The use of bispectral index monitoring in education - a tool to improve nurse-anaesthetists practice

Journal of Advanced Nursing
Jakob I Vedtofte, Lars S Rasmussen

Abstract

This paper is a report of a study to investigate whether monitoring depth of anaesthesia by bispectral index would reduce recovery time and consumption of anaesthetic drugs in anaesthetics performed by student nurse-anaesthetists. It is difficult to assess the depth of anaesthesia clinically. Studies have shown that experienced anaesthetists can titrate anaesthetics more accurately when using bispectral index monitors. It is not known if student nurse-anaesthetists can benefit from their use in a similar way. A multicentre study involving four hospitals was carried out during a 13-month period in 2003 and 2004. In total 25 nurses participated, each contributing with two procedures: one with monitoring and one without. The nurses had at least 10 months of experience in conducting anaesthesia and all had a theoretical introduction and a test session to become familiar with the equipment. The sequence was randomized and the observer was blinded to whether a monitor was used. Fifty patients were anaesthetized with propofol and fentanyl. Recovery time, consumption of anaesthetic drugs, and patient satisfaction were measured in both groups. Recovery time was 11 minutes in the monitor group (range: 2-53 minutes) and 15 minutes in the ...Continue Reading

References

Jul 1, 1989·British Journal of Anaesthesia·C ThorntonJ G Jones
Apr 12, 2000·European Journal of Anaesthesiology·M T Chan, T Gin
Feb 24, 2001·Acta Anaesthesiologica Scandinavica·B GuignardM Chauvin
Sep 28, 2001·British Journal of Anaesthesia·E LovemanD C Smith
Oct 31, 2001·Anesthesiology·E MahlaH Metzler
Jan 10, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jean WongFrances Chung
Mar 13, 2003·Acta Anaesthesiologica Scandinavica·M LuginbühlT W Schnider
Jun 7, 2003·European Journal of Anaesthesiology·H BaşarA Apan

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Citations

Jun 18, 2014·The Cochrane Database of Systematic Reviews·Yodying PunjasawadwongNutchanart Bunchungmongkol

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