Entropy and bispectral index for assessment of sedation, analgesia and the effects of unpleasant stimuli in critically ill patients: An observational study

Critical Care

Volumn 12, Issue 5, 2008, Pages

  Haenggi, Matthias ^a   Ypparila Wolters, Heidi ^b   Bieri, Christine ^a   Steiner, Carola ^a   Takala, Jukka ^a   Korhonen, Ilkka ^a   Jakob, Stephan M ^a  

^a UNIVERSITY OF BERN   (Switzerland)

^b VTT TECHNICAL RESEARCH CENTRE OF FINLAND   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIC AGENT; FENTANYL; MIDAZOLAM; PROPOFOL; SEDATIVE AGENT; HYPNOTIC SEDATIVE AGENT;

ADULT; AGED; AGITATION; ANALGESIC ACTIVITY; ARTICLE; ARTIFICIAL VENTILATION; BISPECTRAL INDEX; BREATHING RATE; CLINICAL ASSESSMENT; CONTINUOUS INFUSION; CONTROLLED STUDY; CRITICALLY ILL PATIENT; DIASTOLIC BLOOD PRESSURE; ELECTROENCEPHALOGRAM; END TIDAL CARBON DIOXIDE TENSION; ENTROPY; HEART RATE; HUMAN; MAJOR CLINICAL STUDY; OBSERVATIONAL STUDY; OXYGEN SATURATION; PAIN ASSESSMENT; PAIN THRESHOLD; PRIORITY JOURNAL; RAMSAY SEDATION SCORE; RATING SCALE; SEDATION; STIMULUS RESPONSE; SYSTOLIC BLOOD PRESSURE; TRACHEOBRONCHIAL TOILET; ANALGESIA; COMPARATIVE STUDY; CRITICAL ILLNESS; DRUG EFFECT; ELECTROENCEPHALOGRAPHY; METHODOLOGY; MIDDLE AGED; PAIN; PATHOPHYSIOLOGY;

ADULT; AGED; AGED, 80 AND OVER; ANALGESIA; CRITICAL ILLNESS; ELECTROENCEPHALOGRAPHY; ENTROPY; HUMANS; HYPNOTICS AND SEDATIVES; MIDDLE AGED; PAIN; PAIN MEASUREMENT;

EID: 53849131668     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc7015     Document Type: Article

References (26)

1. Fraser GL Prato BS Riker RR Berthiaume D Wilkins ML Frequency, severity, and treatment of agitation in young versus elderly patients in the ICU Pharmacotherapy 2000, 20:75-82. 10.1592/phco.20.1.75.34663 10641977
2. Treggiari-Venzi M Borgeat A Fuchs-Buder T Gachoud JP Suter PM Overnight sedation with midazolam or propofol in the ICU: Effects on sleep quality, anxiety and depression Intensive Care Med 1996, 22:1186-1190. 10.1007/BF01709334 9120111
3. Epstein J Breslow MJ The stress response of critical illness Crit Care Clin 1999, 15:17-33. 10.1016/S0749-0704(05)70037-3 9929784
4. Conti J Smith D Haemodynamic responses to extubation after cardiac surgery with and without continued sedation Br J Anaesth 1998, 80:834-836. 9771317
5. Fraser GL Riker RR Prato BS Wilkins ML The frequency and cost of patient-initiated device removal in the ICU Pharmacotherapy 2001, 21:1-6. 10.1592/phco.21.1.1.34444 11191727
6. Atkins PM Mion LC Mendelson W Palmer RM Slomka J Franko T Characteristics and outcomes of patients who self-extubate from ventilatory support: A case-control study Chest 1997, 112:1317-1323. 10.1378/chest.112.5.1317 9367475
7. Parker SD Breslow MJ Frank SM Rosenfeld BA Norris EJ Christopherson R Rock P Gottlieb SO Raff H Perler BA Catecholamine and cortisol responses to lower extremity revascularization: Correlation with outcome variables. Perioperative Ischemia Randomized Anesthesia Trial Study Group Crit Care Med 1995, 23:1954-1961. 10.1097/00003246-199512000-00003 7497717
8. Kollef MH Levy NT Ahrens TS Schaiff R Prentice D Sherman G The use of continuous i.v. sedation is associated with prolongation of mechanical ventilation Chest 1998, 114:541-548. 10.1378/chest.114.2.541 9726743
9. Shafer A Complications of sedation with midazolam in the intensive care unit and a comparison with other sedative regimens Crit Care Med 1998, 26:947-956. 10.1097/00003246-199805000-00034 9590327
10. Chastre J Fagon JY Ventilator-associated pneumonia Am J Respir Crit Care Med 2002, 165:867-903. 11934711
11. Kress JP Pohlman AS O'Connor MF Hall JB Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation N Engl J Med 2000, 342:1471-1477. 10.1056/NEJM200005183422002 10816184
12. 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 Task Force of the American College of Critical Care Medicine (ACCM) of the Society of Critical Care Medicine (SCCM), American Society of Health-System Pharmacists (ASHP), American College of Chest Physicians Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult Crit Care Med 2002 30 119 141 10.1097/ 00003246-200201000-00020 11902253
13. 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. 10.1097/ 00003246-199908000-00016 10470756
14. 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. 10.1007/s001340100912 11430541
15. 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, 27:107-114. 10.1007/s001340000761 11280620
16. De Deyne C Struys M Decruyenaere J Creupelandt J Hoste E Colardyn F Use of continuous bispectral EEG monitoring to assess depth of sedation in ICU patients Intensive Care Med 1998, 24:1294-1298. 10.1007/ s001340050765 9885883
17. Ely EW Truman B Shintani A Thomason JW Wheeler AP Gordon S Francis J Speroff T Gautam S Margolin R Sessler CN Dittus RS Bernard GR Monitoring sedation status over time in ICU patients: Reliability and validity of the Richmond Agitation-Sedation Scale (RASS) JAMA 2003, 289:2983-2991. 10.1001/jama.289.22.2983 12799407
18. Walsh TS Ramsay P Lapinlampi TP Sarkela MO Viertio-Oja HE Merilainen PT An assessment of the validity of spectral entropy as a measure of sedation statein mechanically ventilated critically ill patients Intensive Care Med 2008, 34:308-315. 10.1007/s00134-007-0858-x 17898996
19. Roustan JP Valette S Aubas P Rondouin G Capdevila X Can electroencephalographic analysis be used to determine sedation levels in critically ill patients? Anesth Analg 2005, 101:1141-1151. 10.1213/ 01.ane.0000167782.47957.e1 16192535
20. Rampil IJ A primer for EEG signal processing in anesthesia Anesthesiology 1998, 89:980-1002. 10.1097/00000542-199810000-00023 9778016
21. Viertio-Oja H Maja V Sarkela M Talja P Tenkanen N Tolvanen-Laakso H Paloheimo M Vakkuri A Yli-Hankala A Merilainen P Description of the Entropy algorithm as applied in the Datex-Ohmeda S/5 Entropy Module Acta Anaesthesiol Scand 2004, 48:154-161. 10.1111/j.0001-5172.2004.00322.x 14995936
22. Liu N Chazot T Huybrechts I Law-Koune JD Barvais L Fischler M The influence of a muscle relaxant bolus on bispectral and Datex-Ohmeda entropy values during propofol-remifentanil induced loss of consciousness Anesth Analg 2005, 101:1713-1718. 10.1213/ 01.ANE.0000184038.49429.8F 16301247
23. Ramsay MA Savege TM Simpson BR Goodwin R Controlled sedation with alphaxalone-alphadolone BMJ 1974, 2:656-659. 1613102 4835444
24. 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. 10.1097/00003246-199907000-00022 10446827
25. Payen JF Chanques G Mantz J Hercule C Auriant I Leguillou JL Binhas M Genty C Rolland C Bosson JL Current practices in sedation and analgesia for mechanically ventilated critically ill patients: A prospective multicenter patient-based study Anesthesiology 2007, 106:687-695. 10.1097/01.anes.0000264747.09017.da 17413906
26. Carlon GC Combs AH 'If you cannot measure it, you cannot improve it' Crit Care Med 2005, 33:1146-1147. 10.1097/01.CCM.0000162564.77999.F8 15891353