PMID: 16634425Apr 26, 2006Paper

Monitoring consciousness in intensive care medicine

Best Practice & Research. Clinical Anaesthesiology
Peter H TonnerJens Scholz

Abstract

Sedation and analgesia are important components of care for critically ill patients. Avoiding over-as well as undersedation is of utmost importance as both states carry considerable risks and may influence outcome. The management of sedation has changed dramatically over the past two decades from providing a dosage level by which the patient was kept in a deep stage of anaesthesia to a current dosing strategy allowing the administration of drugs in line with individual need, resulting in most cases in a slightly sedated, cooperative patient. The importance of monitoring the level of sedation and analgesia has only recently been realised. Most importantly, regularly determining the appropriate level of sedation and analgesia as well as monitoring the desired level of sedation will help to minimise the adverse effects of sedation. Clinical sedation scales are, however, subjective, and most lack proper validation. Thus, an objective measure of sedation, such as the use of processed electroencephalogram (EEG) parameters is desirable. Processed EEG algorithms such as the bispectral index were initially introduced into clinical practice as a tool to assess the depth of anaesthesia objectively in the operating room. However, patients ...Continue Reading

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Citations

Mar 13, 2008·Current Treatment Options in Neurology·Mark T Keegan
Apr 22, 2008·Critical Care : the Official Journal of the Critical Care Forum·Richard S BourneCosetta Minelli
Nov 6, 2007·AACN Advanced Critical Care·Daiwai M OlsonDavid B Auyong
Apr 18, 2013·Critical Care Medicine·Steven B Greenberg, Jeffery Vender
May 26, 2016·Journal of Pain and Symptom Management·Anniek D MasmanDick Tibboel
May 28, 2013·Emergency Medicine Journal : EMJ·François-Xavier DuchateauJean Mantz
Oct 16, 2014·Surgical Neurology International·Saeed MahmoodRifat Latifi
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May 1, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Edith Monreal-CarrilloEmma Verástegui

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