Entropy of the EEG in transition to burst suppression in deep anesthesia: Surrogate analysis

In this paper 5 methods for the assessment of signal entropy are compared in their capability to follow the changes in the EEG signal during transition from continuous EEG to burst suppression in deep anesthesia. To study the sensitivity of the measures to phase information in the signal, phase randomization as well as amplitude adjusted surrogates are also analyzed. We show that the selection of algorithm parameters and the use of normalization are important issues in interpretation and comparison of the results. We also show that permutation entropy is the most sensitive to phase information among the studied measures and that the EEG signal during high amplitude delta activity in deep anesthesia is of highly nonlinear nature.