Characterization of Artifacts in the BIS™ EEG Signals in General Anesthesia Patients in Operating Room

Characterization of Artifacts in the BIS™ EEG Signals in General Anesthesia Patients in Operating Room

This is an observational non-invasive study which aims to collect data from patients under general anesthesia in the operating room; this data will then be used for characterization and detection of artifacts that affect the EEG signal.

This observational, non-invasive study will be performed in order to identify the effects of physiological and environmental artifacts on the EEG raw data collected by the BIS™. This study will include 100 screened subjects (not more than 60 valid cases) and will take place in the Department of Anesthesiology at Rambam Health Care Campus. During the study, raw data from the BIS™ will be recorded simultaneously with EMG, EOG and ECG in order to diagnose their effects on the EEG signals as recorded by the BIS™. The raw data will be considered as the main parameters of the study. Additionally, a study coordinator will stay in the operating room during the surgery and will indicate the following parameters -

1. Medical treatment (drug, dosage and time)
2. Changes in hypnotic state (state, time)
3. Any activity that may affect the EEG signals (i.e. electrical and mechanical artifacts from medical devices)
4. Any activity that deviates from the clinical procedure
5. Any adverse events or unusual outcomes From the list above, parameters a, c and d will also be considered as main parameters and parameters and parameters d and e will be considered as safety parameters.

If applicable, BIS™ will be recorded after the surgery, at the PACU, for part of time the subject will be at the PACU or until the subject will be released from the department. The study coordinator/investigator will perform POD assessment at that time. The subject will be considered as valid case even if the data from the recovery room is missing.

Demographic details and medical history will be copied by the study coordinator from the subjects' medical records.

Inclusion Criteria:

• Men and Women
• Age >18
• Ability and willingness to participate in the study and sign informed consent form
• Patients that will undergo elective surgery under general anesthesia.

Exclusion Criteria:

• Pregnant women
• Disability or unwillingness to undergo EEG/EMG/ECG measurement
• Subjects with known or suspected sensitivity to adhesive bandage
• Subjects who have sustained CVA or severe head trauma in the last 10 years.
• Subjects with known or suspected electroencephalograph abnormality (e.g. epilepsy or scarring)
• soldiers
• prisoners