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Correlation of the A-LineTM ARX index with acoustically evoked potential amplitude{dagger}

Title: Correlation of the A-LineTM ARX index with acoustically evoked potential amplitude{dagger}
Authors: Wenningmann, I.; Paprotny, S.; Strassmann, S.; Ellerkmann, R. K.; Rehberg, B.; Soehle, M.; Urban, B.W.
Publisher Information: Oxford University Press
Publication Year: 2006
Collection: HighWire Press (Stanford University)
Subject Terms: Clinical Investigation
Description: Background. Automated indices derived from mid-latency auditory evoked potentials (MLAEP) have been proposed for monitoring the state of anaesthesia. The A-LineTM ARX index (AAI) has been implemented in the A-LineTM monitor (Danmeter, V1.4). Several studies have reported variable and, in awake patients, sometimes surprisingly low AAI values. The purpose of this study was to reproduce these findings under steady-state conditions and to investigate their causes. Methods. Ten awake unmedicated volunteers were studied under steady-state conditions. For each subject, the raw EEG and the AAI were recorded with an A-LineTM monitor (V1.4) during three separate sessions of 45.0 (1.6) min duration each. MATLABTM (Mathworks) routines were used to derive MLAEP responses from EEG data and to calculate maximal MLAEP amplitudes. Results. The AAI values ranged from 15 to 99, while 11.4% fell below levels which, according to the manufacturer, indicate an anaesthetic depth suitable for surgery. Inter-individual and intra-individual variation was observed despite stable recording conditions. The amplitudes of the MLAEP varied from 0.8 to 42.0 µV. The MLAEP amplitude exceeded 2 µV in 75.3% of readings. The Spearman's rank correlation coefficient between the MLAEP amplitude and the AAI value was r =0.89 ( P
Document Type: text
File Description: text/html
Language: English
Relation: http://bja.oxfordjournals.org/cgi/content/short/ael223v1; http://dx.doi.org/10.1093/bja/ael223
DOI: 10.1093/bja/ael223
Availability: http://bja.oxfordjournals.org/cgi/content/short/ael223v1; https://doi.org/10.1093/bja/ael223
Rights: Copyright (C) 2006, Oxford University Press
Accession Number: edsbas.C77F738A
Database: BASE