REFERENCES RESULTS: Average number of patients evaluated was 27. Using key words “BIS”, “Monitoring”,“ICU” A total 37 English language articles were available on human subjects from 1998 till present. Case series, letters, editorials, and clinical studies that evaluated BIS in ICU patients were considered for inclusion. This technology is finding its way into the ICU to provide a means of assessing the adequacy of sedation and preventing oversedation of critically ill patients. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. 2018 Feb 21;2(2):CD011240. Data synthesis: Bispectral index (BIS) monitoring, an objective measure of the patient's response to sedation, has been used in anesthesia for over a decade. HHS  |  Posted Jun 20, 2015. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University.. This system al-lowed for easier, more prompt extubation and a de-creased stay in the ICU. A useful application of BIS in ICU is monitoring for seizures that might be subclinical or unrecognised in patients receiving NMB 68. The BIS is an electroencephalogram-derived multivariant scale that, when a drug such a propofol is used, correlates with the metabolic rate of glucose. Published by Elsevier Inc. All rights reserved. • REFERENCES 1. BIS monitoring, however, has been shown to be less reliable in anesthetics involving higher-dose opioids and is insensitive to several commonly used anesthetic agents such as ketamine and nitrous oxide. doi: 10.3205/000223. Implementation of BIS™ technology is often associated with OR clinicians monitoring brain function during sedation. BIS™ Extend Sensor is made specifically for use in the ICU. This does not replace Train Of Four (TOF) monitoring. Copyright © 2021 Elsevier Inc. except certain content provided by third parties. Some controlled studies have found that using the BIS reduced the incidence of memory but this was not confirmed in several very large multicenter studies on awareness. To assess the effects of BIS monitoring compared with clinical sedation assessment on ICU length of stay (LOS), duration of mechanical ventilation, any cause mortality, risk of ventilator-associated pneumonia (VAP), risk of adverse events (e.g. Data Sources: A computer search of English-language articles in MEDLINE (1966–July 2005), International Pharmaceutical Abstracts (1971–July 2005), and Scientific Citation Index Expanded (1980–July 2005) was conducted. USE THIS SLIDE FOR BIS A-2000 OR FOR BIS WITH PATIENT MONITORING SYSTEMS OTHER THAN GE OR PHILIPS (Hide the Philips and GE slides) As you can see, the BIS technology is available as a stand-alone monitor or in modular format integrated into leading patient monitoring systems. Data synthesis: Nineteen studies comparing the BIS with sedation scales were evaluated, revealing that the BIS trends lower with increasing sedation. Sedation will not be discontinued on any patient with neuromuscular blockade based solely on BIS monitor readings. To review and critique evidence for the use of the bispectral index (BIS) in intensive care unit (ICU) patients. BIS index is a practical processed EEG parameter that measures the direct effects of sedatives on brain. Nevertheless, one of the potential uses of BIS monitoring in the ICU should be to detect oversedation. BIS manufacturer Aspect Medical Systems says the technology has been used to assess more than five million patients and has been the subject of … He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Hello. Outcomes data are lacking. The bispectral index monitor is connected to a sensor which is placed on the forehead of the patient. Used mainly in paralyzed patients who can’t communicate and hence, can’t use RASS scale. Bispectral Index (BIS) Monitoring Standard of Practice - ICU. Revision 2015 (DAS-Guideline 2015) - short version. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. To monitor a patient, you will need a monitor or a module and a sensor. The bispectral index is a statistically based, empirically derived complex parameter. Clipboard, Search History, and several other advanced features are temporarily unavailable. I have a question. Crit Care. We use cookies to help provide and enhance our service and tailor content and ads. The BIS appeared to correlate better when sedation scores were grouped rather than individual values. 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