Can the Bispectral Index Monitor the Sedation Adequacy of Intubated ED Adults?

American Journal of Emergency Medicine

Volumn 22, Issue 2, 2004, Pages 76-82

  Gill, Michelle ^a,c   Haycock, Korbin ^a   Green, Steven M ^a   Krauss, Baruch ^b  

^a LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b BOSTON CHILDREN S HOSPITAL   (United States)

^c LOMA LINDA UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Bispectral Index Monitor; Intubation; Neuromuscular blockade; Sedation

Indexed keywords

ADULT; AGED; ALCOHOL INTOXICATION; AREA UNDER THE CURVE; ARTERIOVENOUS MALFORMATION; ARTICLE; ARTIFICIAL VENTILATION; ASTHMA; BISPECTRAL INDEX; BLOOD CLOTTING DISORDER; BLOOD PRESSURE; BRAIN HEMORRHAGE; CARDIOGENIC SHOCK; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; DRUG OVERDOSE; ELECTROENCEPHALOGRAM; EMERGENCY WARD; ENDOTRACHEAL INTUBATION; FEMALE; FLAIL CHEST; GASTROINTESTINAL HEMORRHAGE; GENERAL ANESTHESIA; GUNSHOT INJURY; HEAD INJURY; HEART RATE; HEAT STROKE; HUMAN; HYPERTENSION; LACRIMATION; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MYDRIASIS; NEUROMUSCULAR BLOCKING; PLEURA EFFUSION; PNEUMONIA; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RECEIVER OPERATING CHARACTERISTIC; RESPIRATORY DISTRESS; SEDATION; SEPSIS; VISUAL ANALOG SCALE;

EID: 1642343074     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2003.12.006     Document Type: Article

References (23)

1. Simmons LE, Riker RR, Prato BS, Fraser GL: Assessing sedation during intensive care unit mechanical ventilation with the Bispectral Index and the Sedation-Agitation Scale. Crit Care Med 1999;27:1499-1504
2. Riker RR, Fraser GL, Simmons LE, Wilkins ML: 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
3. Frenzel D, Greim C, Sommer C, Bauerle K, Roewer N: Is the Bispectral Index appropriate for monitoring the sedation level of mechanically ventilated surgical ICU patients? Intensive Care Med 2002;28:178-183
4. Flaishon R, Windsor A, Sigl J, Sebel PS: Recovery of consciousness after thiopental or propofol. Bispectral Index and isolated forearm technique. Anesthesiology 1997;86:613-619
5. Glass P, Bloom M, Kearse L, Rosow C, Sebel P, Manberg P: Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology 1997;86:836-847
6. McCann ME, Brustowicz RM, Bacsik J, Sullivan L, Aublc SG, Laussen PC: The Bispectral Index and explicit recall during the intraoperative wake-up test for scoliosis surgery. Anesth Analg 2002;94:1474-1478
7. Liu J, Singh H, White P: Electroencephalographic Bispectral Index correlates with intraoperative recall and depth of propofol-induced sedation. Anesth Analg 1997;84:185-189
8. Barr G, Anderson RE, Owall A, Jakobsson JG: Being awake intermittently during propofol-induced hypnosis: a study of BIS, explicit and implicit memory. Acta Anaesthesiol Scand 2001;45: 834-838
9. Song D, Joshi GP, White PF: Titration of volatile anesthetics using Bispectral Index facilitates recovery after ambulatory anesthesia. Anesthesiology 1997;87:842-848
10. Gan TJ, Glass PS, Windson A, et al: BIS Utility Study Group. Bispectral Index monitoring allows faster emergence and improved recovery from propofol, alfentil, and nitrous oxide anesthesia. Anesthesiology 1997;87:808-815
11. Critical Care: What is BIS? [Brochure on www.aspectms.com website] Available at: aspectms.com/downloads/pdf_documents/product_resources_what_is_bis.pdf. Accessed September 2002
12. Using BIS: BIS Range Guidelines [Brochure on www.aspectms. com website] Available at: aspectms.com/downloads/proc_cards/or/using_bis.html. Accessed September 2002
13. Katoh T, Suzuki A, Ikeda K: Electroencephalographic derivatives as a tool for predicting the depth of sedation and anesthesia induced by sevoflurane. Anesthesiology 1998;88:642-50
14. Driessen J, Harbers J, van Egmond J, Booij L: Evaluation of the electroencephalographic Bispectral Index during fentanyl-midazolam anaesthesia for cardiac surgery. Does it predict haemodynamic responses during endotracheal intubation and sternotomy? Eur J Anaesthesiol 1999;16:622-627
15. Sa Rego MM, White PF: Monitored anesthesia care, in Miller RD (ed): Anesthesia, 5th ed. Philadelphia, Churchill Livingstone, Inc, 2000, pp 1452-1469
16. Shapiro BA, Warren J, Egol AB, et al: Practice parameters for sustained neuromuscular blockade in the adult critically ill patient: an executive summary. Crit Care Med 1995;23:1601-1605
17. Hansen-Flaschen JH, Brazinsky S, Basilc C, Lanken PN: Use of sedating drugs and neuromuscular blocking agents in patients requiring mechanical ventilation for respiratory failure. A national survey. JAMA 1991;266:2870-2875
18. Riker RR, Fraser GL: Monitoring sedation, agitation, analgesia, neuromuscular blockade, and delirium in adult ICU patients. Semin Resp Crit Care Med 2001;22:189-198
19. Shah N, Clack S, Chea F, Tayong M, Anderson C: Does Bispectral Index of EEG (BIS) correlate with Ramsay Sedation Score in ICU patients? Anesthesiology 1996;85:A469
20. Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics 1977;33:159-174
21. Nasraway SA, Wu EC, Kelleher RM, Yasuda CM, Donnelly AM: How reliable is the Bispectral Index in critically ill patients? A prospective, comparative, single-blinded observer study. Crit Care Med 2002;30:1483-1487
22. Stephanides S, Shaw G, Murphy M, Jauch E: Level of sedation as determined by Bispectral Index measurement in intubated emergency department patients. Ann Emerg Med 2001;38:S6 [Abstract]
23. Miner JR, Haug E, Fricwald S, Biros M: Evaluation of Bispectral EEG analysis and recall in paralyzed intubated patients. Acad Emerg Med 2002;9:405-406 [Abstract]