Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption. Crit Care Nurs Clin North Am 2005 Sep;17(3):257-67
Date
08/24/2005Pubmed ID
16115534DOI
10.1016/j.ccell.2005.04.008Scopus ID
2-s2.0-23944450110 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
The sedation-assessment conundrum is defined by two diametrically opposed goals: to maintain an appropriate level of sedation, and to obtain a comprehensive neurologic examination that most accurately reflects the patient's neurologic status. A case presentation leads to a discussion of over-sedation and under-sedation issues that impact the care of critically ill patients. This information is useful in understanding the many methods of assessing sedation and interpreting individualized patient responses to sedation. The use of bi-spectral index monitoring and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum.
Author List
Olson DM, Graffagnino C, King K, Lynch JRMESH terms used to index this publication - Major topics in bold
Conscious SedationCritical Care
Drug Monitoring
Electroencephalography
Goals
Humans
Intracranial Hemorrhages
Male
Middle Aged
Neurologic Examination
Nurse's Role
Nursing Assessment
Patient Care Planning
Postoperative Care
Respiration, Artificial
Time Factors
