Effect of Epidural Neuraxial Blockade-dependent Sedation on the Ramsay Sedation Scale and the Composite Auditory Evoked Potentials Index in Surgical Intensive Care Patients

Journal of the Formosan Medical Association

Volumn 109, Issue 8, 2010, Pages 589-595

  Lu, Chueng He ^a   Chen, Jia Lin ^a   Wu, Ching Tang ^a   Liaw, Wen Jinn ^a   Yeh, Chun Chang ^a   Cherng, Chen Hwan ^a   Wong, Chih Shung ^a  

^a TRI SERVICE GENERAL HOSPITAL   (Taiwan)

Author keywords

Auditory evoked potential; Epidural analgesia; Intensive care; Ramsay Sedation Scale

Indexed keywords

LIDOCAINE; PROPOFOL; HYPNOTIC SEDATIVE AGENT;

A LINE AUTOREGRESSIVE INDEX; ABDOMINAL SURGERY; ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL ASSESSMENT TOOL; COLD SENSATION; CONSCIOUSNESS LEVEL; DRUG EFFECT; ELECTROMYOGRAPHY; EPIDURAL ANESTHESIA; EVOKED AUDITORY RESPONSE; FEMALE; HUMAN; INTENSIVE CARE UNIT; MALE; PAIN; PAIN ASSESSMENT; RAMSAY SEDATION SCALE; RATING SCALE; VISUAL ANALOG SCALE; ABDOMEN; AGED; CLASSIFICATION; CLINICAL TRIAL; CONSCIOUS SEDATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ELECTROENCEPHALOGRAPHY; INTENSIVE CARE; MIDDLE AGED; MONITORING; POSTOPERATIVE CARE; POSTOPERATIVE PAIN; RANDOMIZED CONTROLLED TRIAL;

ABDOMEN; AGED; ANALGESIA, EPIDURAL; CONSCIOUS SEDATION; ELECTROENCEPHALOGRAPHY; ELECTROMYOGRAPHY; EVOKED POTENTIALS, AUDITORY; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; INTENSIVE CARE; INTENSIVE CARE UNITS; LIDOCAINE; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; POSTOPERATIVE CARE; PROPOFOL;

EID: 77956645028     PISSN: None     EISSN: 09296646     Source Type: Journal    
DOI: 10.1016/S0929-6646(10)60096-4     Document Type: Article

References (19)

1. Hodgson P, Liu S, Gras T Does epidural anesthesia have general anesthetics effects? A prospective, randomized, double-blind, placebo-controlled trial. Anesthesiology 1999, 91:1687-1692.
2. Hodgson P, Liu S Epidural lidocaine decreases sevoflurane requirement for adequate depth of anesthesia as measured by the Bispectral Index monitor. Anesthesiology 2001, 94:799-803.
3. Doufas AG, Wadhwa A, Shah YM, et al. Block-dependent sedation during epidural anaesthesia is associated with delayed brainstem conduction. Br J Anaesth 2004, 93:228-234.
4. Ishiyama T, Kashimoto S, Oguchi T, et al. Epidural ropiva-caine anesthesia decreases the bispectral index during the awake phase and sevoflurane general anesthesia. Anesth Analg 2005, 100:728-732.
5. Schulte-Tamburen AM, Scheier J, Briegel J, et al. Comparison of five sedation scoring systems by means of auditory evoked potentials. Intensive Care Med 1999, 25:377-382.
6. Litvan H, Jensen EW, Galan J, et al. Comparison of conventional averaged and rapid averaged, autoregressive-based extracted auditory evoked potentials for monitoring the hypnotic level during propofol induction. Anesthesiology 2002, 97:351-358.
7. Maattanen H, Anderson R, Uusijarvi J, et al. Auditory evoked potential monitoring with the AAI™-index during spinal surgery: decreased desflurane consumption. Acta Anaesthesiol Scand 2002, 46:882-886.
8. Lu CH, Borel CO, Wu CT, et al. Combined general-epidural anesthesia decreases the desflurane requirement for equivalent A-line ARX index in colorectal surgery. Acta Anaesthesiol Scand 2005, 49:1063-1067.
9. Lu CH, Ou-Yang HY, Man KM, et al. Relative reliability of the auditory evoked potential and Bispectral Index for monitoring sedation level in surgical intensive care patients. Anaesth Intensive Care 2008, 36:553-559.
10. Doi M, Morita K, Mantzaridis H, et al. Prediction of responses to various stimuli during sedation: a comparison of three EEG variables. Intensive Care Med 2005, 31:41-47.
11. Pollock JE, Neal JM, Enel D, et al. Sedation during spinal anaesthesia. Anesthesiology 2000, 93:728-734.
12. Tverskoy M, Shifrin V, Finger J, et al. Effect of epidural bupivacaine block on midazolam hypnotic requirements. Reg Anesth 1996, 21:209-213.
13. Eappen S, Kissin I Effect of subarachnoid bupivacaine block on anesthetic requirements for thiopental in rats. Anesthesiology 1998, 88:1036-1042.
14. Senturk M, Pembeci K, Menda F, et al. Effects of intramuscular administration of lidocaine or bupivacaine on induction and maintenance doses of propofol evaluated by Bispectral Index. Br J Anaesth 2002, 89:849-852.
15. Ben-Shlomo I, Tverskoy M, Fleyshman G, et al. Hypnotic effect of i.v. propofol is enhanced by i.m. administration of either lignocaine or bupivacaine. Br J Anaesth 1997, 78:375-377.
16. Sakura S, Sumi M, Yamada Y, et al. Quantitative and selective assessment of sensory block during lumbar epidural anaesthesia with 1% or 2% lidocaine. Br J Anaesth 1998, 81:718-722.
17. Sakura S, Sumi M, Kushizaki H, et al. Concentration of lidocaine affects intensity of sensory block during lumbar epidural anesthesia. Anesth Analg 1999, 88:123-127.
18. Lu CH, Man KM, Ou-Yang HY, et al. Composite auditory evoked potential index estimate the level of sedation in paralyzed critically ill patients: a prospective observational study. Anesth Analg 2008, 107:1290-1294.
19. Edmonds HL, 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, 1:201-210.