Perioperative use of bispectral (BIS) monitor for a pressure ulcer patient with locked-in syndrome (LIS).
Perioperative use of bispectral (BIS) monitor for a pressure ulcer patient with locked-in syndrome (LIS).
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DOI：
10.1111/iwj.12001
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发表时间：
2014-10
影响因子：
3.1
通讯作者：
O'Neill DK
中科院分区：
文献类型：
--
作者：
Yoo C;Ayello EA;Robins B;Salamanca VR;Bloom MJ;Linton P;Brem H;O'Neill DK
脑电双频（BIS）监测仪使用脑脑电图数据来测量麻醉过程中的镇静深度和药理学反应。在这种情况下，BIS监测仪用于另一个目的，即在术后向护理人员证明，接受压疮清创术的有闭锁综合征（LIS）病史的患者有清醒和明显感觉的时期，即使他闭上眼睛。此外，由于LIS患者尽管无法移动，但仍会感到疼痛，因此应提供局部阻滞或全身麻醉以进行尖锐的外科清创术和其他疼痛手术。BIS的使用表明，作为一般规则，即使患者没有睁开眼睛或移动四肢，工作人员也应该像对待清醒和有感觉的患者一样对待他。我们的目标是持续监测疼痛水平，并将这些发现传达给整个伤口团队，即麻醉师，外科医生和护士。
The bispectral (BIS) monitor uses brain electroencephalographic data to measure depth of sedation and pharmacological response during anesthetic procedures. In this case, the BIS monitor was used for another purpose, to demonstrate postoperatively to the nursing staff that a patient with history of locked-in syndrome (LIS), who underwent pressure ulcer debridement, had periods of wakefulness and apparent sensation, even with his eyes closed. Furthermore, as patients with LIS can feel pain, despite being unable to move, local block or general anesthesia should be provided for sharp surgical debridement and other painful procedures. This use of the BIS has shown that as a general rule, the staff should treat the patient as though he might be awake and sensate even if he does not open his eyes or move his limbs. Our goal was to continuously monitor pain level and communicate these findings to the entire wound team, ie anesthesiologists, surgeons, and nurses.
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影响因子：
3
作者：
Brem, Harold;Lyder, Courtney
通讯作者：
Lyder, Courtney
影响因子：
2.4
作者：
Sibbald, R. Gary;Goodman, Laurie;Salcido, Richard (Sal)
通讯作者：
Salcido, Richard (Sal)
影响因子：
9.9
作者：
NORDGREN, RE;MARKESBERY, WR;REEVES, AG
通讯作者：
REEVES, AG
影响因子：
9.8
作者：
von Dincklage, F.;Send, K.;Baars, J. H.
通讯作者：
Baars, J. H.
影响因子：
6
作者：
BAUER, G;GERSTENBRAND, F;RUMPL, E
通讯作者：
RUMPL, E