Using bispectral index monitoring to detect potential breakthrough awareness and limit duration of neuromuscular blockade

American Journal of Critical Care

Volumn 13, Issue 1, 2004, Pages 66-73

  Arbour, Richard ^a  

^a EINSTEIN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIC AGENT; BENZODIAZEPINE DERIVATIVE; CATECHOLAMINE; CISATRACURIUM; LORAZEPAM; MORPHINE SULFATE; NEUROMUSCULAR BLOCKING AGENT; OPIATE; SEDATIVE AGENT;

ADULT; AGITATION; ANALGESIA; ANXIETY DISORDER; ARTICLE; ARTIFICIAL VENTILATION; BISPECTRAL INDEX; CASE REPORT; HUMAN; INTENSIVE CARE UNIT; LUNG VASCULAR RESISTANCE; MALE; NEUROMUSCULAR BLOCKING; PAIN; POSITIVE END EXPIRATORY PRESSURE; POSTTRAUMATIC STRESS DISORDER; SEDATION; VENTILATOR; AWARENESS; CONSCIOUS SEDATION; EPIGLOTTITIS; MIDDLE AGED; PATHOPHYSIOLOGY;

AWARENESS; CONSCIOUS SEDATION; EPIGLOTTITIS; HUMANS; MALE; MIDDLE AGED; NEUROMUSCULAR BLOCKADE;

EID: 1842592083     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2004.13.1.66     Document Type: Article

References (33)

1. Arbour R. Sedation and pain management in critically ill adults. Crit Care Nurse. October 2000;20:39-56.
2. Nasraway SA Jr. Use of sedative medications in the intensive care unit. Semin Respir Crit Care Med. 2001;22:165-174.
3. Sandur S, Stoller JK. Pulmonary complications of mechanical ventilation. Clin Chest Med. 1999;20:223-247.
4. Arbour R. Using the bispectral index to assess arousal response in a patient with neuromuscular blockade. Am J Crit Care. 2000;9:383-387.
5. Epstein J, Breslow MJ. The stress response of critical illness. Crit Care Clin. 1999;15:17-33.
6. Jain M, Corbridge T. Status asthmaticus: strategies for stabilization after intubation. J Crit Illn. 2000;15:330-338.
7. Lowson SM, Sawh S. Adjuncts to analgesia: sedation and neuromuscular blockade. Crit Care Clin. 1999;15:119-141.
8. Arbour R. Mastering neuromuscular blockade. Dimens Crit Care Nurs. September 2000;19:4-16.
9. Primak LK, Lowrie L. Paralyzation and sedation of the ventilated trauma patient. Respir Care Clin North Am. 2001;7:97-126.
10. Behbehani NA, Al-Mane F, D'yachkova Y, Paré P, FitzGerald JM. Myopathy following mechanical ventilation for acute severe asthma: the role of muscle relaxants and corticosteroids. Chest. 1999;115:1627-1631.
11. Lewis KS, Rothenberg DM. Neuromuscular blockade in the intensive care unit. Am J Health Syst Pharm. 1999;56:72-75.
12. Venn R, Cusack RJ, Rhodes A, Grounds RM. Monitoring the depth of sedation in the intensive care unit. Clin Intensive Care. 1999;10:81-90.
13. Avramov MA, White PF. Methods for monitoring the level of sedation. Crit Care Clin. 1995;11:803-826.
14. Wagner BKJ, Zavotsky KE, Sweeney JB, Palmeri BA, Hammond JS. Patient recall of therapeutic paralysis in a surgical critical care unit. Pharmacotherapy. 1998;18:358-363.
15. Kollef MH, Levy NT, Ahrens TS, Schaiff R, Prentice D, Sherman G. The use of continuous IV sedation is associated with prolongation of mechanical ventilation. Chest. 1998;114:541-548.
16. Prielipp RC, Coursin DB, Wood KE, Murray MJ. Complications associated with sedative and neuromuscular blocking drugs in critically ill patients. Crit Care Clin. 1995;11:983-1002.
17. BIS Clinical Reference Manual. Newton, Mass: Aspect Medical Systems; 2001.
18. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology. 1998;89:980-1002.
19. Rosow C, Manberg PJ. Bispectral index monitoring. Anesthesiol Clin North Am. 1998;19:947-966.
20. Arbour R. Continuous nervous system monitoring, EEG, the bispectral index, and neuromuscular transmission. AACN Clin Issues. 2003;14:185-207.
21. Nasraway SA Jr, 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. Wallace BE, Wagner AK, Wagner EP, McDeavitt JT. A history and review of quantitative electroencephalography in traumatic brain injury. J Head Trauma Rehabil. 2001;16:165-190.
23. Jordan KG. Continuous EEG monitoring in the neuroscience intensive care unit and emergency department. J Clin Neurophysiol. 1999;16:14-39.
24. Grissom TE, Grissom J. Neurologic monitoring in the ICU. Anesthesiol Online. October 2000. Available at: http://www.anesthesiologyonline.com/ articles/onepage.cfm?chapter_id=34. Accessed December 19, 2001.
25. Stewart-Amidei C. Neurologic monitoring in the ICU [correction in Crit Care Nurs Q. February 1999;21:4]. Crit Care Nurs Q. November 1998;21:47-60.
26. Young GB. The EEG in coma. J Clin Neurophysiol. 2000;17:473-485.
27. Rhoney DH, Parker D. Use of sedative and analgesic agents in neurotrauma patients: effects on cerebral physiology. Neurol Res. 2001;23:237-259.
28. 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.
29. 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.
30. Riker RR, Fraser GL. Sedation in the intensive care unit: refining the models and defining the questions. Crit Care Med. 2002;30:1061-1063.
31. Aspect Medical Systems. Overview: the Effects of Electromyography (EMG) and Other High-Frequency Signals on the Bispectral Index (BIS). Newton, Mass: Aspect Medical Systems; 2000.
32. Gilbert TT, Wagner MR, Halukurike V, Paz HL, Garland A. Use of bispectral electroencephalogram monitoring to assess neurologic status in unsedated, critically ill patients. Crit Care Med. 2001;29:1996-2000.
33. Mathew JP, Weatherwax KJ, East CJ, White WD, Reves JG. Bispectral analysis during cardiopulmonary bypass: the effect of hypothermia on the hypnotic state. J Clin Anesth. 2001;13:301-305.