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Crit Care Nurs Clin North Am · Sep 2005
Review Case ReportsToward solving the sedation-assessment conundrum: bi-spectral index monitoring and sedation interruption.
- Daiwai M Olson, Carmelo Graffagnino, Kenneth King, and John R Lynch.
- The University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC 27599-7460, USA. dmOlsen@email.unc.edu
- Crit Care Nurs Clin North Am. 2005 Sep 1;17(3):257-67.
AbstractThe sedation-assessment conundrum is defined by two diametrically opposed goals: to maintain an appropriate level of sedation, and to obtain a comprehensive neurologic examination that most accurately reflects the patient's neurologic status. A case presentation leads to a discussion of over-sedation and under-sedation issues that impact the care of critically ill patients. This information is useful in understanding the many methods of assessing sedation and interpreting individualized patient responses to sedation. The use of bi-spectral index monitoring and periods of sedation interruption are discussed within the context of addressing the sedation-assessment conundrum.
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