Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care
Although not considered standard of care, depth of anes-thesia monitors are frequently used in adults to ensure an appropriate level of anesthesia and potentially limit the incidence of intraoperative awareness. Although, there are several depth of anesthesia monitors available, the one that has see...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Pediatric Anesthesia and Critical Care Journal
2021-07-01
|
| Series: | Pediatric Anesthesia and Critical Care Journal (PACCJ) |
| Subjects: | |
| Online Access: | http://www.anestesiarianimazione.com/PACCJ%202021/Use%20of%20the%20bispectral%20index%20in%20an%20adolescent%20to%20assess%20depth%20of%20sedation%20during%20palliative%20care.pdf |
| _version_ | 1798045397429518336 |
|---|---|
| author | R. Munch J. D. Tobias |
| author_facet | R. Munch J. D. Tobias |
| author_sort | R. Munch |
| collection | DOAJ |
| description | Although not considered standard of care, depth of anes-thesia monitors are frequently used in adults to ensure an appropriate level of anesthesia and potentially limit the incidence of intraoperative awareness. Although, there are several depth of anesthesia monitors available, the one that has seen the greatest use both in and out of the operating room is the bispectral index (BIS) monitor. The BIS monitor is a quantitative electroencephalogram device that provides a numerical value to quantify the depth of anesthesia. To date, its applications outside of the operating room (OR) setting remain limited. We present a 16-year-old patient in whom the BIS monitor was used to monitor sedation during the use of neuromuscular block- ing agents in the Pediatric ICU during end-of-life care.
The general principles of the BIS monitor are presented, its use in the OR reviewed, and its potential role outside of the OR including the palliative care setting discussed. |
| first_indexed | 2024-04-11T23:20:13Z |
| format | Article |
| id | doaj.art-a8ec0611bc6841c299a063e673315c5f |
| institution | Directory Open Access Journal |
| issn | 2281-8421 |
| language | English |
| last_indexed | 2024-04-11T23:20:13Z |
| publishDate | 2021-07-01 |
| publisher | Pediatric Anesthesia and Critical Care Journal |
| record_format | Article |
| series | Pediatric Anesthesia and Critical Care Journal (PACCJ) |
| spelling | doaj.art-a8ec0611bc6841c299a063e673315c5f2022-12-22T03:57:29ZengPediatric Anesthesia and Critical Care JournalPediatric Anesthesia and Critical Care Journal (PACCJ)2281-84212021-07-0192757910.14587/paccj.2021.13Use of the bispectral index in an adolescent to assess depth of se- dation during palliative careR. Munch0J. D. Tobias1Ohio University Heritage College of Osteopathic Medicine - Dublin Campus, Dublin, Ohio, USADepartment of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital and the Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USAAlthough not considered standard of care, depth of anes-thesia monitors are frequently used in adults to ensure an appropriate level of anesthesia and potentially limit the incidence of intraoperative awareness. Although, there are several depth of anesthesia monitors available, the one that has seen the greatest use both in and out of the operating room is the bispectral index (BIS) monitor. The BIS monitor is a quantitative electroencephalogram device that provides a numerical value to quantify the depth of anesthesia. To date, its applications outside of the operating room (OR) setting remain limited. We present a 16-year-old patient in whom the BIS monitor was used to monitor sedation during the use of neuromuscular block- ing agents in the Pediatric ICU during end-of-life care. The general principles of the BIS monitor are presented, its use in the OR reviewed, and its potential role outside of the OR including the palliative care setting discussed.http://www.anestesiarianimazione.com/PACCJ%202021/Use%20of%20the%20bispectral%20index%20in%20an%20adolescent%20to%20assess%20depth%20of%20sedation%20during%20palliative%20care.pdfdepth of anesthesia; bispectral index; end-of-life care |
| spellingShingle | R. Munch J. D. Tobias Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care Pediatric Anesthesia and Critical Care Journal (PACCJ) depth of anesthesia; bispectral index; end-of-life care |
| title | Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care |
| title_full | Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care |
| title_fullStr | Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care |
| title_full_unstemmed | Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care |
| title_short | Use of the bispectral index in an adolescent to assess depth of se- dation during palliative care |
| title_sort | use of the bispectral index in an adolescent to assess depth of se dation during palliative care |
| topic | depth of anesthesia; bispectral index; end-of-life care |
| url | http://www.anestesiarianimazione.com/PACCJ%202021/Use%20of%20the%20bispectral%20index%20in%20an%20adolescent%20to%20assess%20depth%20of%20sedation%20during%20palliative%20care.pdf |
| work_keys_str_mv | AT rmunch useofthebispectralindexinanadolescenttoassessdepthofsedationduringpalliativecare AT jdtobias useofthebispectralindexinanadolescenttoassessdepthofsedationduringpalliativecare |