Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption.

Journal Article (Journal Article;Review)

The sedation-assessment conundrum is defined by two diametrically opposed goals: to maintain an appropriate level of sedation, and to obtain a comprehensive neurologic examination that most accurately reflects the patient's neurologic status. A case presentation leads to a discussion of over-sedation and under-sedation issues that impact the care of critically ill patients. This information is useful in understanding the many methods of assessing sedation and interpreting individualized patient responses to sedation. The use of bi-spectral index monitoring and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum.

Full Text

Duke Authors

Cited Authors

  • Olson, DM; Graffagnino, C; King, K; Lynch, JR

Published Date

  • September 2005

Published In

Volume / Issue

  • 17 / 3

Start / End Page

  • 257 - 267

PubMed ID

  • 16115534

International Standard Serial Number (ISSN)

  • 0899-5885

Digital Object Identifier (DOI)

  • 10.1016/j.ccell.2005.04.008


  • eng

Conference Location

  • United States