Measuring depth of sedation in intensive care patients with the electroencephalographic Narcotrend Index

European Journal of Anaesthesiology

Volumn 25, Issue 2, 2008, Pages 123-128

  Weber, F ^a,b   Steinberger, M ^b   Ritzka, M ^b,c   Prasser, C ^b   Bein, T ^b  

^a SOPHIA CHILDREN S HOSPITAL   (Netherlands)

^b UNIVERSITY HOSPITAL REGENSBURG   (Germany)

^c UNIVERSITY OF REGENSBURG   (Germany)

Author keywords

Critical Care; Electrodiagnosis, electroencephalography; Hypnotics And Sedatives; Propofol; Respiration Artificial

Indexed keywords

PIRITRAMIDE; PROPOFOL;

ADULT; AGED; ANESTHESIA LEVEL; ARTICLE; ARTIFICIAL VENTILATION; COMPARATIVE STUDY; DEVICE; ELECTRODIAGNOSIS; ELECTROENCEPHALOGRAPHY; FEMALE; HUMAN; INTENSIVE CARE; MAJOR CLINICAL STUDY; MALE; NARCOTREND INDEX; RATING SCALE; RICHMOND AGITATION SEDATION SCALE; SEDATION; SINGLE DRUG DOSE;

AGED; ALGORITHMS; ANESTHETICS, INTRAVENOUS; CARDIAC SURGICAL PROCEDURES; CONSCIOUS SEDATION; CONSCIOUSNESS; ELECTROENCEPHALOGRAPHY; FEMALE; GERMANY; HUMANS; INTENSIVE CARE; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; POSTOPERATIVE CARE; PREDICTIVE VALUE OF TESTS; PROPOFOL; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL; VENTILATOR WEANING;

EID: 38049042236     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1017/S0265021507001329     Document Type: Article

References (20)

1. Nasraway Jr SA, Jacobi J, Murray MJ et al. Sedation, analgesia, and neuromuscular blockade of the critically ill adult: revised clinical practice guidelines for 2002. Crit Care Med 2002; 30: 117-118.
2. 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.
3. 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 and Crit Care Med 2002; 166: 1338-1344.
4. Kreuer S, Wilhelm W. The Narcotrend monitor. Best Pract Res Clin Anaesthesiol 2006; 20: 111-119.
5. Schultz A, Grouven U, Beger FA et al. The Narcotrend Index: classification algorithm, correlation with propofol effect-site concentrations, and comparison with spectral parameters. Biomed Tech 2004; 49: 38-42.
6. Kreuer S, Bruhn J, Larsen R et al. Comparability of Narcotrend Index and bispectral index during propofol anaesthesia. Br J Anaesth 2004; 93: 235-240.
7. Kreuer S, Biedler A, Larsen R et al. Narcotrend monitoring allows faster emergence and a reduction of drug consumption in propofol-remifentanil anesthesia. Anesthesiology 2003; 99: 34-41.
8. Kreuer S, Biedler A, Larsen R et al. The Narcotrend - a new EEG monitor designed to measure the depth of anaesthesia. A comparison with bispectral index monitoring during propofol-remifentanil anaesthesia [in German]. Anaesthesist 2001; 50: 921-925.
9. Kreuer S, Molter G, Biedler A et al. Narcotrend stages and end-tidal desflurane concentrations. An investigation during recovery from desflurane/remifentanil anaesthesia [in German]. Anaesthesist 2002; 51: 800-804.
10. Wilhelm W, Kreuer S Larsen R. Narcotrend EEG monitoring during total intravenous anaesthesia in 4630 patients [in German]. Anaesthesist 2002; 51: 980-988.
11. Russell IF. The Narcotrend 'depth of anaesthesia' monitor cannot reliably detect consciousness during general anaesthesia: an investigation using the isolated forearm technique. Br J Anaesth 2006; 96: 346-352.
12. Schneider G, Kochs EF, Horn B et al. Narcotrend does not adequately detect the transition between awareness and unconsciousness in surgical patients. Anesthesiology 2004; 101: 1105-1111.
13. Smith WD, Dutton RC Smith NT. Measuring the performance of anesthetic depth indicators. Anesthesiology 1996; 84: 38-51.
14. Schultz B, Grouven U Schultz A. Automatic classification algorithms of the EEG monitor Narcotrend for routinely recorded EEG data from general anaesthesia: a validation study. Biomed Tech 2002; 47: 9-13.
15. Schultz B, Kreuer S, Wilhelm W et al. The Narcotrend Monitor: development and interpretation algorithms [in German]. Anaesthesist 2003; 52: 1143-1148.
16. Roustan JP, Valette S, Aubas P et al. Can electroencephalographic analysis be used to determine sedation levels in critically ill patients? Anesth Analg 2005; 101: 1141-1151.
17. Nasraway Jr SA. The Bispectral Index: expanded performance for everyday use in the intensive care unit? Crit Care Med 2005; 33: 685-687.
18. Schneider G, Heglmeier S, Schneider J et al. Patient State Index (PSI) measures depth of sedation in intensive care patients. Intensive Care Med 2004; 30: 213-216.
19. Chisholm CJ, Zurica J, Mironov D et al. Comparison of electrophysiologic monitors with clinical assessment of level of sedation. Mayo Clin Proc 2006; 81: 46-52.
20. K value does depend on the fineness of the observer scale [Letter]. Acta Anaesthesiol Scand 2005; 49: 427.