The impact of bispectral index monitoring on rates of propofol administration.
The impact of bispectral index monitoring on rates of propofol administration.
复制标题
脑电双频指数监测对异丙酚给药率的影响。
DOI：
10.1097/00044067-200401000-00005
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Morgenlander,JoelC
中科院分区：
文献类型：
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作者：
Olson,DaiWaiM;Cheek,DennisJ;Morgenlander,JoelC
本文的目的是研究双谱指数（BIS）监测作为一种工具的有效性，用于调整异丙酚患者接受的剂量，以维持神经危重症护理环境中安全和足够的镇静水平。BIS监护仪在手术室中用作麻醉监测的辅助设备，目前正在研究作为危重监护环境中客观镇静监测的工具。1-6从患者安全和舒适的角度讨论镇静。二级数据分析用于验证BIS监测提供了一种更客观的镇静评估形式的假设，这将导致异丙酚给药总体率的降低和过度镇静的发生率的减少。数据提取自一项质量改进研究，该研究对镇静水平先前调整为目标Ramsay评分的患者调整为BIS值的异丙酚使用情况进行了研究。结果表明，在神经危重症护理环境中，将BIS纳入常规镇静评估有潜在的益处。
The purpose of this article is to examine the efficacy of Bispectral Index (BIS) monitoring as a tool for adjusting the amount of propofol patients receive to maintain a safe and adequate level of sedation in a neurocritical care setting. The BIS monitor is utilized as an adjunct for anesthesia monitoring in the operating room setting and is currently being investigated as a tool for objective sedation monitoring in the critical care setting.1-6Sedation is discussed in terms of patient safety and comfort. A secondary data analysis was used to test the hypothesis that BIS monitoring provides a more objective form of sedation assessment that will lead to a decrease in overall rates of propofol administration and fewer incidences of oversedation. Data were abstracted from a quality improvement study of propofol use adjusted to BIS values in patients whose sedation levels were previously adjusted to a goal Ramsay score. The results suggest that there are potential benefits to incorporating BIS into routine sedation assessment in the neurocritical care setting.