Bispectral index monitoring to facilitate early extubation following cardiovascular surgery

Clinical Nurse Specialist

Volumn 24, Issue 3, 2010, Pages 140-148

  Anderson, Jennifer ^a   Henry, Linda ^b   Hunt, Sharon ^b   Ad, Niv ^b  

^a Cardiovascular Intensive Care Unit   (Australia)

^b INOVA HEART AND VASCULAR INSTITUTE   (United States)

Author keywords

Bispectral index monitor (BIS); Extubation from mechanical ventilation; Open heart surgery

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; CHI SQUARE DISTRIBUTION; CLINICAL NURSING RESEARCH; CLINICAL TRIAL; CONSCIOUS SEDATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EDUCATION; ELECTROENCEPHALOGRAPHY; FEMALE; HEALTH PERSONNEL ATTITUDE; HEART SURGERY; HUMAN; INTENSIVE CARE; MALE; METHODOLOGY; MIDDLE AGED; MONITORING; NURSING; NURSING ASSESSMENT; NURSING METHODOLOGY RESEARCH; NURSING STAFF; ORGANIZATION AND MANAGEMENT; PILOT STUDY; POSTOPERATIVE CARE; PROSPECTIVE STUDY; PSYCHOLOGICAL ASPECT; REGRESSION ANALYSIS; STATISTICS; TIME;

ATTITUDE OF HEALTH PERSONNEL; CARDIAC SURGICAL PROCEDURES; CHI-SQUARE DISTRIBUTION; CLINICAL NURSING RESEARCH; CONSCIOUS SEDATION; ELECTROENCEPHALOGRAPHY; FEMALE; HUMANS; INTENSIVE CARE; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; NURSING ASSESSMENT; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; PILOT PROJECTS; POSTOPERATIVE CARE; PROSPECTIVE STUDIES; REGRESSION ANALYSIS; TIME FACTORS; VENTILATOR WEANING;

EID: 77951433791     PISSN: 08876274     EISSN: 15389782     Source Type: Journal    
DOI: 10.1097/NUR.0b013e3181d82a48     Document Type: Article

References (20)

1. Cheng DC, Karski J, Peniston C, et al. Early tracheal extubation after coronary artery bypass graft surgery reduces costs and improves resource use. A prospective, randomized, controlled trial. Anesthesiology. 1996;85:1300-1310. (Pubitemid 27014657)
2. Cheng DC, Karski J, Peniston C, et al. Morbidity outcome in early versus conventional tracheal extubation after coronary artery bypass grafting: a prospective randomized controlled trial. J Thorac Cardiovasc Surg. 1996;112:755-764.
3. Hawkes CA, Dhileepan S, Foxcroft D. Early extubation for adult cardiac surgical patients. Cochrane Database Syst Rev. 2003:003587.
4. Reis J, Mota JC, Ponce P, Costa-Pereira A, Guerreiro M. Early extubation does not increase complication rates after coronary artery bypass graft surgery with cardiopulmonary bypass. Eur J Cardiothorac Surg. 2002;21:1026-1030.
5. Silbert BS, Santamaria JD, O'Brien JL, Blyth CM, Kelly WJ, Molnar RR. Early extubation following coronary artery bypass surgery: a prospective randomized controlled trial. The Fast Track Cardiac Care Team. Chest. 1998;113:1481-1488.
6. Zevola DR, Raffa M, Brown K. Using clinical pathways in patients undergoing cardiac valve surgery. Crit Care Nurse. 2002;22:31-39.
7. Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M. Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilatorassociated pneumonia. Chest. 2000;118:459-467.
8. Inova Fairfax Hospital. Critical Care Standard 4.052, Respiratory Management for Postoperative Cardiovascular Surgical Patients. 2007.
9. Lehmann A, Schmidt M, Zeitler C, Kiessling AH, Isgro F, Boldt J. Bispectral index and electroencephalographic entropy in patients undergoing aortocoronary bypass grafting. Eur J Anaesthesiol. 2007;24:751-760.
10. Olson DM, Thoyre SM, Auyong DB. Perspectives on sedation assessment in critical care. AACN Adv Crit Care. 2007;18:380-395.
11. BIS Technology. http://www.aspectmedical.com/AboutBIS.aspx. Accessed March 5, 2010.
12. Olson DM, Gambrell M. Balancing sedation with bispectral index monitoring. Nursing. 2005;35:321-322.
13. Olson DM, Cheek DJ, Morgenlander JC. The impact of bispectral index monitoring on rates of propofol administration. AACN Clin Issues. 2004;15:63-73.
14. Ozcan MS, Gravenstein D. The presence of working memory without explicit recall in a critically ill patient. Anesth Analg. 2004;98:469-470.
15. BIS Education. http://www.biseducation.com/UploadedFiles/ Assets/0000000012.pdf. Accessed January 2, 2009.
16. Sakallaris BR, Halpin LS, Knapp M, Sheridan M. Same day transfer of patients to the cardiac telemetry unit after surgery: The paid after bypass back into telemetry (RABBIT) program. Crit Care Nurse. 2000:50-68.
17. Kress JP, Pohlman AS, O'Connor MF, et al. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000;342:1471-1477.
18. Girard TD, Ely EW. Protocol-driven ventilator weaning: reviewing the evidence. Clin Chest Med. 2008;29:241-252.
19. Robertson TE, Sona C, Schallom L, et al. Improved extubation rates and earlier liberation from mechanical ventilation with implementation of a daily spontaneous-breathing trial protocol. J Am Coll Surg. 2008;206:489-495.
20. Hardin S, Kaplow R. Synergy for Clinical Excellence. Boston, MA: Jones and Bartlett; 2005.