The utility of bispectral index monitoring for sedated patients treated with low-dose remifentanil

Journal of Clinical Monitoring and Computing

Volumn 26, Issue 6, 2012, Pages 459-463

  Kato, Takao ^a   Koitabashi, Toshiya ^a   Ouchi, Takashi ^a   Serita, Ryohei ^a  

^a TOKYO DENTAL COLLEGE   (Japan)

Author keywords

Bispectral index; Monitoring quality; Remifentanil; Richmond agitation sedation scale

Indexed keywords

BISPECTRAL INDEX; CONTROL GROUPS; ELECTIVE SURGERIES; MECHANICAL VENTILATION; MEDICAL SYSTEMS; REMIFENTANIL; RICHMOND AGITATION SEDATION SCALE; SEDATED PATIENTS;

REGRESSION ANALYSIS; VENTILATION;

PATIENT MONITORING;

PROPOFOL; REMIFENTANIL; HYPNOTIC SEDATIVE AGENT; PIPERIDINE DERIVATIVE;

ABSENCE OF SIDE EFFECTS; ADULT; AGED; ANESTHESIA LEVEL; ARTICLE; BISPECTRAL INDEX; CLINICAL ARTICLE; CONTROLLED STUDY; ELECTIVE SURGERY; EPIDURAL ANESTHESIA; FEMALE; HUMAN; INTENSIVE CARE UNIT; LOW DRUG DOSE; MALE; MONITOR; PATIENT ASSESSMENT; PATIENT MONITORING; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RICHMOND AGITATION SEDATION SCALE; SCORING SYSTEM; SEDATION; VENTILATED PATIENT; ARTIFICIAL VENTILATION; CONSCIOUS SEDATION; CONTROLLED CLINICAL TRIAL; MIDDLE AGED;

AGED; CONSCIOUS SEDATION; CONSCIOUSNESS MONITORS; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; INTENSIVE CARE UNITS; MALE; MIDDLE AGED; PIPERIDINES; PROPOFOL; RESPIRATION, ARTIFICIAL;

EID: 84877134276     PISSN: 13871307     EISSN: 15732614     Source Type: Journal    
DOI: 10.1007/s10877-012-9379-4     Document Type: Article

References (22)

1. Johansen JW, Sebel PS. Development and clinical application of electroencephalographic bispectrum monitoring. Anesthesiology. 2000;93:1336-44.
2. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology. 1998;89:980-1002.
3. Liu SS. Effects of bispectral index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis. Anesthesiology. 2004;101:311-5.
4. Pavlin JD, Souter KJ, Hong JY, Freund PR, Bowdle TA, Bower JO. Effects of bispectral index monitoring on recovery from surgical anesthesia in 1,580 inpatients from an academic medical center. Anesthesiology. 2005;102:566-73.
5. Bruhn J, Myles PS, Sneyd R, Struys MM. Depth of anaesthesia monitoring: what's available, what's validated and what's next? Br J Anaesth. 2006;97:85-94.
6. Ely EW, Truman B, Shintani A, Thomason JWW, 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;289:2983-91.
7. LeBlanc JM, Dasta JF, Kane-Gill SL. Role of the bispectral index in sedation monitoring in the ICU. Ann Pharmacother. 2006;40:490-500.
8. 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;27:1499-504.
9. 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;27:853-8.
10. 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;24:1294-8.
11. 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. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med. 2002;30:119-41.
12. Kress JP, Pohlman AS, Hall JB. Sedation and analgesia in the intensive care unit. Am J Respir Crit Care Med. 2002;166:1024-8.
13. Muellejans B, Matthey T, Scholpp J, Schill M. Sedation in the intensive care unit with remifentanil/propofol versus midazolam/fentanyl: a randomised, open-label, pharmacoeconomic trial. Crit Care. 2006;10:R91.
14. Park G, Lane M, Rogers S, Bassett P. A comparison of hypnotic and analgesic based sedation in a general intensive care unit. Br J Anaesth. 2007;98:76-82.
15. Carrer S, Bocchi A, Candini M, Donegà L, Tartari S. Short term analgesia based sedation in the intensive care unit: morphine vs remifentanil + morphine. Minerva Anestesiol. 2007;73:327-32.
16. Sessler CN, Varney K. Patient-focused sedation and analgesia in the ICU. Chest. 2008;133:552-65.
17. Haenggi M, Ypparila-Wolters H, Buerki S, Schlauri R, Korhonen I, Takala J, Jakob SM. Auditory event-related potentials, bispectral index, and entropy for the discrimination of different levels of sedation in intensive care unit patients. Anesth Analg. 2009;109:807-16.
18. Moerman AT, Herregods LL, De Vos MM, Mortier EP, Struys MM. Manual versus target-controlled infusion remifentanil administration in spontaneously breathing patients. Anesth Analg. 2009;108:828-34.
19. Levine S, Nguyen T, Taylor N, Friscia ME, Budak MT, Rothenberg P, Zhu J, Sachdeva R, Sonnad S, Kaiser LR, Rubinstein NA, Powers SK, Shrager JB. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med. 2008;358:1327-35.
20. Sassoon CS, Zhu E, Caiozzo VJ. Assist-control mechanical ventilation attenuates ventilator-induced diaphragmatic dysfunction. Am J Respir Crit Care Med. 2004;170:626-32.
21. Novaes MA, Knobel E, Bork AM, Pavão OF, Nogueira-Martins LA, Ferraz MB. Stressors in ICU: perception of the patient, relatives and health care team. Intensive Care Med. 1999;25:1421-6.
22. Renna M, Wigmore T, Mofeez A, Gillbe C. Biasing effect of the electromyogram on BIS: a controlled study during high-dose fentanyl induction. J Clin Monit Comput. 2002;17:377-81.