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Query: EC:2.3.1.177 (
BIS
)
957
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
The
BIS
monitor (Aspect Medical Inc, Newton, USA) was the first electroencephalogram (EEG)-based monitor of the hypnotic effect reflected by a dimensionless figure ranging from 100 (awake state) to 0 (flat line EEG). Its widespread use makes it the most-studied and the best-known among same intended devices. Its algorithm processes low-frequency EEG oscillations in order to provide the Bispectral index. A
BIS
index ranging from 40 to 60 has been established as the proper for surgical performance. The
BIS
monitor permits a closer approach to the hypnotic component of anaesthesia beyond clinical signs and may reduce the probability of intraoperative awareness; therefore, it has become a recommended monitoring tool in routine practice. The
SNAP
monitor (Nicolet Biomedical, Madison WI, USA) is also intended for monitoring the hypnotic effect of anaesthetics, which is in turn displayed as an index ranging from 100 to 0, with 100 meaning a fully awake state and 0 meaning no brain activity. The algorithm of the
SNAP
monitor is featured by its additional processing of ultra-high EEG frequencies, which seem to be involved in the formation of consciousness. The use of these frequencies would theoretically improve responsiveness during increased brain activity. We studied its behaviour patterns and capability to monitor the hypnotic effect induced by sevoflurane-nitrous oxide by comparison with the
BIS
index. Seventy patients ASA I-III were induced with propofol, fentanyl and rocuronium, and maintained with sevoflurane-N(2)O.
BIS
and
SNAP
indices were simultaneously recorded before induction, after intubation, after incision, at the following 10, 30 and 50 minutes, awakening and extubation time points, together with heart rate and blood pressure. The Pearson correlation was R(2) = 0.68 (p < .05). The Bland and Altman test showed a bias of 14.3 for
SNAP
index values with respect to
BIS
index values. We concluded that the
SNAP
index correlates with variations in the hypnotic effect induced by sevoflurane-nitrous oxide anaesthesia when compared with the
BIS
index. In this context, a
SNAP
index ranging from 58 to 70 would be equivalent to the
BIS
index range 40 to 60 and, therefore, the accurate for surgical performance.
...
PMID:Comparison of the EEG-based SNAP index and the Bispectral (BIS) index during sevoflurane-nitrous oxide anaesthesia. 1643 88
The aim of the current study was to test the hypothesis that a functional polymorphism in the synaptosome associated protein 25 (
SNAP25
) gene could be associated with impulsivity scores in a sample of young Colombian subjects. Impulsivity has been postulated as an endophenotype for several psychiatric disorders of high epidemiological relevance. There is a need for the study of additional candidate genes for impulsivity. One hundred seventy-five young Colombian subjects completed the Spanish version of the short form of the Barratt Impulsiveness Scale (
BIS
-15S). A TaqMan assay was used to genotype a functional polymorphism (rs3746544) in the
SNAP25
gene. A significant association was found between the functional polymorphism in the
SNAP25
gene and impulsivity in the Colombian sample, with subjects carrying T/T and G/G genotypes showing lower mean scores in the non-planning subfactor (
p
= 0.02). This is the first report of an association of a functional polymorphism in the
SNAP25
gene and a subfactor of the
BIS
-15S scale of impulsivity. In addition, this the first genetic study of impulsivity scores in a Latin American sample. Future studies should explore additional variants in brain-expressed miRNAs and in their binding sites as candidates for impulsivity in different populations.
...
PMID:A functional SNP in the synaptic
SNAP25
gene is associated with impulsivity in a Colombian sample. 3215 47