Member Login

Request Password

 

Until now, sedation assessment in the ICU has been guided primarily by vital signs and subjective sedation assessment scales. These approaches may not be sufficient to achieve optimal patient assessment.

Complications of undersedation2 Fear, anxiety, and agitation Unpleasant recall Medical device removal Additional cost Increased nursing time

Complications of oversedation3 Increased time on mechanical ventilation Increased length of stay in ICU and/or hospital Additional cost of care Increased risk of complications Need for additional diagnostic testing

With BIS as part of the protocols to reduce costs and length of stay in the ICU, Spectrum Health achieved⁴...

With BIS as part of the protocols to assess and titrate sedation in patients receiving continuous infusions of paralytics, Medical College of Pennsylvania Hospital achieved¹...

Using BIS to optimize care delivery by standardizing sedation assessment, the NeuroCritical Care Unit at Duke University Hospital realized an average sedative drug savings of $185 per patient per day while maintaining adequate sedation levels⁵...

Back to Top
<< Back to Risk Managers

References:

1. Kaplan LJ and Bailey H. Bispectral Index (BIS) Monitoring of ICU patients on Continuous Infusion of Sedatives and Paralytics Reduces Sedative Drug Utilization and Cost. Critical Care. 2000; 4(Suppl 1):S110.
2. Fraser G, Riker R, Wilkins M, et al. What is the incidence and cost of patient-initiated device removal in the ICU? International Pharmaceutical Abstracts. 1999:36(6).
3. Brook A, Ahrens T, Schaiff R, et al. Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. Crit Care Med. 1999;27(12):2609-2615.
4. Data on file, Aspect Medical Systems.
5. Olson DM, Chioffi SM, Macy GE, Meek LA, Cook HA. Potential Benefits of Bispectral Index Monitoring in Critical Care: A Case Study. Critical Care Nurse. 2003;23(4):45-52.

Copyright © 2009. Aspect Medical Systems. All Rights Reserved. Terms of Use | Privacy