TCI
Precision Anaesthesia
TCI training · propofol & remifentanil

EEG & spectrogram

Raw frontal EEG and density spectral array (DSA) examples. Synthetic teaching waveforms built from textbook spectra — not patient recordings.

Awake, eyes open

30%
EMG
0%
SR
0%
ARTF
27.8
SEFL Hz
27.8
SEFR Hz
Waveform:
Low-amplitude, fast, irregular activity.
DSA:
Diffuse low-power band above 13 Hz; no organised peak.
Meaning:
Conscious. Frontal alpha is small with eyes open.

Paradoxical excitation (beta)

0%
EMG
0%
SR
0%
ARTF
22
SEFL Hz
22
SEFR Hz
Waveform:
Fast 13–25 Hz waves of moderate amplitude.
DSA:
Bright band at 13–25 Hz.
Meaning:
Light sedation on induction or emergence; patient may move or respond.

Alpha–delta (surgical)

0%
EMG
0%
SR
0%
ARTF
12.5
SEFL Hz
12.5
SEFR Hz
Waveform:
Large slow waves with superimposed 8–12 Hz spindles.
DSA:
Two bands: alpha at ~10 Hz and slow-delta below 4 Hz.
Meaning:
Typical propofol surgical anaesthesia; unconscious.

Real-world style example

Monitor-style illustration: Alpha–delta (surgical)
Young adult on propofol: strong alpha band over slow-delta, SEF ≈ 14 Hz. Illustration redrawn from a monitor photo.

Slow-delta dominant

0%
EMG
0%
SR
0%
ARTF
15.3
SEFL Hz
15.3
SEFR Hz
Waveform:
Large slow waves with little alpha.
DSA:
Power concentrated below 4 Hz; alpha band faint.
Meaning:
Deep anaesthesia, or an older brain with reduced alpha.

Burst suppression

0%
EMG
50%
SR
0%
ARTF
12.8
SEFL Hz
12.8
SEFR Hz
Waveform:
Bursts of activity separated by flat periods.
DSA:
Vertical dark stripes interrupting the spectrum.
Meaning:
Excessive depth for most surgery; associated with postoperative delirium in older patients.

Isoelectric

0%
EMG
100%
SR
0%
ARTF
0
SEFL Hz
0
SEFR Hz
Waveform:
Flat line (< 2 µV).
DSA:
Almost uniform dark field.
Meaning:
Profound overdose, hypothermia or cerebral hypoperfusion. Act now.

Emergence

30%
EMG
0%
SR
0%
ARTF
25.5
SEFL Hz
25.5
SEFR Hz
Waveform:
Alpha fades; faster activity returns with movement artefact.
DSA:
Alpha band disappears and power drifts up into beta.
Meaning:
Propofol washing out; return of consciousness approaching.

Real-world style example

Monitor-style illustration: Emergence
Emergence: alpha fades and the edge frequency climbs into beta (≈ 23 Hz). Illustration redrawn from a monitor photo.