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Basic Patient Monitoring For Anesthesia BIS Monitors. Dr. Jeffrey Elliot Field HBSc , D.D.S. , Diplomat of the National dental Board of Anesthesia, Fellow of The American Dental Society of Anesthesia. Bispectral Index (BIS Monitors). Proper Electrode Placement.
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Basic Patient Monitoring For AnesthesiaBIS Monitors Dr. Jeffrey Elliot Field HBSc, D.D.S. , Diplomat of the National dental Board of Anesthesia, Fellow of The American Dental Society of Anesthesia
Proper Electrode Placement • Wipe the forehead with alcohol and dry with gauze. • Either side of the head can be used except in the case of stroke were you would use the unaffected side. • Electrode # 1 is placed in the center of the forehead 1.5 inches above the bridge of the nose • Next electrode # 4 is placed directly above the eyebrow • Place electrode #3 on the temple between the outer canthus of the eye and the hairline • Now electrode #2 will be in the proper position to be secured.
Values for BIS Monitoring • General anesthesia associated with no awareness under anesthesia occurs from BIS values of 40-60. • Deep Sedation occurs with BIS Values of 60-80 • In special needs patients work around 80-90 for sedation.