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Korean Journal of Anesthesiology 2004;46(3):269-273.
DOI: https://doi.org/10.4097/kjae.2004.46.3.269   
TThe Evaluation of Anesthesia Depth Using Detrended Fluctuation Analysis Parameters.
Seong Wan Baik, Sung Jin Lee, Soo Young Ye, Bong Hyo Han, Byeong Cheol Cheo, Gye Rock Jeon
1Department of Anesthesia and Pain Medicine, College of Medicine, Pusan National University, Busan, Korea.
2Department of Interdisciplinary Program in Biomedical Engineering, Pusan National University, Busan, Korea.
3Department of Biomedical Engineering, Choonhae College, Korea.
4Department of Biomedical Engineering, College of Medicine, Pusan National University, Busan, Korea.
We examined the use of DFA-Detrended fluctuation analysis-of heart rate variability during general anesthesia in order to assess the depth of anesthesia.
In this study, we observed changes in alpha1, the short range scaling exponent, in alpha2, the long range scaling exponent, and in the alpha2/alpha 1 ratio during enflurane anesthesia. We monitored 7 stages during general anesthesia, i.e., 1) preoperation (awake state), 2) during induction, 3) after induction, 4) during maintenance, 5) before extubation, 6) after extubation, and 7) postoperation (Next day).
The alpha 2/alpha 1 ratio increased during the induction and extubation state compared to preoperation (awake state). This may be related to increased sympathetic activity due to stimulation of the autonomic nervous system. In the postoperation (awakened state), the ratio returned to the preoperation value (awake state). These results are similar to low frequency (LF), high frequency (HF) and LF/HF ratio values which reflect activity of autonomic nervous system.
Detrended fluctuation analysis parameters, especially the alpha 2/alpha 1 ratio, would be used for monitoring the depth of anesthesia. Also these parameters are useful indexes with the LF/HF ratio for the evaluation of sympathetic activity during general anesthesia.
Key Words: depth of anesthesia; detrended fluctuation analysis (DFA); enflurane anesthesia; heart rate variability


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