Monitoring Bispectral Index (BIS™)
Efficia CM Series Rack and Modules Instructions for Use 5-5
How BIS monitoring works
With the Bilateral Sensor, EEG (BIS), EEG2 (BIS), EEG3(BIS) and EEG4(BIS) waveforms
and BIS R/SQI R/SEF R/EMG* R/SR R/TP R/BC R and BIS L/SQI L/SEF L/EMG* L/SR L/
TP L/BC L parameters are also available.
Figure 5-3 Efficia Waveform and Numeric panes
*EMG values are displayed in a bar graph format. The numeric value is not displayed on the main
screen.
Above and below the waveform, lines are drawn to mark the maximum and minimum
levels. These scale lines are not at the absolute edge of the waveform region, but at
about the +/- 75% levels from the center. The actual scale is displayed with each line.
Waveforms for EEG and EEG2 are drawn in yellow, and waveforms for EEG3 and EEG4
are drawn in magenta. Messages related to Impedance Check, Ground Check, Simulator
and Device/Sensor Disconnection are shown in the waveform pane.
Measurement Ranges
The following table lists the BIS measurement ranges:
When using the bilateral sensor, each parameter will have a R and L value for the right
and left side of the brain, with the above ranges.
1.
SQI is also represented by a graphic icon. The SQI level indicator has 5 segments, each representing 20%.
No segments: SQI = 0%
1 segment: SQI between 1% and 14%
2 segments: SQI between 15% and 35%
3 segments: SQI between 36% and 56%
4 segments: SQI between 57% and 77%
5 segments: SQI between 78% and 100%
2.
The EMG bar graph is made of 4 segments, and the segments are filled according to the EMG value :
No segments: EMG below 30 dB
1 segment: EMG between 30 and 38 dB
2 segments: EMG between 39 and 47 dB
3 segments: EMG between 48 and 55 dB
4 segments: EMG above 55 dB
Waveform pane Numeric pane
Measurement Range
Bispectral Index (BIS) 0 to 100
Electromyography (EMG) 25 to 100 dB
Signal Quality Index (SQI) 0 to 100%
Suppression ratio (SR) 0 to 100%
Spectral Edge Frequency (SEF) 0.5 to 30.0 Hz
Total Power (TP) 40 to 100 dB
Burst Count (BC), Extended sensor only 0 to 30