Responsiveness of the frontal EMG for monitoring the sedation state of critically ill patients

British Journal of Anaesthesia

Volumn 107, Issue 5, 2011, Pages 710-718

  Walsh, T S ^a   Lapinlampi, T P ^b   Ramsay, P ^a   Sarkela M O K ^b   Uutela, K ^b   Viertio Oja H E ^b  

^a ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^b GE Healthcare Finland Oy   (Finland)

Author keywords

critical care; diagnostic techniques, neurological; electroencephalogram; monitoring, physiologic; sedation, deep

Indexed keywords

ADULT; ALGORITHM; ANESTHESIA LEVEL; ARTICLE; CLINICAL ARTICLE; CLINICAL DECISION MAKING; CONSCIOUSNESS LEVEL; CONTROLLED STUDY; CRITICALLY ILL PATIENT; ELECTROMYOGRAPHY; FACE VALIDITY; FEMALE; FRONTAL ELECTROMYOGRAPHY; HEART SURGERY; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; MALE; PATIENT MONITORING; PRIORITY JOURNAL; REFLEX; RESPONSIVENESS INDEX; SEDATION; STIMULUS RESPONSE; VALIDATION STUDY;

EID: 80054105171     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aer228     Document Type: Article

References (22)

1. Nasraway SA, Jacobi J, Murray MJ, Lumb PD. Sedation, analgesia, and neuromuscular blockade of the critically ill adult: revised clinical practice guidelines for 2002. Crit Care Med 2002;30:117-8
2. 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;342:1471-7
3. Girard TD, Kress JP, Fuchs BD, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 2008;371:126-34
4. Brook AD, Ahrens TS, Schaiff R, et al. Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. Crit Care Med 1999;27:2609-15
5. Jacobi J, Fraser GL, Coursin DB, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002;30:119-41
6. Dellinger RP, Levy MM, Carlet JM, et al. Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008;36:296-327
7. Quenot JP, Ladoire S, Devoucoux F, et al. Effect of a nurse-implemented sedation protocol on the incidence of ventilator-associated pneumonia. Crit Care Med 2007;35:2031-6
8. Arabi Y, Haddad S, Hawes R, et al. Changing sedation practices in the intensive care unit-protocol implementation, multifaceted multidisciplinary approach and teamwork. Middle East J Anesthesiol 2007;19:429-47
9. Chanques G, Jaber S, Barbotte E, et al. Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med 2006;34:1691-9
10. Burns SM, Earven S, Fisher C, et al. Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: one-year outcomes and lessons learned. Crit Care Med 2003;31:2752-63
11. Mehta S, Burry L, Fischer S, et al. Canadian survey of the use of sedatives, analgesics, and neuromuscular blocking agents in critically ill patients. Crit Care Med 2006;34:374-80
12. Martin J, Franck M, Sigel S, Weiss M, Spies C. Changes in sedation management in German intensive care units between 2002 and 2006: a national follow-up survey. Crit Care 2007;11:R124
13. Payen JF, Chanques G, Mantz J, et al. Current practices in sedation and analgesia for mechanically ventilated critically ill patients-a prospective multicenter patient-based study. Anesthesiology 2007;106:687-95
14. Devlin JW, Tanios MA, Epstein SK. Intensive care unit sedation: waking up clinicians to the gap between research and practice. Crit Care Med 2006;34:556-7
15. Nasraway SA. The bispectral index: expanded performance for everyday use in the intensive care unit?. Crit Care Med 2005;33:685-7
16. Walsh TS, Ramsay P, Lapinlampi TP, Sarkela MOK, Viertio-Oja HE, Merilainen PT. An assessment of the validity of spectral entropy as a measure of sedation state in mechanically ventilated critically ill patients. Intensive Care Med 2008;34:308-15
17. 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
18. 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
19. 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
20. Smith WD, Dutton RC, Smith NT. Measuring the performance of anesthetic depth indicators. Anesthesiology 1996;84:38-51
21. Bruhn J, Bouillon TW, Shafer SL. Electromyographic activity falsely elevates the bispectral index. Anesthesiology 2000;92:1485-7
22. Carson SS, Kress JP, Rodgers JE, et al. A randomized trial of intermittent lorazepam vs propofol with daily interruption in mechanically ventilated patients. Crit Care Med 2006;34:1326-32