Assessing sedation in critically ill children by bispectral index, auditory-evoked potentials and clinical scales

Lamas, Adelaida; López‐Herce, Jesús; Sancho, Luís; Mencía, Santiago; Carrillo, Ángel; Santiago, María José; Martı́nez, Vicente

doi:10.1007/s00134-008-1198-1

Cited by 30 publications

(56 citation statements)

References 38 publications

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“…Fourteen articles evaluating DoAM in the PIC population were identified and included for review (Aneja et al 2003;Berkenbosch et al 2002;Courtman et al 2003;Crain et al 2002;Froom et al 2008;Lamas et al 2008a;Lamas et al 2008b;Lamas et al 2009a;Lamas et al 2009b;Prins et al 2007;Tobias and Grindstaff 2005;Triltsch et al 2005;Trope et al 2005;Twite et al 2005). Most studies were prospective, and observational studies, apart from Trope and collegues (2005), who undertook a retrospective chart review.…”

Section: Study Descriptionsmentioning

confidence: 99%

“…Key features of the reviewed studies are summarised in Table 2. (Lamas et al 2008a;Lamas et al 2008b;Lamas et al 2009a;Lamas et al 2009b). Four different sedation scoring systems were used.…”

Section: Study Descriptionsmentioning

confidence: 99%

“…Four different sedation scoring systems were used. Eight studies investigated COMFORT (Courtman et al 2003;Crain et al 2002;Froom et al 2008;Lamas et al 2008a;Lamas et al 2009b;Triltsch et al 2005;Twite et al 2005). Five studies investigated RSS (Aneja et al 2003;Berkenbosch et al 2002;Lamas et al 2008a;Lamas et al 2008b;Lamas et al 2009b).…”

Section: Study Descriptionsmentioning

confidence: 99%

“…Physiological parameters of heart rate and blood pressure were also included in four studies (Lamas et al 2008a;Lamas et al 2008b;Lamas et al 2009b;Trope et al 2005). In addition, DoAMs were assessed in a variety of clinical situations.…”

Section: Study Descriptionsmentioning

confidence: 99%

“…In addition, DoAMs were assessed in a variety of clinical situations. Studies examined the applicability of DoAMs during the care of sedated PIC patients without NMB (Berkenbosch et al 2002;Crain et al 2002;Triltsch et al 2005;Twite et al 2005) and with NMB (Aneja et al 2003;Lamas et al 2008a;Tobias and Grindstaff 2005;Trope et al 2005). Other studies compared postoperative cardiac and non cardiac patients (Lamas et al 2009b), patients receiving a variety of stimuli (Lamas et al 2008b), peri-physiotherapy (Froom et al 2008), peri-endotracheal suction (Courtman et al 2003) and children during barbiturate coma (Prins et al 2007).…”

Section: Study Descriptionsmentioning

confidence: 99%

See 4 more Smart Citations

A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment

McKeever

Johnston

Davidson

2012

Intensive and Critical Care Nursing

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Section: Study Descriptionsmentioning

confidence: 99%

Section: Study Descriptionsmentioning

confidence: 99%

Section: Study Descriptionsmentioning

confidence: 99%

Section: Study Descriptionsmentioning

confidence: 99%

Section: Study Descriptionsmentioning

confidence: 99%

See 3 more Smart Citations

A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment

McKeever

Johnston

Davidson

2012

Intensive and Critical Care Nursing

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Pain and Sedation Scales for Neonatal and Pediatric Patients in a Preverbal Stage of Development

et al. 2019

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IMPORTANCEBecause children in a preverbal stage of development are unable to voice their feelings, they completely depend on their caregiving team for the interpretation and management of their pain and discomfort. Thus, accurately validated scales to assess pain and sedation levels are crucial.OBJECTIVE To provide clinicians a complete overview on the validity and reliability of the existing pain and sedation scales for different target populations (preterm infants, term infants, and toddlers) and in different clinical contexts.EVIDENCE REVIEW BIOSIS Previews, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, MEDLINE, PsycCRITIQUES, PsycINFO, PSYNDEXplus Literature and Audiovisual Media, and PSYNDEXplus Tests were the databases screened from their inception to August 2018. All studies examining the validity or reliability of a given pain or sedation scale for patients in a preverbal stage of development were included in this systematic review. Those scales that were tested for at least construct validity, internal consistency, and interrater reliability were subsequently scored using the consensus-based standards for the selection of health measurement instruments (COSMIN) checklist.FINDINGS In total, 89 validation articles comprising 65 scales were included. Fifty-seven scales (88%) were useful for assessing pain, 13 scales (20%) for assessing sedation, and 4 scales (6%) for assessing both conditions. Forty-two (65%) were behavioral scales, and 23 (35%) were multidimensional scales. Eleven scales (17%) were validated for infants on mechanical ventilation. Thirty-seven scales (57%) were validated for preterm infants, 24 scales (37%) for term and preterm infants, 7 scales (11%) for term-born children, 7 scales (11%) for preterm infants, term infants, and toddlers, and 17 scales (26%) for term infants and toddlers. Twenty-eight scales (43%) considered construct validity, internal consistency, and interrater reliability.CONCLUSIONS AND RELEVANCE Clinicians should consider using scales that are validated for at least construct validity, internal consistency, and interrater reliability, combining this information with the population of interest and the construct the scale is intended to measure.

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The clinimetric properties of the COMFORT scale: A systematic review

Maaskant

Raymakers-Janssen

Veldhoen

et al. 2016

European Journal of Pain

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The COMFORT scale is a measurement tool to assess distress, sedation and pain in nonverbal paediatric patients. Several studies have described the COMFORT scale, but no formal assessment of the methodological quality has been undertaken. Therefore, we performed a systematic review to study the clinimetric properties of the (modified) COMFORT scale in children up to 18 years. We searched Central, CINAHL, Embase, Medline, PsycInfo and Web of Science until December 2014. The selection, data extraction and quality assessment were performed independently by two reviewers. Quality of the included studies was appraised using the COSMIN checklist. We found 30 studies that met the inclusion criteria. Most participants were ventilated children up to 4 years without neurological disorders. The results on internal consistency and interrater reliability showed values of >0.70 in most studies, indicating an adequate reliability. Construct validity resulted in correlations between 0.68 and 0.84 for distress, between 0.42 and 0.94 for sedation and between 0.31 and 0.96 for pain. The responsiveness of the (modified) COMFORT scale seems to be adequate. The quality of the included studies ranged from poor to excellent. The COMFORT scale shows overall an adequate reliability in providing information on distress, sedation and pain. Construct validity varies from good to excellent for distress, from moderate to excellent for sedation, and from poor to excellent for pain. The included studies were clinically and methodologically heterogeneous, hampering firm conclusions. What does this review add?:• An in-depth assessment of the clinimetric properties of the COMFORT scale.• The COMFORT scale shows overall an adequate reliability in providing information on distress, sedation and pain. Construct validity varies from good to excellent for distress, from moderate to excellent for sedation, and from poor to excellent for pain.

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Assessing sedation in critically ill children by bispectral index, auditory-evoked potentials and clinical scales

Cited by 30 publications

References 38 publications

A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment

A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment

Pain and Sedation Scales for Neonatal and Pediatric Patients in a Preverbal Stage of Development

The clinimetric properties of the COMFORT scale: A systematic review

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