The Value of Auditing the Frequency of Inhalational Anesthetics With a Combination of Very Low Bispectral Index and High Fraction of the Age-Adjusted Minimum Alveolar Concentration

If department practices are such that processed electroencephalographic monitoring (e.g., BIS) is commonly used during general anesthesia to assess anesthetic depth, our results recommend auditing the volatile agent concentration and the corresponding anesthetic depth index, as we did in this study. We recommend that feedback and education regarding suitable titration of anesthetic agent concentrations relative to the index should be provided at the departmental level.