DSpace Collection:
https://hdl.handle.net/10171/18963
2024-03-29T00:40:01ZEffect of sugammadex on processed EEG parameters in patients undergoing robot-assisted radical prostatectomy
https://hdl.handle.net/10171/67810
Title: Effect of sugammadex on processed EEG parameters in patients undergoing robot-assisted radical prostatectomy
Abstract: Background: Sugammadex has been associated with increases in the bispectral index (BIS). We evaluated the effects of sugammadex administration on quantitative electroencephalographic (EEG) and electromyographic (EMG) measures.Methods: We performed a prospective observational study of adult male patients undergoing robot-assisted radical prostatectomy. All patients received a sevoflurane-based general anaesthetic and a continuous infusion of rocuronium, which was reversed with 2 mg kg(-1) of sugammadex i.v. BIS, EEG, and EMG measures were captured with the BIS VistaTM monitor.Results: Twenty-five patients were included in this study. Compared with baseline, BIS increased at 4-6 min (13 coefficient: 3.63; 95% confidence interval [CI]: 2.22-5.04; P<0.001), spectral edge frequency 95 (SEF95) increased at 2-4 min (13 coefficient: 0.29; 95% CI: 0.05-0.52; P=0.016) and 4-6 min (13 coefficient: 0.71; 95% CI: 0.47-0.94; P<0.001), and EMG increased at 4-6 min (13 coefficient: 1.91; 95% CI: 1.00-2.81; P<0.001) after sugammadex administration. Compared with baseline, increased beta power was observed at 2-4 min (13 coefficient: 93; 95% CI: 1-185; P=0.046) and 4-6 min (13 co-efficient: 208; 95% CI: 116-300; P<0.001), and decreased delta power was observed at 4-6 min (13 coefficient: -526.72; 95% CI: -778 to -276; P<0.001) after sugammadex administration. Neither SEF95 nor frequency band data analysis adjusted for EMG showed substantial differences. None of the patients showed clinical signs of awakening.Conclusions: After neuromuscular block reversal with 2 mg kg(-1) sugammadex, BIS, SEF95, EMG, and beta power showed small but statistically significant increases over time, while delta power decreased.2023-01-01T00:00:00ZEffect of sugammadex on processed EEG parameters in patients undergoing robot-assisted radical prostatectomy
https://hdl.handle.net/10171/67286
Title: Effect of sugammadex on processed EEG parameters in patients undergoing robot-assisted radical prostatectomy
Abstract: Background: Sugammadex has been associated with increases in the bispectral index (BIS). We evaluated the effects of
sugammadex administration on quantitative electroencephalographic (EEG) and electromyographic (EMG) measures.
Methods: We performed a prospective observational study of adult male patients undergoing robot-assisted radical
prostatectomy. All patients received a sevoflurane-based general anaesthetic and a continuous infusion of rocuronium,
which was reversed with 2 mg kg1 of sugammadex i.v. BIS, EEG, and EMG measures were captured with the BIS Vista™
monitor.
Results: Twenty-five patients were included in this study. Compared with baseline, BIS increased at 4e6 min (b coefficient: 3.63; 95% confidence interval [CI]: 2.22e5.04; P<0.001), spectral edge frequency 95 (SEF95) increased at 2e4 min (b
coefficient: 0.29; 95% CI: 0.05e0.52; P¼0.016) and 4e6 min (b coefficient: 0.71; 95% CI: 0.47e0.94; P<0.001), and EMG
increased at 4e6 min (b coefficient: 1.91; 95% CI: 1.00e2.81; P<0.001) after sugammadex administration. Compared with
baseline, increased beta power was observed at 2e4 min (b coefficient: 93; 95% CI: 1e185; P¼0.046) and 4e6 min (b coefficient: 208; 95% CI: 116e300; P<0.001), and decreased delta power was observed at 4e6 min (b coefficient: 526.72; 95%
CI: 778 to 276; P<0.001) after sugammadex administration. Neither SEF95 nor frequency band data analysis adjusted
for EMG showed substantial differences. None of the patients showed clinical signs of awakening.
Conclusions: After neuromuscular block reversal with 2 mg kg1 sugammadex, BIS, SEF95, EMG, and beta power showed
small but statistically significant increases over time, while delta power decreased.2023-01-01T00:00:00ZMétodos de procesamiento y análisis de señales electromiográficas
https://hdl.handle.net/10171/65212
Title: Métodos de procesamiento y análisis de señales electromiográficas
Abstract: La electromiografía clínica es una metodología
de registro y análisis de la actividad bioeléctrica del
músculo esquelético orientada al diagnóstico de las
enfermedades neuromusculares. Las posibilidades de
aplicación y el rendimiento diagnóstico de la electromiografía
han evolucionado paralelamente al conocimiento
de las propiedades de la energía eléctrica y al
desarrollo de la tecnología eléctrica y electrónica. A
mediados del siglo XX se introdujo el primer equipo
comercial de electromiografía para uso médico basado
en circuitos electrónicos analógicos. El desarrollo posterior
de la tecnología digital ha permitido disponer de
sistemas controlados por microprocesadores cada vez
más fiables y potentes para captar, representar, almacenar,
analizar y clasificar las señales mioeléctricas. Es
esperable que el avance de las nuevas tecnologías de la
información y la comunicación pueda conducir en un
futuro próximo a la aplicación de desarrollos de inteligencia
artificial que faciliten la clasificación automática
de señales así como sistemas expertos de apoyo al
diagnóstico electromiográfico.; Clinical electromyography is a methodology for
recording and analysing the bioelectrical activity of
the skeletal muscle tissue in order to diagnose neuromuscular
pathology. The possibilities of application
and the diagnostic performance of electromyography
have evolved parallel to a growing understanding of
the properties of electricity and the development of
electrical and electronic technology. The first commercially
available electromyography equipment for medical
use was introduced in the middle of the 20th century.
It was based on analog electronic circuits. The
subsequent development of digital technology made
available more powerful and accurate systems, controlled
by microprocessors, for recording, displaying,
storing, analysing, and classifying the myoelectric
signals. In the near future, it is likely that advances in
the new information and communication technologies
could result in the application of artificial intelligence
systems to the automatic classification of signals as
well as expert systems for electromyographic diagnosis
support.2009-01-01T00:00:00ZLa neurofisiología clínica: pasado, presente y futuro
https://hdl.handle.net/10171/65211
Title: La neurofisiología clínica: pasado, presente y futuro
Abstract: La Neurofisiología Clínica es una especialidad médica cuyo objeto es el estudio del sistema nervioso y
muscular con fines diagnósticos, pronósticos y terapéuticos.
En este artículo se analiza el objetivo básico que
pretende esta disciplina, las técnicas que utiliza y su
reconocimiento como especialidad médica. Se hace
un pequeño recorrido por su definición y alcance de la
misma, cómo se estructura hoy día y las posibilidades
de futuro que ofrece.; Clinical Neurophysiology is a medical speciality
whose aim is the study of the nervous and muscular
system for diagnostic, prognostic and therapeutic purposes.
This article analyses the basic objective pursued
by this discipline, the techniques it employs and its
recognition as a medical speciality. The article briefly
reviews its definition and scope, how it is structured at
present and the future possibilities it offers.2009-01-01T00:00:00Z