In the brain-injured patient, BIS monitoring offers a continuous real-time assessment of the level of consciousness not requiring time-consuming physical examinations, whereas the traditional physical examination and sedation scales require activation of the patient, and the true level of sedation is, therefore, often difficult to determine. In addition, since sedatives do obscure the neurologic examination, falling BIS scores may be an early indicator of the progression of the underlying neurologic disease, also in the brain-injured patient. This may allow physicians to recognize significant changes in the level of consciousness more quickly than with conventional testing.
Bispectral Index monitoring for assessment of level of consciousness in brain-injured patients: the journey continues.
FODALE, Vincenzo;PRATICO', Caterina
2004-01-01
Abstract
In the brain-injured patient, BIS monitoring offers a continuous real-time assessment of the level of consciousness not requiring time-consuming physical examinations, whereas the traditional physical examination and sedation scales require activation of the patient, and the true level of sedation is, therefore, often difficult to determine. In addition, since sedatives do obscure the neurologic examination, falling BIS scores may be an early indicator of the progression of the underlying neurologic disease, also in the brain-injured patient. This may allow physicians to recognize significant changes in the level of consciousness more quickly than with conventional testing.Pubblicazioni consigliate
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