Evaluation of the depth of sedation in an intensive care unit based on the photo motor reflex variations measured by video pupillometry

Annals of Intensive Care

Volumn 3, Issue 1, 2013, Pages 1-4

  Rouche, Ouri ^a   Wolak Thierry, Aurore ^b   Destoop, Quentin ^a   Milloncourt, Lucas ^a   Floch, Thierry ^a   Raclot, Pascal ^a   Jolly, Damien ^b   Cousson, Joël ^a  

^a SERVICE DE DERMATOLOGIE   (France)

^b REIMS UNIVERSITY HOSPITAL   (France)

Author keywords

Bispectral index; Photomotor reflex; Sedation; Video pupillometry

Indexed keywords

MIDAZOLAM; SUFENTANIL; THIOPENTAL;

ADULT; ANESTHESIA LEVEL; ARTICLE; ARTIFICIAL VENTILATION; BISPECTRAL INDEX; CLINICAL ARTICLE; FEMALE; HUMAN; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; LATENT PERIOD; MALE; MEDICAL DEVICE; MIOSIS; OBSERVATIONAL STUDY; PHOTOMOTOR REFLEX; PRIORITY JOURNAL; PUPIL; PUPIL REFLEX; PUPILLOMETER; PUPILLOMETRY; REPRODUCIBILITY; RICHMOND AGITATION SEDATION SCALE; SEDATION; VIDEORECORDING;

EID: 84876851997     PISSN: None     EISSN: 21105820     Source Type: Journal    
DOI: 10.1186/2110-5820-3-5     Document Type: Article

References (28)

1. Payen JF, Chanques G, Mantz J, Hercule C, Auriant I, Leguillou JL, et al: Current practices in sedation and analgesia for mechanically ventilated critically I'll patients: a prospective multicenter patient-based study. Anesthesiol 2007, 106(4):687-695. quiz 891-2.
2. Sessler CN, Grap MJ, Brophy GM: Multidisciplinary management of sedation and analgesia in critical care. Semin Respir Crit Care Med 2001, 22(2):211-226.
3. Park G, Coursin D, Ely EW, England M, Fraser GL, Mantz J, et al: Commentary, Balancing sedation and analgesia in the critically ill. Crit Care Clin 2001, 17(4):1015-1027.
4. French Society of Anesthesiology: Recommendations for sedation, analgesia and curarization. Short text. Societe Francaise d'Anesthesie et de Reanimation. Ann Fr Anesth Reanim 2000, 19(5):fi98-fi105.
5. Leslie K, Sessler DI, Smith WD, Larson MD, Ozaki M, Blanchard D, et al: Prediction of movement during propofol/nitrous oxide anesthesia. Performance of concentration, electroencephalographic, pupillary, and hemodynamic indicators. Anesthesiol 1996, 84(1):52-63.
6. Larson MD, Kurz A, Sessler DI, Dechert M, Bjorksten AR, Tayefeh F: Alfentanil blocks reflex pupillary dilation in response to noxious stimulation but does not diminish the light reflex. Anesthesiol 1997, 87(4):849-855.
7. Belani KG, Sessler DI, Larson MD, Lopez MA, Washington DE, Ozaki M, et al: The pupillary light reflex, Effects of anesthetics and hyperthermia. Anesthesiol 1993, 79(1):23-27.
8. Knaggs RD, Crighton IM, Cobby TF, Fletcher AJ, Hobbs GJ: The papillary effects of intravenous morphine, codeine, and tramadol in volunteers. Anesth Analg 2004, 99(1):108-112.
9. Murray RB, Adler MW, Korczyn AD: The pupillary effects of opioids. Life Sci 1983, 33(6):495-509.
10. Larson MD: Mechanism of opioid-induced pupillary effects. Clin Neurophysiol 2008, 119(6):1358-1364.
11. 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. Anesthesiol 2003, 99(1):9-17.
12. Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, et al: The Richmond Agitation-sedation scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002, 166(10):1338-1344.
13. Chanques G, Jaber S, Barbotte E, Verdier R, Henriette K, Lefrant JY, et al: Validation of the french translated Richmond vigilance-agitation scale. Ann Fr Anesth Reanim 2006, 25(7):696-701.
14. Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, et al: Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA 2003, 289(22):2983-2991.
15. Larson MD, Talke PO: Effect of dexmedetomidine, an alpha2- adrenoceptor agonist, on human pupillary reflexes during general anaesthesia. Br J Clin Pharmacol 2001, 51(1):27-33.
16. Eilers H, Larson MD: The effect of ketamine and nitrous oxide on the human pupillary light reflex during general anesthesia. Auton Neurosci 2010, 152(1-2):108-114.
17. Johansen JW, Sebel PS: Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiol 2000, 93(5):1336-1344.
18. Dereu D, Lukaszewicz AC, Bart F: Prédiction par la pupillométrie du besoin d'anagésie lors de pansements chirurgicaux chez les patients sédatés de réanimation, SFAR. 2010.
19. Delsuc C, Calderon, Portran P: Pupillométrie et anesthésie, SFAR. 2010.
20. Gray AT, Krejci ST, Larson MD: Neuromuscular blocking drugs do not alter the pupillary light reflex of anesthetized humans. Arch Neurol 1997, 54(5):579-584.
21. Thuong M: Sedation and analgesia assessment tools in ICU patients. Ann Fr Anesth Reanim 2008, 27(7-8):581-595.
22. Turkmen A, Altan A, Turgut N, Vatansever S, Gokkaya S: The correlation between the Richmond agitation-sedation scale and bispectral index during dexmedetomidine sedation. Eur J Anaesthesiol 2006, 23(4):300-304.
23. Brocas E, Dupont H, Paugam-Burtz C, Servin F, Mantz J, Desmonts JM: Bispectral index variations during tracheal suction in mechanically ventilated critically ill patients: effect of an alfentanil bolus. Intensive Care Med 2002, 28(2):211-213.
24. Deogaonkar A, Gupta R, DeGeorgia M, Sabharwal V, Gopakumaran B, Schubert A, et al: Bispectral Index monitoring correlates with sedation scales in brain-injured patients. Crit Care Med 2004, 32(12):2403-2406.
25. Consales G, Chelazzi C, Rinaldi S, De Gaudio AR: Bispectral index compared to Ramsay score for sedation monitoring in intensive care units. Minerva Anestesiol 2006, 72(5):329-336.
26. 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(2):178-183.
27. Nasraway SS 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(7):1483-1487.
28. Riess ML, Graefe UA, Goeters C, Van Aken H, Bone HG: Sedation assessment in critically ill patients with bispectral index. Eur J Anaesthesiol 2002, 19(1):18-22.