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

DaiWai M. Olson, Dennis J. Cheek, Joel C. Morgenlander

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)63-73
Number of pages11
JournalAACN clinical issues
Volume15
Issue number1
StatePublished - Jan 2004

Fingerprint

Propofol
Consciousness Monitors
Operating Rooms
Critical Care
Patient Safety
Quality Improvement
Anesthesia
Incidence

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Care Planning
  • Leadership and Management

Cite this

The impact of bispectral index monitoring on rates of propofol administration. / Olson, DaiWai M.; Cheek, Dennis J.; Morgenlander, Joel C.

In: AACN clinical issues, Vol. 15, No. 1, 01.2004, p. 63-73.

Research output: Contribution to journalArticle

Olson, DaiWai M. ; Cheek, Dennis J. ; Morgenlander, Joel C. / The impact of bispectral index monitoring on rates of propofol administration. In: AACN clinical issues. 2004 ; Vol. 15, No. 1. pp. 63-73.
@article{07dfe7b7350f41289b988d2c57a1972a,
title = "The impact of bispectral index monitoring on rates of propofol administration.",
abstract = "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.",
author = "Olson, {DaiWai M.} and Cheek, {Dennis J.} and Morgenlander, {Joel C.}",
year = "2004",
month = "1",
language = "English (US)",
volume = "15",
pages = "63--73",
journal = "AACN Advanced Critical Care",
issn = "1559-7768",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - The impact of bispectral index monitoring on rates of propofol administration.

AU - Olson, DaiWai M.

AU - Cheek, Dennis J.

AU - Morgenlander, Joel C.

PY - 2004/1

Y1 - 2004/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=1842611822&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1842611822&partnerID=8YFLogxK

M3 - Article

VL - 15

SP - 63

EP - 73

JO - AACN Advanced Critical Care

JF - AACN Advanced Critical Care

SN - 1559-7768

IS - 1

ER -