review how you currently assess a patient’s level of sedation
in the ICU
measurements in the ICU are multi-factorial because of co-morbidities
and polypharmacy and therefore are unreliable to monitor sedation.
Studies show that there is no consistent correlation between consciousness
and blood pressure or heart rate.
activity is often used, however, movement is not consistently
correlated with level of sedation.
assessment scales can’t be used with paralyzed patients
and moderately to deeply sedated patients because they require
a response to stimulation to assess sedation level. Sedation Assessment
scales are an intermittent, non-continuous assessment, are Subjective,
and the assessment process is disruptive to the patient.
- BIS monitoring
is an easy-to-use, non-disruptive, objective tool for assessing
level of sedation.