tailieunhanh - Báo cáo y học: "Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study. | Available online http content 9 1 R9 Re search Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients a prospective study Andreas E Triltsch1 Grit Nestmann1 Helmut Orawa1 Maryam Moshirzadeh1 Michael Sander1 Joachim GroBe1 Arka Genahr1 Wolfgang Konertz2 and Claudia D Spies3 Open Access Department of Anesthesiology and Intensive Care Medicine Campus Benjamin Franklin Charité University Hospital Berlin Berlin Germany 2Professor of Cardiac Surgery Department of Pediatrics Campus Benjamin Franklin Charité University Hospital Berlin Berlin Germany 3Professor of Anesthesiology Department of Medical Statistics and Clinical Epidemiology Campus Benjamin Franklin Charité University Hospital Berlin Berlin Germany Corresponding author Claudia D Spies Received 22 April 2004 Revisions requested 28 May 2004 Revisions received 15 September 2004 Accepted 21 September 2004 Published 10 November 2004 Critical Care 2005 9 R9-R17 DOI cc2977 This article is online at http content 9 1 R9 2004 Triltsch et al. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is cited. Abstract Introduction Most clinicians give sedatives and analgesics according to their professional experience and the patient s estimated need for sedation. However this approach is prone to error. Inadequate monitoring of sedation and analgesia may contribute to adverse outcomes and complications. With this in mind data obtained continuously using nonstimulating methods such as bispectral index BIS may have benefits in comparison with clinical monitoring of sedation. The aim of this prospective observational trial was to evaluate the use of electroencephalographic EEG BIS for monitoring