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[Bispectral Index Electrodes May Induce Skin Lesions]
Masui. the Japanese Journal of Anesthesiology
|July 1, 2015
Summary
Bispectral index (BIS) monitoring, while essential for anesthesia, can cause rare skin lesions. Patients should be informed about potential BIS electrode skin complications before surgery.
Area of Science:
- Anesthesiology
- Dermatology
- Medical Devices
Context:
- Bispectral index (BIS) monitoring is widely used for patient observation during general anesthesia.
- Despite its established safety and usefulness, potential adverse effects require consideration.
Purpose:
- To report the incidence and characteristics of postoperative skin lesions associated with BIS electrode contact.
- To highlight the importance of patient education regarding potential BIS monitoring complications.
Summary:
- A study identified postoperative skin lesions in 13 patients (0.27% incidence) due to BIS electrode contact between May 2012 and April 2013.
- Patients in the prone position showed a higher incidence (3.1%) of these lesions.
- Lesions resolved within a week with topical steroid treatment, but can cause patient anxiety.
Impact:
- This study underscores the need to inform patients about potential skin complications from BIS electrodes preoperatively.
- Preoperative patient consent should include discussion of both BIS monitoring benefits and risks.
