J Korean Dent Soc Anesthesiol.  2014 Mar;14(1):11-15. 10.17245/jkdsa.2014.14.1.11.

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

• Shin TJ
• Hyun HK
• Kim YJ
• Kim JW
• Jang KT
• Lee SH
• Kim CC
• Seo KS

• KMID: 2345000
• DOI: http://doi.org/10.17245/jkdsa.2014.14.1.11

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.

Keyword

Cerebral State Index Monitor; Deep Sedation; Dental Care for Children

MeSH Terms

Child*
Consciousness Monitors
Deep Sedation
Dental Care for Children
Electroencephalography
Humans