Utilizing Bi-Spectral Index (BIS) for the monitoring of sedated adult ICU patients: A systematic review

Minerva Anestesiologica

Volumn 83, Issue 3, 2017, Pages 288-301

  Bilgili, Beliz ^a   Montoya, Juan C ^b   Layon, A Joseph ^b   Berger, Andrea L ^b   Kirchner, H Lester ^b   Gupta, Leena K ^b,c   Gloss, David S ^b  

^a MARMARA UNIVERSITY   (Turkey)

^b GEISINGER MEDICAL CENTER   (United States)

^c Regional Medical Center of San Jose   (United States)

Author keywords

Consciousness monitors; Deep sedation; Respiration, artificial

Indexed keywords

FENTANYL; MIDAZOLAM; PROPOFOL;

ARTIFICIAL VENTILATION; ASSESSMENT OF HUMANS; BI SPECTRAL INDEX; BIBLIOGRAPHIC DATABASE; BLOOD PRESSURE; BREATHING RATE; CLINICAL SEDATION SCORE; ELECTROENCEPHALOGRAPHY; GLASGOW COMA SCALE; HEART RATE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; META ANALYSIS; OUTCOME ASSESSMENT; RAMSAY SEDATION SCALE; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; RICHMOND AGITATION SEDATION SCALE; SEDATION; SEDATION AGITATION SCALE; SYSTEMATIC REVIEW;

EID: 85016980374     PISSN: 03759393     EISSN: None     Source Type: Journal    
DOI: 10.23736/S0375-9393.16.10886-7     Document Type: Review

References (73)

1. Micek S, Barnes BJ, Grauer DW, Johnson DC. Longterm sedation with protocol-directed midazolam and l orazepam: a cost-effectiveness analysis. Crit Care Med 2004;32:A174.
2. Gan TJ, Glass PS, Windsor A, Payne F, Rosow C, Sebel P, et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil, and nitrous oxide anesthesia. BIS Utility Study Group. Anesthesiology 1997;87:808-15.
3. Forestier F, Hirschi M, Rouget P, Rigal JC, Videcoq M, Girardet P, et al. Propofol and sufentanil titration with the bispectral index to provide anesthesia for coronary artery surgery. Anesthesiology 2003;99:334-46.
4. Myles P, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004;363:1757-63.
5. Struys M, Versichelen L, Byttebier G, Mortier E, Moerman A, Rally G. Clinical usefulness of the bispectral index for titrating propofol target effect-site concentration. Anaesthesia 1998;53:4-12.
6. Soliman HM, Melot, C, Vincent JL. Sedative and analgesic practice in the intensive care unit: the results of a European survey. Br J Anaesth 2001;87:186-92.
7. De Jonghe B, Cook D, Appere-De-Vecchi C, Guyatt G, Meade M, Outin H. Using and understanding sedation scoring systems: a systematic review. Intensive Care Med 2000;26:275-85.
8. Jacobi J, Fraser GL, Coursin DB, Riker RR, Fontaine D, Wittbrodt ET, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Crit Care Med 2002;30:199-241.
9. Barr J, Pandharipande PP. The pain, agitation, and delirium care bundle: synergistic benefits of implementing the 2013 Pain, Agitation, and Delirium Guidelines in an integrated and interdisciplinary fashion. Crit Care Med 2013;41:99-115.
10. Weatherburn C, Endacott R, Tynan P, Bailey M. The impact of bispectral index monitoring on sedation administration in mechanically ventilated patients. Anaesth Intensive Care 2007;35:204-8.
11. James ML, Olson DM, Graffagnino C. A pilot study of cerebral and haemodynamic physiological changes during sedation with dexmedetomidine or propofol in patients with acute brain injury. Anaesth Intensive Care 2012;40:949-57.
12. Kato T, Koitabashi T, Ouchi T, Serita R. The utility of bispectral index monitoring for sedated patients treated with low-dose remifentanil. J Clin Monit Comput 2012;26:459-63.
13. Olson DM, Thoyre SM, Peterson ED, Graffagnino C. A Randomized Evaluation of Bispectral Index-Augmented Sedation Assessment in Neurological Patients. Neurocrit Care 2009;11:20-7.
14. Zhao D, Xu Y, He W, Li T, He Y. [A comparison of bispectral index and sedation agitation scale in guiding sedation therapy: a randomized controlled study in patients undergoing short term mechanical ventilation]. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2011;23:220-23. [Article in Chinese].
15. Kirkham JJ, Dwan KM, Altman DG, Gamble C, Dodd S, Smyth R, et al. The impact of outcome reporting bias in randomized controlled trials on a cohort of systematic reviews. BMJ 2010;340:c365.
16. Kaplan LJ, Bailey H. Bispectral index (BIS) monitoring of ICU patients on continuous infusion of sedatives and paralytics reduces sedative drug utilization and cost. Crit Care 2000;4:190.
17. Altaba Tena S, Mateu Campos L, Belenguer Muncharaz A, Ferrández S, Cebrian Graullera G, Alberto Rodrigo L, et al. Reduction in the duration of mechanical ventilation through bispectral index monitor. A preliminary study. Intensive Care Med 2012;38:0987.
18. Kim SY, Yang SY, Na SW, Jo VY, Koh SO. Low-dose remifentanil infusion during ventilator weaning and tracheal extubation in postoperative intensive care unit pa-tients sedated with propofol-remifentanil: a randomised clinical trial. Anaesth Intensive Care 2012;40:656-62.
19. Yaman F, Ozcan N, Ozcan A, Kaymak C, Basar H. Assessment of correlation between bispectral index and four common sedation scales used in mechanically ventilated patients in ICU. Eur Rev Med Pharmacol Sci 2012;16:660-66.
20. LeBlanc JM, Oasta JF, Pruchnicki MC, Gerlach A, Cook C. Bispectral index values, sedation-agitation scores, and plasma Lorazepam concentrations in critically ill surgical patients. Am J Crit Care 2012;21:99-105.
21. Amigoni A, Mozzo E, Brugnaro L, Gentilomo C, Stritoni V, Michelin E, et al. Assessing sedation in a pediatric intensive care unit using Comfort Behavioural Scale and Bispectral Index: these tools are different. Minerva Anestesiol 2012;78:322-29.
22. Gelinas C, Tousignant-Laflamme Y, Tanguay A, Bourgau l t P. Exploring the validity of the bispectral index, the Critical-Care Pain Observation Tool and vital signs for the detection of pain in sedated and mechanically ventilated critically ill adults: A pilot study. Intensive Crit Care Nurs 2012;27:46-52.
23. Karamchandani K, Rewari V, Trikha A, Batra RK. Bispectral index correlates well with Richmond agitation sedation scale in mechanically ventilated critically ill patients. J Anesth 2012;24:394-98.
24. Lamas A, Lopez-Herce J. Monitoring sedation in the critically ill child. Anaesthesia 2010;65:516-24.
25. Haenggi M, Ypparil a-Wolters H, Buerki S, Schlauri R, Korhonen I, Takala J, et al. 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.
26. Arbour R, Waterhouse J, Seckel MA, Bucher L. Correlation between the Sedation-Agitation Scale and the Bispectral Index in ventilated patients in the intensive care unit. Heart Lung 2009;38:336-45.
27. Olson DM, Thoyre SM, Peterson ED, Graffagnino C. A randomized evaluation of bispectral index-augmented sedation assessment in neurological patients. Neurocrit Care 2009;11:20-7.
28. Lamas A, Lopez-Herce J, Sancho L, Mencia S, Carrillo A, Jose Santiago S, et al. Responsiveness to stimuli of bispectral index, middle latency auditory evoked potentials and clinical scales in critically ill children. Anaesthesia 2008;63:1296-301.
29. Watson PL, Shintani AK, Tyson R, Pandharipande PP, Pun BT, Ely EW. Presence of electroencephalogram burst suppression in sedated, critically ill patients is associated with increased mortality. Crit Care Med 2008;36:3171-77.
30. Lu CH, Man KM, Ou-Yang HY, Chan SM, Ho ST, Wong CS, et al. Composite auditory evoked potential index versus bispectral index to estimate the level of sedation in paralyzed critically ill patients: A prospective observational study. Anesth Analg 2008;107:1290-94.
31. Haenggi M, Ypparila-Wolters H, Bieri C, Steiner C, Takala J, Korhonen I, et al. Entropy and bispectral index for assessment of sedation, analgesia and the effects of unpleasant stimuli in critically ill patients: an observational study. Crit Care 2008;12:R119.
32. Lu CH, Ou-Yang HY, Man KM, Hsiao PC, Ho ST, Wong CS, 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;36:553-59.
33. Lamas A, Lopez-Herce J, Sancho L, Mencia S, Carrillo A, Santiago MJ, et al. Assessing sedation in critically ill children by bispectral index, auditory-evoked potentials and clinical scales. Intensive Care Med 2008;34:2092-99.
34. de Wit M, Best AM, Epstein SK, Greenblatt DJ. Lorazepam concentrations, pharmacokinetics and pharmacodynamics in a cohort of mechanically ventilated ICU patients. Int J Clin Pharmocol Ther 2006;44:466-73.
35. 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;72:329-36.
36. 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;23:300-4.
37. Twite MD, Zuk J, Gralla J, Friesen RH. Correlation of the Bispectral Index Monitor with the COMFORT scale in the pediatric intensive care unit. Pediatr Crit Care Med 2005;6:648-53.
38. Riker RR, Fraser GL. Monitoring sedation, agitation, analgesia, neuromuscular blockade, and delirium in adult I CU patients. Semin Respir Crit Care 2001;22:189-98.
39. 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;33:580-84.
40. Olofsson K, Alling C, Lundberg D, Malmros C. Abolished circadian rhythm of melatonin secretion in sedated and artificially ventilated intensive care patients. Acta Anaesthesiol Scand 2004;48:679-84.
41. Tobias JD, Berkenbosch JW. Sedation during mechanical ventilation in infants and children: dexmedetomidine versus midazolam. South Med J 2004;97:451-5.
42. de Wit M, Epstein SK. Administration of sedatives and level of sedation: comparative evaluation via the Sedation-Ag i tation Scale and the Bispectral Index. Am J Crit Care 2003;12:343-8.
43. Crain N, Slonim A, Pollack MM. Assessing sedation in the pediatric intensive care unit by using BIS and the COMFORT scale. Pediatr Crit Care Med 2002;3:11-4.
44. Mondello E, Siliotti R, Noto G, Cuzzocrea E, Sciollo G, Trimarchi G, et al.Bispectral Index in ICU: correlation with Ramsay Score on assessment of sedation level. J Clin Monit Comput 2002;17:271-7.
45. Cavaliere F, Antonelli M, Arcangeli A, Conti G, Costa R, Pennisi MA, et al. A low-dose remifentanil infusion is well tolerated for sedation in mechanically ventilated, critically-ill patients. Can J Anaesth 2002;49:1088-94.
46. Frenzel D, Greim CA, Sommer C, Bauerle K, Roewer N. Is the bispectral index appropriate for monitoring the sedation level of mechanically ventilated surgical I CU patients? Intensive Care Med 2002;28:178-83.
47. Berkenbosch JW, Fichter CR, Tobias JD. The correlation of the bispectral index monitor with clinical sedation scores during mechanical ventilation in the pediatric intensive care unit. Anesth Analg 2002;94:506-11.
48. 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.
49. 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.
50. da Silva C, Alves MM, El Halal MG, dos Pinheiro SS, Carvalho PR. A comparison of gradual sedation levels using the Comfort-B scale and bispectral index in children on mechanical ventilation in the pediatric intensive care unit. Rev Bras Ter lntensiva 2013;25:306-11.
51. Vaschetto R, Cammarota G, Colombo D, Longhini F, Grossi F, Giovanniello A, et al. Effects of propofol on patient-ventilator synchrony and interaction during pressure support ventilation and neurally adjusted ventilatory assist. Crit Care Med 2014;42:74-82.
52. Mencia S, Botran M, Lopez-Herce J, del Castillo J; Grupo de Estudio de Sedoanalgesia de la SECIP. Sedative, analgesic and muscle relaxant management in Spanish paediatric intensive care units. Ann Pediatr (Barc) 2011;74:396-404.
53. Senoglu N, Oksuz H, Dogan Z, Yildiz H, Demirkiran H, Ekerbicer H. Sedation during noninvasive mechanical ventilation with dexmedetomidine or midazolam: A randomized, double-blind, prospective study Curr Ther Res Clin Exp 2010;71:141-53
54. Li XJ, Kang Y, Zhang C. A study of bispectral index monitoring in assessing the depth of sedation of patients under mechanical ventilation Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2009;21:361-3.
55. Gu Q, Liu N, Ge M, Gao W. Application of the bispectral index monitor in mechanical ventilation in patients under sedation in the intensive care unit. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2007;19:101-3.
56. Jaber S, Bahloul H, Guetin S, Chanques G, Sebbane M, Eledjam JJ. Effects of music therapy in intensive care unit without sedation in weaning patients versus nonventilated patients. Ann Fr Anesth Reanim 2007;26:30-8.
57. Ma PL, Zhao JZ, Su JW, Li Q, Wang Y. Comparison of reliability of bispectral index and sedation-agitation scale in assessing the depth of sedation in patients treated with mechanical ventilation. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 2006;18:323-6.
58. Vet NJ, Ista E, de Wildt SN, van Oijk M, Tibboel D, de Hoog M. Optimal sedation in pediatric intensive care patients: a systematic review. Intensive Care Med 2013;39:1524-34.
59. Roberts DJ, Haroon B, Hall RI. Sedation for critically ill or injured adults in the intensive care unit: a shifting paradigm. Drugs 2012;72:1881-916.
60. Cidoncha EL, Mencia S, Riano B, Urbano J, Lopez-Herce J, Carrillo A. The assessment of sedation in the critically ill child on mechanical ventilation during tracheal suction. Ann Pediatr (Barc) 2009;70:218-22.
61. Hernandez-Gancedo CI, Pestana D, Pena N, Royo C, Perez-Chrzanowska H, Criado A. Monitoring sedation in critically ill patients: bispectral index, Ramsay and observer scales. Eur J Anaesthesiol 2006;23:649-53.
62. De Jong MM, Burns SM, Campbell ML, Chulay M, Grap MJ, Pierece CN, et al. Development of the American Association of Critical-Care Nurses' sedation assessment scale for critically ill patients Am J Crit Care 2005;14:531-44
63. Long D, Horn D, Keogh S. A survey of sedation assessment and management in Australian and New Zealand paediatric intensive care patients requiring prolonged mechanical ventilation. Aust Crit Care 2005;18:152-7.
64. De Gaudio AR, Rinaldi S. Sedation in PACU: Indications, monitoring, complications. Curr Drug Targets 2005;6:729-40.
65. Roustan JP, Valette S, Aubas P, Rondouin G, Capdevila X. Can electroencephalographic analysis be used to determine sedation levels in critically ill patients? Anesth Analg 2005;101:1141-51.
66. 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;32:2403-6.
67. Liu LL, Gropper MA. Postoperative analgesia and sedation in the adult intensive care unit: a guide to drug selection. Drug 2003;63:755-67.
68. 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;166:1338-44.
69. Dewlin JW, Fraser GL, Kanji S, Riker SS. Sedation assessment in critically ill adults. Ann Pharmocother 2001;35:1624-32.
70. Campbell ML, Bizek KS, Thill M. Patient responses during rapid terminal weaning from mechanical ventilation-A prospective study. Crit Care Med 1999;27:73-7.
71. Adesanya AO, Rosero E, Wyrick C, Wall MH, Joshi GP. Assessing the predictive value of the bispectral index versus patient state index on clinical assessment of sedation in postoperative cardiac surgery patients. J Crit Care 2009;24:322-8.
72. Mahmood S, Parchani A, El-Menyar A, Zarour A, Al-Thani H, Latifi R. Utility of Bispectral index in the management opf multiple trauma patients. Surg Neurol Int 2014;5:141-52.
73. Barr J, Fraser GL, Puntillo K, Ely EW, Gelinas C, Dasta JF, et al. Clinical practice guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit. Crit Care Med 2013;41:263-306.