Stefanie Pilge, Robert Zanner, Gerhard Schneider, Jasmin Blum, Matthias Kreuzer, Eberhard F. Kochs; Time Delay of Index Calculation: Analysis of Cerebral State, Bispectral, and Narcotrend Indices. Anesthesiology 2006;104(3):488-494.
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Full increase/decrease: 0 →[1 min]→“awake”→[3 min]→ 0
Stepwise approach: 0 →[1 min]→“general anesthesia”→[5 min]→“awake”→[5 min]→“general anesthesia”→[5 min]→ 0
Small steps: 0*→ step 1*→ step 2*→ step 3*→ . . . *→ CSI 100/BIS 98/NCT 93*→ . . . *→ step 3*→ step 2*→ step 1*→ 0*
Full-step approach: from “deep anesthesia” (CSI 0, BIS 0, NCT 5) to “awake” (CSI 89, BIS 98, NCT 94) and back
Stepwise approach: from “deep anesthesia” (CSI 0, BIS 0, NCT 5) to “general anesthesia” (CSI 42, BIS 52, NCT 46), then to “awake” (CSI 89, BIS 98, NCT 94) and vice versa
Small steps: from lowest to highest index value and vice versa
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