bis business

A question at the QA meeting today was: does the induction of GA for emergency CS mandate the application of BIS before induction? I say NO: there is enough to do to ensure a safe induction and intubation, such as a brief equipment check and adequate preoxygenation. With adequate doses of thiopentone and volatile anaesthetic with N2O awareness should be unlikely, and even though it has been an often cited problem, I have not had any direct or acquainted experience with awareness at CSection. And and a real rapid sequence induction is that: you pick your dose of thiopentone and stick with it and follow it immediately with suxamethonium and intubate ASAP. There is no opportunity to titrate to a BIS number, and I believe it can be a distration from the real business of ensuring adequate ventilation and oxygenation. And why cause more stress by applying a device that feels like ECT?