Application of bispectral index during sedation in the patients in ICU
- VernacularTitle:脑电双频谱指数在ICU镇静剂使用中的监测作用
- Author:
Qing SONG
;
Fei-hu ZHOU
;
Liang PAN
;
Xiuying WANG
- Publication Type:Journal Article
- Keywords:
bispectral index, propofol, midazolam, sedation, intensive care unit(ICU)
- From:
Chinese Journal of Rehabilitation Theory and Practice
2006;12(1):66-67
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the value of bispectral index(BIS) monitoring during sedation in the ICU.Methods60 patients in ICU were randomly divided into three groups. By transfusing propofol and midazolam with injecting pump, the BIS of groups Ⅰ,Ⅱ and Ⅲ were controlled within 75~85, 65~75 and 55~65, respectively. ResultsCompared with the pre-sedation, there was no remarkable change in the patients of groups Ⅰ and Ⅱ after sedation(P>0.05)while there was remarkable change in the patients of group Ⅲ(P<0.05).The average score of Ramsay in groups Ⅰ, Ⅱ and Ⅲ were 2.2, 3.4 and 4.6 while the dose of propofol were (9.54±2.43) μg/kg·min, (12.69±3.12) μg/kg·min, (14.18±2.91) μg/kg·min and the dose of midazolam were (0.23±0.09) μg/kg·min, (0.25±0.07) μg/kg·min, (0.28±0.11) μg/kg·min, respectively.ConclusionThe application of BIS can make good judgement in the sedation, which showed different choices to different needs to obtain optimistical sedation effect.