Composite auditory evoked potential index versus bispectral index to estimate the level of sedation in paralyzed critically ill patients: A prospective observational study

Anesthesia and Analgesia

Volumn 107, Issue 4, 2008, Pages 1290-1294

  Lu, Chueng He ^a   Man, Kee Ming ^a   Ou Yang, Hsin Yi ^b   Chan, Shun Ming ^a   Ho, Shung Tai ^a   Wong, Chih Shung ^a   Liaw, Wen Jinn ^a  

^a TRI SERVICE GENERAL HOSPITAL   (Taiwan)

^b TUNGS' TAICHUNG METROHARBOR HOSPITAL   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

CISATRACURIUM; FENTANYL CITRATE; MIDAZOLAM; MUSCLE RELAXANT AGENT; CENTRAL MUSCLE RELAXANT; FENTANYL; HYPNOTIC SEDATIVE AGENT; NARCOTIC ANALGESIC AGENT; NEUROMUSCULAR BLOCKING AGENT;

A LINE AUTOREGRESSIVE INDEX; ADULT; APACHE; ARTICLE; ARTIFICIAL VENTILATION; BISPECTRAL INDEX; BLOOD PRESSURE MONITORING; CLINICAL ARTICLE; CLINICAL TRIAL; CONTINUOUS INFUSION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION COEFFICIENT; CRITICALLY ILL PATIENT; ELECTROCARDIOGRAM; ELECTROENCEPHALOGRAM; ELECTROMYOGRAM; EVOKED AUDITORY RESPONSE; FEMALE; HEMODYNAMICS; HUMAN; MALE; NEUROMUSCULAR BLOCKING; OBSERVATIONAL METHOD; PARALYSIS; PATIENT CARE; PATIENT MONITORING; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULSE OXIMETRY; RATING SCALE; SEDATION; STUDENT T TEST; WILCOXON SIGNED RANKS TEST; CONSCIOUS SEDATION; CRITICAL ILLNESS; ELECTROENCEPHALOGRAPHY; ELECTROMYOGRAPHY; INTENSIVE CARE UNIT; MIDDLE AGED;

ANALGESICS, OPIOID; CONSCIOUS SEDATION; CRITICAL ILLNESS; ELECTROENCEPHALOGRAPHY; ELECTROMYOGRAPHY; EVOKED POTENTIALS, AUDITORY; FEMALE; FENTANYL; HUMANS; HYPNOTICS AND SEDATIVES; INTENSIVE CARE UNITS; MALE; MIDAZOLAM; MIDDLE AGED; MUSCLE RELAXANTS, CENTRAL; NEUROMUSCULAR BLOCKADE; NEUROMUSCULAR BLOCKING AGENTS; RESPIRATION, ARTIFICIAL;

EID: 53449098532     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ane.0b013e31818061ae     Document Type: Article

References (31)

1. Kress JP, Pohlman AS, O'Connor MF. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med 2000;342:1471-7
2. Nasraway SA, Jacobi J, Murray MJ, Lumb PD. Sedation, analgesia, and neuromuscular blockade of the critically ill adult: revised clinical practice guidelines for 2001. Crit Care Med 2002;30:117-18
3. Jacobi J, Fraser GL, Coursin DB, Riker RR, Fontaine D, Wittbrodt ET, Chalfin DB, Masica MF, Bjerke HS, Coplin WM, Crippen DW, Fuchs BD, Kelleher RM, Marik PE, Nasraway SA Jr, Murray MJ, Peruzzi WT, Lumb PD. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002;30:119-41
4. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology 1998;89:980-1002
5. Gan TJ, Glass PS, Windsor A, Payne F, Rosow C, Sebel P, Manberg P. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology 1997;87:808-15
6. Johansen JW, Sebel PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology 2000;93:1336-44
7. Vivien B, Di Maria S, Ouattara A, Langeron O, Coriat P, Riou B. Overestimation of Bispectral Index in sedated intensive care unit patients revealed by administration of muscle relaxant. Anesthesiology 2003;99:9-17
8. Tonner PH, Wei C, Bein B, Weiler N, Paris A, Scholz J. Comparison of two bispectral index algorithms in monitoring sedation in postoperative intensive care patients. Crit Care Med 2005;33:580-4
9. Frenzel D, Greim CA, 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;28:178-83
10. 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;30:1483-7
11. Nasraway SA Jr. The Bispectral Index: expanded performance for everyday use in the intensive care unit? Crit Care Med 2005;33:685-7
12. Kim DW, Kil HY, White PF. The effect of noise on the bispectral index during propofol sedation. Anesth Analg 2001;93:1170-3
13. 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;27:853-8
14. Deogaonkar A, Gupta R, DeGeorgia M, Sabharwal V, Gopakumaran B, Schubert A, Provencio JJ. Bispectral index monitoring correlates with sedation scales in brain-injured patients. Crit Care Med 2004;32:2403-6
15. Ely EW, Truman B, Manzi DJ, Sigl JC, Shintani A, Bernard GR. Consciousness monitoring in ventilated patients: bispectral EEG monitors arousal not delirium. Intensive Care Med 2004;30: 1537-43
16. Walder B, Suter PM, Romand JA. Evaluation of two processed EEG analyzers for assessment of sedation after coronary artery bypass grafting. Intensive Care Med 2001;27:107-14
17. Thornton C, Sharpe RM. Evoked responses in anaesthesia. Br J Anaesth 1998;81:771-81
18. Litvan H, Jensen EW, Galan J, Lund J, Rodriguez BE, Henneberg SW, Caminal P, Villar Landeira JM. Comparison of conventional averaged and rapid averaged, autoregressive-based extracted auditory evoked potentials for monitoring the hypnotic level during propofol induction. Anesthesiology 2002;97:351-8
19. Simon L, Boucebci KJ, Orliaguet G, Aubineau JV, Devys JM, Dubousset AM. A survey of practice of tracheal intubation without muscle relaxant in paediatric patients. Paediatr Anaesth 2002;12:36-42
20. Schmidt GN, Bischoff P, Standl T, Issleib M, Voigt M, Schulte Am Esch J AR. X-derived auditory evoked potential index and bispectral index during the induction of anesthesia with propofol and remifentanil. Anesth Analg 2003;97:139-44
21. Weber F, Bein T, Hobbhahn J, Taeger K. Evaluation of the Alaris Auditory Evoked Potential Index as an indicator of anesthetic depth in preschool children during induction of anesthesia with sevoflurane and remifentanil. Anesthesiology 2004;101:294-8
22. Lu CH, Borel CO, Wu CT, Yeh CC, Jao SW, Chao PC, Wong CS. Combined general-epidural anesthesia decreases the desflurane requirement for equivalent A-line ARX index in colorectal surgery. Acta Anaesthesiol Scand 2005;49:1063-7
23. Doi M, Morita K, Mantzaridis H, Sato S, Kenny GN. Prediction of responses to various stimuli during sedation: a comparison of three EEG variables. Intensive Care Med 2005;31:41-7
24. Ramsay MA, Savege TM, Simpson BR, Goodwin R. Controlled sedation with alphaxalone-alphadolone. BMJ 1974;2:656-659
25. Kress JP, Gehlbach B, Lacy M, Pliskin N, Pohlman AS, Hall JB. The long-term psychological effects of daily sedative interruption on critically ill patients. Am J Respir Crit Care Med 2003;168:1457-61
26. Dahaba AA, Mattweber M, Fuchs A, Zenz W, Rehak PH, List WF, Metzler H. The effect of different stages of neuromuscular block on the bispectral index and the bispectral index-XP under remifentanil/propofol anesthesia. Anesth Analg 2004;99:781-7
27. De Deyne C, Struys M, Decruyenaere J, Cruepelandt J, Hoste E, Colardyn F. Use of continuous bispectral EEG monitoring to assess depth of sedation in ICU patients. Intensive Care Med 1998;24:1294-8
28. Lehmann A, Karzau J, Boldt J, Thaler E, Lang J, Isgro F. Bispectral index-guided anesthesia in patients undergoing aortocoronary bypass grafting. Anesth Analg 2003;96:336-43
29. Wenningmann I, Paprotny S, Strassmann S, Ellerkmann RK, Rehberg B, Soehle M, Urban BW. Correlation of the A-LineTM ARX index with acoustically evoked potential amplitude. Br J Anaesth 2006;97:666-75
30. Edmonds HL Jr, Paloheimo M. Computerized monitoring of the EMG and EEG during anesthesia. An evaluation of the anesthesia and brain activity monitor (ABM). Int J Clin Monit Comput 1985;1:201-10
31. Absalom AR, Sutcliffe N, Kenny GN. Effects of the auditory stimuli of an auditory evoked potential system on levels of consciousness, and on the bispectral index. Br J Anaesth 2001;87:778-80