Assessment of the Level of Sedation in Children After Cardiac Surgery

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

“…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.…”

“…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.…”

“…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).…”

“…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.…”

“…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). …”