tailieunhanh - Báo cáo y học: "The use of bispectral index monitors in paediatric intensive care'

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: The use of bispectral index monitors in paediatric intensive care. | Available online http content 9 1 25 Commentary The use of bispectral index monitors in paediatric intensive care Stephen D Playfor Consultant Paediatric Intensivist Honorary Clinical Lecturer in Paediatric Intensive Care Medicine Paediatric Intensive Care Unit Royal Manchester Children s Hospital Manchester UK Corresponding author Stephen D Playfor Published online 17 November 2004 This article is online at http content 9 1 25 2004 BioMed Central Ltd See Research by Triltsch et al. page 119 Critical Care 2005 9 25-26 DOI cc3001 Abstract The bispectral index BIS is a processed neurophysiological electroencephalographic parameter that may be used to evaluate the depth of sedation in critically ill children. Triltsch and colleagues attempted to correlate BIS scores with a commonly used clinical sedation scoring system. They were able to demonstrate good correlation during deep sedation and in cases where the electrical impedance of the BIS electrodes was lowest. Studies have shown only moderate degrees of correlation between BIS scores and clinical sedation scoring systems. There is currently insufficient evidence to recommend routine monitoring of BIS scores in critically ill children. Keywords bispectral index neurophysiological paediatric intensive care unit sedation Introduction In this issue of Critical Care Triltsch and colleagues 1 report on the use of the bispectral index BIS as a monitor of sedation in the paediatric intensive care unit PICU . They attempted to correlate BIS scores with the COMFORT score -a commonly used clinical sedation scoring system. The authors were able to demonstrate good correlation between BIS scores and COMFORT scores during deep sedation and in cases where the electrical impedance of the BIS electrodes was lowest. The stated aim was to determine whether BIS is a useful tool for assessing the level of sedation in critically ill children. In their study analysis of the BIS