The impact of bispectral index monitoring on rates of propofol administration

• Published in: AACN clinical issues Vol. 15; no. 1; p. 63
• Main Authors: Olson, DaiWai M, Cheek, Dennis J, Morgenlander, Joel C
• Format: Journal Article
• Language: English
• Published: United States 01.01.2004
• Subjects: Adult; Clinical Nursing Research; Conscious Sedation - adverse effects; Conscious Sedation - methods; Conscious Sedation - nursing; Critical Care - methods; Critical Care - standards; Drug Administration Schedule; Drug Monitoring - methods; Drug Monitoring - nursing; Electroencephalography - methods; Electroencephalography - nursing; Electroencephalography - standards; Electromyography - methods; Electromyography - nursing; Electromyography - standards; Follow-Up Studies; Glasgow Coma Scale; Humans; Hypnotics and Sedatives - administration & dosage; Nursing Assessment - methods; Nursing Assessment - standards; Propofol - administration & dosage; Safety Management - methods; Signal Processing, Computer-Assisted; Time Factors; Total Quality Management - organization & administration; Treatment Outcome
• ISSN: 1079-0713
• DOI: 10.1097/00044067-200401000-00005

The purpose of this article is to examine the efficacy of Bispectral Index (BIS) monitoring as a tool for adjusting the amount of propofol patients receive to maintain a safe and adequate level of sedation in a neurocritical care setting. The BIS monitor is utilized as an adjunct for anesthesia monitoring in the operating room setting and is currently being investigated as a tool for objective sedation monitoring in the critical care setting. 1-6 Sedation is discussed in terms of patient safety and comfort. A secondary data analysis was used to test the hypothesis that BIS monitoring provides a more objective form of sedation assessment that will lead to a decrease in overall rates of propofol administration and fewer incidences of oversedation. Data were abstracted from a quality improvement study of propofol use adjusted to BIS values in patients whose sedation levels were previously adjusted to a goal Ramsay score. The results suggest that there are potential benefits to incorporating BIS into routine sedation assessment in the neurocritical care setting.