Saudi Journal of Anaesthesia

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 6  |  Issue : 2  |  Page : 131--135

Spectral entropy as an objective measure of sedation state in midazolam-premedicated patients


Hany A Mowafi 
 Department of Anaesthesia, Faculty of Medicine, King Faisal University, Saudi Arabia

Correspondence Address:
Hany A Mowafi
Department of Anaesthesiology, King Fahd University Hospital, PO Box 40081, Al-Khobar, 31952
Saudi Arabia

Context: Objective assessment of sedation depth is a valuable target. Spectral entropy is an anesthetic depth monitor based on the analysis of the electroencephalogram signal. Aims: To evaluate the performance of spectral entropy as an objective measure of sedation state in midazolam-premedicated patients and to correlate it with a clinically assessed sedation score. Settings and Design: This prospective double-blind placebo-controlled study was performed in King Fahd Hospital of the university. Methods: Eighty adult ASA I-II patients were randomly assigned into 4 groups. Patients were premedicated using 0.02, 0.04, or 0.06 mg/kg midazolam or saline intramuscularly. The effect of these doses on the Observer«SQ»s Assessment of Alertness and Sedation (OAA/S) scale, hemodynamic variables, response entropy (RE), and state entropy (SE), was evaluated at 10, 20, and 30 min after premedication. Statistical analysis: Spearman Rank-order correlation analysis to examine the relation between OAA/S and entropy. The ability of spectral entropy to predict the depth of sedation was evaluated using Smith prediction probability. Results: Midazolam doses ≥0.04 mg/kg produced significant decreases in RE, SE, and OAA/S scores. There was a strong correlation between midazolam dose and OAA/S scale, RE, and SE since Spearman Rank R values were 0.792, 0.822, and 0.745, respectively (P<0.001). In addition, RE and SE were strong predictors of OAA/S level during midazolam sedation with no significant difference in prediction between the 2 entropy components. Conclusions: Spectral entropy is a reliable measure for the sedative premedication. It may be used to objectively assess the adequacy of midazolam premedication and to determine the dose requirement.


How to cite this article:
Mowafi HA. Spectral entropy as an objective measure of sedation state in midazolam-premedicated patients.Saudi J Anaesth 2012;6:131-135


How to cite this URL:
Mowafi HA. Spectral entropy as an objective measure of sedation state in midazolam-premedicated patients. Saudi J Anaesth [serial online] 2012 [cited 2020 Aug 13 ];6:131-135
Available from: http://www.saudija.org/article.asp?issn=1658-354X;year=2012;volume=6;issue=2;spage=131;epage=135;aulast=Mowafi;type=0