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 Scopus citations

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
DOIs
StatePublished - 2004

ASJC Scopus subject areas

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

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