Authors

Francisco Javier Carmona Monge1, Dolores Amo Priego2, Gregorio Bonilla Zafra3

Position

Licenciado en Psicología. Diplomado en Enfermería. Unidad de Cuidados Críticos y Reanimación. Fundación Hospital de Alcorcón. Alcorcón (Madrid)¹

Contact address

C/ República Checa ,9, 3º B. 28032 Madrid

Abstract

 

Sedation monitoring has always been a matter of interest for those working in critical care and surgical units. Using the right dose of anaesthetic has been difficult and different assessment scales were developed to help in making decisions. Nowadays, and thanks to the new technologies, a monitor has been created which, through the analysis of the electroencephalogram of the patient, provides us with a single number (from 1 to 100) that determines the depth or degree of sedation of the patient. This new monitorisation system, known as the "bispectral index" (BIS) has shown its utility in critical patients and in the surgical environment, making it now possible to adjust pharmacological doses to the minimum required to achieve a state of comfort in the patient. In this paper we will review the scientific fundaments of this new monitoring system as well as its components and the way to use it in everyday practice.

Keywords:

Sedation; Critical patients; Bispectral index; Sedation monitoring

Versión en Español

Título:

Monitorización de la sedación mediante el índice biespectral