TY - JOUR
T1 - Toward Solving the Sedation-Assessment Conundrum
T2 - Neurofunction Monitoring
AU - Olson, Dai Wai M
AU - Phillips, Kyloni
AU - Graffagnino, Carmelo
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/6/1
Y1 - 2016/6/1
N2 - The sedation-assessment conundrum is the struggle to balance the need for sedation against the need to awaken the patient and perform a neurologic examination. This article discusses the nuances of the sedation-assessment conundrum as well as approaches to resolve this and reduce the negative impact of abruptly stopping sedative infusions. Both oversedation and undersedation affect critically ill patients. This article discusses methods of assessing sedation and interpreting individualized patient responses to sedation. The use of neurofunction monitors and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum.
AB - The sedation-assessment conundrum is the struggle to balance the need for sedation against the need to awaken the patient and perform a neurologic examination. This article discusses the nuances of the sedation-assessment conundrum as well as approaches to resolve this and reduce the negative impact of abruptly stopping sedative infusions. Both oversedation and undersedation affect critically ill patients. This article discusses methods of assessing sedation and interpreting individualized patient responses to sedation. The use of neurofunction monitors and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum.
KW - Cerebral function monitoring
KW - Neurocritical care nursing
KW - Neurofunction monitoring
KW - Sedation assessment
UR - http://www.scopus.com/inward/record.url?scp=84959295512&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959295512&partnerID=8YFLogxK
U2 - 10.1016/j.cnc.2016.02.007
DO - 10.1016/j.cnc.2016.02.007
M3 - Review article
C2 - 27215358
AN - SCOPUS:84959295512
SN - 0899-5885
VL - 28
SP - 205
EP - 216
JO - Critical Care Nursing Clinics of North America
JF - Critical Care Nursing Clinics of North America
IS - 2
ER -