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Table 1.4

BIS Assessment

BIS ReadingClinical StateEEG
0UnresponsiveFlat
1–40Deep hypnotic state
<20, only possibility of intact protective reflexes and limited respiratory drive
<40, protective reflexes possibly intact; may respond to deep stimulation
<20, approaching burst suppression
<40, increased proportion of suppressed EEG
41–60Moderate hypnotic state
Deep sedation; low probability of consciousness; unresponsive to verbal stimuli, low risk of recall
Normalized low-frequency activity (determined by proprietary method)
61–90Light hypnotic state
Responds to loud verbal and deep tactile stimuli (less responsiveness with index near 60)
60–70, beta-augmentation
70–80, synchronized high-frequency activity (beta-augmentation)
91–100AwakeNormal EEG