BIS monitoring versus clinical assessment for sedation in mechanically ventilated adult patients in the intensive care unit and its impact on clinical outcomes and resource utilization

Shetty, Rajesh Mohan; Bellini, Antonio; Wijayatilake, Dhuleep S.; Hamilton, Mark A.; Jain, Rajesh; Cerda, G De la; Stowell, Sarah; Karanth, Sunil

doi:10.1002/14651858.cd011240

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…The manufacturer declared MLAEPi value ranges from 100 to 0 with an intermediate value interpretation focused on the anesthesia field. For this reason, our work focused on the knowledge of MLAEPi values shown during the observation window which were already detected by BIS and validated with the clinical method [ 48 , 49 ]. With our instrument, we found MLAEPi values ranging from 54 to 6 in Steps 3–6 out of a total calculated sample.…”

Section: Discussionmentioning

confidence: 99%

The Use of Middle Latency Auditory Evoked Potentials (MLAEP) as Methodology for Evaluating Sedation Level in Propofol-Drug Induced Sleep Endoscopy (DISE) Procedure

Arigliani

Toraldo

Ciavolino

et al. 2021

IJERPH

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To analyze the middle latency auditory evoked potential index (MLAEPi), compared to the standard bispectral index (BIS), as a method for evaluating the sedation level in drug-induced sleep endoscopy (DISE). In this controlled clinical study on a sample of 99 obstructive sleep apnea (OSA) or snoring patients, we compared the MLAEPi with the BIS after propofol infusion during the standard DISE technique in order to define the MLAEPi values within the observational window of the procedure. The DISE procedure was divided into eight steps, and we collected both MLAEPi and BIS data values from the same patient in every step. The MLAEPi showed a faster response than the BIS after propofol infusion during DISE. Therefore, the clinical use of the MLAEPi in evaluating the sedation level seems to be a good alternative to the current technological standards.

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Section: Discussionmentioning

confidence: 99%