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
Language
- eng
Conference Location
- United States