Saudi Journal of Anaesthesia

CASE REPORT
Year
: 2012  |  Volume : 6  |  Issue : 4  |  Page : 426--428

Can entropy predict neurologic complications after cardiac surgery?


Mohamed R El Tahan 
 Department of Anaesthesia and Surgical ICU, College of Medicine, University of Dammam, Al Khubar, Saudi Arabia

Correspondence Address:
Mohamed R El Tahan
Department of Anaesthesia and Surgical ICU, College of Medicine, University of Dammam, P.O. 40081, Al Khubar
Saudi Arabia

Electroencephalography can detect both cerebral ischemia/hypoxia and seizures and can measure hypnotic effects. The author reported two patients with left main coronary artery disease and myocardial infarction scheduled for urgent coronary artery bypass grafting surgery; they developed abrupt decreases in response entropy (RE) and state entropy (SE) values to isoelectric silence during target-controlled propofol-sufentanil anesthesia. After that, low RE and SE values persisted throughout the intraoperative period. Both patients showed delayed awakening after surgery and brain CT revealed nonhemorrhagic tempro-parietal cerebral infarctions. Intraoperative entropy-based monitoring could predict poor neurological outcome after cardiac surgery during target-controlled propofol and sufentanil anesthesia.


How to cite this article:
El Tahan MR. Can entropy predict neurologic complications after cardiac surgery?.Saudi J Anaesth 2012;6:426-428


How to cite this URL:
El Tahan MR. Can entropy predict neurologic complications after cardiac surgery?. Saudi J Anaesth [serial online] 2012 [cited 2023 Mar 20 ];6:426-428
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2012;volume=6;issue=4;spage=426;epage=428;aulast=El;type=0