SINCE 1996 when Aspect Medical Systems Inc. introduced the Bispectral Index or BIS (A-2000 BIS® monitor; Aspect Medical Systems Inc., Newton, MA), monitoring of anesthetic depth using electroencephalogram-based methods has become a common practice in numerous hospitals all over the world. During the past decade, several other algorithms based either on the spontaneous electroencephalogram or auditory evoked responses, such as the Patient State Index (PSI®; Hospira, Lake Forrest, IL), the Narcotrend index (Narcotrend®; Schiller AG, Baar, Switzerland), the State and Response Entropy indices (M-entropy® module; GE Healthcare Finland Oy, formerly Datex Ohmeda, Helsinki, Finland), the Cerebral State Index or CSI®, and the A-Line ARX index or AAI® (both by Danmeter A/S, Odense, Denmark), have been developed for use in commercial monitoring devices. In addition, several measures calculated from the electroencephalographic signal, e.g. , nonlinear correlation index, Shannon entropy, approximate entropy, Lempel-Ziv complexity, have been proposed in the literature for the assessment of depth of hypnosis.1–5 An overview of the algorithms used for monitoring anesthetic depth was recently published by Lipping et al. 6