Comparison of two bispectral index algorithms in monitoring sedation in postoperative intensive care patients

Critical Care Medicine

Volumn 33, Issue 3, 2005, Pages 580-584

  Tonner, Peter H ^a   Wei, Cui ^b   Bein, Berthold ^a   Weiler, Norbert ^a   Paris, Andrea ^a   Scholz, Jens ^a  

^a UNIVERSITY HOSPITAL SCHLESWIG HOLSTEIN   (Germany)

^b ZHEJIANG UNIVERSITY SCHOOL OF MEDICINE   (China)

Author keywords

Conscious sedation; Electromyographic activity; Monitoring of sedation; Processed electroencephalogram; Propofol; Sedatives; Sufentanil

Indexed keywords

PROPOFOL; SUFENTANIL;

ABDOMINAL SURGERY; ADULT; AGED; ALGORITHM; ARTICLE; ARTIFICIAL VENTILATION; BISPECTRAL INDEX; BODY TEMPERATURE; COHORT ANALYSIS; CONSCIOUSNESS; CONTROLLED STUDY; CORRELATION ANALYSIS; DRUG MONITORING; ELECTRODE; ELECTROENCEPHALOGRAM; ELECTROMYOGRAPHY; EXTUBATION; FOREHEAD; HUMAN; INTENSIVE CARE UNIT; LIQUID VENTILATION; OBSERVATION; ORGAN PRESERVATION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RATING SCALE; READING; RECORDING; SEDATION; SIGNAL DETECTION; UNIVERSITY HOSPITAL;

ALGORITHMS; BODY TEMPERATURE; CONSCIOUS SEDATION; DRUG MONITORING; ELECTROENCEPHALOGRAPHY; ELECTROMYOGRAPHY; HUMANS; HYPNOTICS AND SEDATIVES; INTENSIVE CARE UNITS; LINEAR MODELS; MIDDLE AGED; POSTOPERATIVE CARE; PROPOFOL; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; SUFENTANIL;

EID: 14944340269     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000156291.04287.7F     Document Type: Article

References (25)

1. Kress JP, Pohlman AS, O'Connor MF, et al: Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000; 3423:1471-1477
2. Ramsay MA, Savege TM, Simpson BR, et al: Controlled sedation with alphaxalone-alphadolone. BMJ 1974; 2:656-659
3. Riker RR, Picard JT, Fraser GL: Prospective evaluation of the Sedation-Agitation Scale for adult critically ill patients. Crit Care Med 1999; 27:1325-1329
4. Sessler CN, Gosnell MS, Grap MJ, et al: The Richmond Agitation-Sedation Scale: Validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002; 166:1338-1344
5. Rampil IJ: A primer for EEG signal processing in anesthesia. Anesthesiology 1998; 89:980-1002
6. Gan TJ, Glass PS, Windsor A, et al: Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology 1997; 87:808-815
7. Johansen JW, Sebel PS: Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology 2000; 93:1336-1344
8. De Deyne C, Struys M, Decruyenaere J, et al: Use of continuous bispectral EEG monitoring to assess depth of sedation in ICU patients. Intensive Care Med 1998; 24:1294-1298
9. Simmons LE, Riker RR, Prato BS, et al: Assessing sedation during intensive care unit mechanical ventilation with the Bispectral Index and the Sedation-Agitation Scale. Crit Care Med 1999; 27:1499-1504
10. Riker RR, Fraser GL, Simmons LE, et al: Validating the Sedation-Agitation Scale with the Bispectral Index and Visual Analog Scale in adult ICU patients after cardiac surgery. Intensive Care Med 2001; 27:853-858
11. Riess ML, Graefe UA, Goeters C, et al: Sedation assessment in critically ill patients with bispectral index. Eur J Anaesthesiol 2002; 19:18-22
12. Bruhn J, Bouillon TW, Shafer SL: Electromyographic activity falsely elevates the bispectral index. Anesthesiology 2000; 92:1485-1487
13. Nasraway SS Jr, Wu EC, Kelleher RM, et al: How reliable is the Bispectral Index in critically ill patients? A prospective, comparative, single-blinded observer study. Crit Care Med 2002; 30:1483-1487
14. Dasta JF, Kane SL, Gerlach AT, et al: Bispectral Index in the intensive care setting. Crit Care Med 2003; 31:998; author reply 998-999
15. Kelley SD. Monitoring of Consciousness During Anesthesia and Sedation. Newton, MA, Aspect Medical Systems, 2003
16. Jacobi J, Fraser GL, Coursin DB, et al: Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002; 30:119-141
17. Soliman HM, Melot C, Vincent JL: Sedative and analgesic practice in the intensive care unit: The results of a European survey. Br J Anaesth 2001; 87:186-192
18. Bair N, Bobek MB, Hoffman-Hogg L, et al: Introduction of sedative, analgesic, and neuromuscular blocking agent guidelines in a medical intensive care unit: Physician and nurse adherence. Crit Care Med 2000; 28:707-713
19. Ely EW, Truman B, Shintani A, et al: Monitoring sedation status over time in ICU patients: Reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA 2003; 289:2983-2991
20. De Jonghe B, Cook D, Griffith L, et al: Adaptation to the Intensive Care Environment (ATICE): Development and validation of a new sedation assessment instrument. Crit Care Med 2003; 31:2344-2354
21. Song D, Joshi GP, White PF: Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology 1997; 87:842-848
22. Shapiro BA: Bispectral Index: Better information for sedation in the intensive care unit? Crit Care Med 1999; 27:1663-1664
23. Tonner PH, Weiler N, Paris A, et al: Sedation and analgesia in the intensive care unit. Curr Opin Anaesthesiol 2003; 16:113-121
24. Vivien B, Di Maria S, Ouattara A, et al: Overestimation of Bispectral Index in sedated intensive care unit patients revealed by administration of muscle relaxant. Anesthesiology 2003; 99:9-17
25. Colluzi F, Di Fillipo C, Rosetti E, et al: Advantages of the new XP generation. Abstr. Crit Care Med 2002; 6(Suppl 1):P68