The impact of bispectral index monitoring on rates of propofol administration.

Published

Journal Article

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. 1-6 Sedation 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.

Full Text

Duke Authors

Cited Authors

  • Olson, DM; Cheek, DJ; Morgenlander, JC

Published Date

  • January 2004

Published In

Volume / Issue

  • 15 / 1

Start / End Page

  • 63 - 73

PubMed ID

  • 14767365

Pubmed Central ID

  • 14767365

International Standard Serial Number (ISSN)

  • 1079-0713

Language

  • eng

Conference Location

  • United States