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

Publication ,  Journal Article
Olson, DM; Graffagnino, C; King, K; Lynch, JR
Published in: Crit Care Nurs Clin North Am
September 2005

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.

Duke Scholars

Published In

Crit Care Nurs Clin North Am

DOI

ISSN

0899-5885

Publication Date

September 2005

Volume

17

Issue

3

Start / End Page

257 / 267

Location

United States

Related Subject Headings

  • Time Factors
  • Respiration, Artificial
  • Postoperative Care
  • Patient Care Planning
  • Nursing Assessment
  • Nursing
  • Nurse's Role
  • Neurologic Examination
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Olson, D. M., Graffagnino, C., King, K., & Lynch, J. R. (2005). Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption. Crit Care Nurs Clin North Am, 17(3), 257–267. https://doi.org/10.1016/j.ccell.2005.04.008
Olson, Daiwai M., Carmelo Graffagnino, Kenneth King, and John R. Lynch. “Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption.Crit Care Nurs Clin North Am 17, no. 3 (September 2005): 257–67. https://doi.org/10.1016/j.ccell.2005.04.008.
Olson DM, Graffagnino C, King K, Lynch JR. Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption. Crit Care Nurs Clin North Am. 2005 Sep;17(3):257–67.
Olson, Daiwai M., et al. “Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption.Crit Care Nurs Clin North Am, vol. 17, no. 3, Sept. 2005, pp. 257–67. Pubmed, doi:10.1016/j.ccell.2005.04.008.
Olson DM, Graffagnino C, King K, Lynch JR. Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption. Crit Care Nurs Clin North Am. 2005 Sep;17(3):257–267.
Journal cover image

Published In

Crit Care Nurs Clin North Am

DOI

ISSN

0899-5885

Publication Date

September 2005

Volume

17

Issue

3

Start / End Page

257 / 267

Location

United States

Related Subject Headings

  • Time Factors
  • Respiration, Artificial
  • Postoperative Care
  • Patient Care Planning
  • Nursing Assessment
  • Nursing
  • Nurse's Role
  • Neurologic Examination
  • Middle Aged
  • Male