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The authors found that the use of "light" sedation (BIS of 80) decreased the prevalence of postoperative delirium by 50% compared with the "deep" sedation group (BIS less than or equal to 50).
Measures of sedation, BIS, deltaBIS (absolute change of BIS after a painful stimulus), memory, and drug concentration were obtained at each target drug concentration.
Despite the fact that sevoflurane-remifentanil interactions were strongly synergistic for clinical sedation, BIS and AAI were minimally affected by the addition of remifentanil to sevoflurane anesthetics.
In the presence of deep sedation, BIS correlated satisfactorily with COMFORT score results if low EEG impedances were guaranteed.
In the case of deep sedation, BIS correlated satisfactory with the COMFORT score results if low EEG impedances were guaranteed.
In differentiating adequate from excessive sedation, BIS values below 50 had a sensitivity of 0.67 0.75 and a positive predictive value of 0.07 0.52.
Similar(52)
Toward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption.
The use of bi-spectral index monitoring and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum.
Although Bi-spectral index may not be accepted by some authors [ 11] as a monitor for depth of anesthesia superior to other methods yet BIS is the most accepted monitor of depth of sedation and anaesthesia in pediatric [ 12– 17].
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