5-2 mg/kg) as well as maintenance with O2, N2O, and isoflurane. Electrocardiogram, heart rate, blood pressure, Spo2, end-tidal isoflurane concentration, BIS, and any clinical signs of inadequate depth of anesthesia such as movement, sweating, lacrimation, coughing, and jerking were continuously monitored and recorded at 16 fixed time points during anesthesia. Results: A median BIS of less than 70 (range: 42-68) was obtained

on all Inhibitors,research,lifescience,medical occasions during surgery; however, at each milestone, at least 20% of the patients had BIS values above 60. Hemodynamic parameters increased significantly in some patients, especially during buy R406 laryngoscopy and intubation. No patient experienced recall or awareness. Conclusion: The currently used general anesthetic technique in our center appears inadequate in some milestones to reliably produce BIS values less than 60, which are associated with lower risk of awareness. Therefore, with respect to such desirable outcomes as good Apgar and clinical status in

neonates, we would recommend the application of Inhibitors,research,lifescience,medical this method (if confirmed by further studies) through larger dosages of anesthetic agents. Key Words: Bispectral index, Awareness, Recall, Cesarean section Introduction Adequate anesthesia Inhibitors,research,lifescience,medical to prevent pain, awareness, and recall is the major role of the anesthesiologist. This is achieved by a balanced administration of analgesic, hypnotic, and amnesic Inhibitors,research,lifescience,medical drugs. Some different methods are used to evaluate the depth of anesthesia during different types of surgeries; these include spontaneous surface electromyogram (SEMG), lower esophageal contractility (LOC), heart rate variability (HRV),

and electroencephalogram and its derived indices.1,2 Cesarean section (C/S) renders parturient patients at risk of inadequate Inhibitors,research,lifescience,medical anesthesia because of rapid sequence induction, avoidance of opioids and Benzodiazepine until the delivery of the newborn, and limited volatile concentration.3,4 In a study in 2004, the risk of inadequate depth of anesthesia in C/S with Sevoflurane was 20- 45%.4 Therefore, the light plane of general anesthesia for the fetal safety during C/S may give rise to post-traumatic stress disorder.5, and 6 It is clear that the prevention of inadequate depth of anesthesia is a very important goal and as such merits further research. The routine approach for evaluating the depth of anesthesia is the assessment of hemodynamic parameters and subjective signs such as movement, sweating, and lacrimation, which are not adequately sensitive and specific.7 Since 1977, several studies have sought to determine whether Bispectral Index (BIS) monitoring is a reliable tool for the analysis of the anesthetic depth.8 An FDA-approved method, the BIS is adequately sensitive for the evaluation of the depth of anesthesia and is believed to be useful for the detection of light anesthesia by processing the patient’s electroencephalogram (EEG).