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SEDATION  SMART 2002 Milan, May 29-31, 2002 Freefree

Minerva Anestesiologica 2002 April;68(4):248-51

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

How useful is the bispectral index in the management of ICU patients?

Ball J.

From the Lecturer in Intensive Care Medicine St George’s Hospital Medical School, London, UK


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If you ­want to objec­tive­ly quan­ti­fy the lev­el of seda­tion the intui­tive solu­tion ­must be to mon­i­tor the ­brain direct­ly. How­ev­er, due to the com­plex­ity of ­this ­organ, and our lim­it­ed under­stand­ing of con­scious­ness, ­this ­remains a daunt­ing chal­lenge. For ­many ­years, research­ers ­have inves­ti­gat­ed the electri­cal activ­ity of the ­brain and its rela­tion­ship ­with con­scious lev­el. ­Over the ­last few ­years, a ­derived var­i­able ­from the EEG, the Bispec­tral ­Index (BIS), has ­been devel­oped, ­which ­appears to cor­re­late ­quite ­well ­with the lev­el of phar­mac­o­log­i­cal seda­tion.

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