sedation Depth during Dental Sedation in Children  

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)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.14, no.1, 2014 , pp. 11-15 More about this Journal
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
Cerebral State Index Monitor; Deep Sedation; Dental Care for Children;
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