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Bispectral index monitoring correlates with the level of consciousness in brain injured patients

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العنوان: Bispectral index monitoring correlates with the level of consciousness in brain injured patients
المؤلفون: Jin Yong Jung, Cheol Beom Cho, Bo Mi Min
المصدر: Korean Journal of Anesthesiology, Vol 64, Iss 3, Pp 246-250 (2013)
بيانات النشر: Korean Society of Anesthesiologists, 2013.
سنة النشر: 2013
المجموعة: LCC:Anesthesiology
مصطلحات موضوعية: bispectral index, glasgow coma scale, level of consciousness, Anesthesiology, RD78.3-87.3
الوصف: BackgroundIn general, measuring the level of consciousness in neurological patients is important. To assess the patient's mental status, the Glasgow Coma Scale (GCS) and the level of consciousness (drowsiness, stupor, and coma) have been used in clinical situations. The aim of the present study was to identify the correlation between bispectral index (BIS) and level of consciousness in brain injured patients.MethodsEighty-nine adult patients of both sexes were included in the study. A blinded observer evaluated the mental status (GCS and level of consciousness) of a patient who is admitted in intensive care unit with brain injury, while an investigator noted the patient's BIS. The BIS was measured using a BIS monitor, Model A-3000 vista™ with Sensor Bis quatro™ (Aspect Medical Systems, Norwood, USA). A Spearman's rank correlation coefficient was used to determine if the level of consciousness correlated with the BIS.ResultsIn 89 patients, the BIS was found to be significantly correlated with the level of consciousness (r = 0.723, P < 0.01) and GCS (r = 0.646, P < 0.01). The BIS values increased with an increasing level of consciousness. Mean BIS values of coma, semicoma, stupor and drowsiness were 0.14 ± 0.23, 38.9 ± 18.0, 60.3 ± 14.5, and 73.6 ± 16.5, respectively.ConclusionsIn the present study, a significant correlation existed between level of consciousness and BIS. These findings suggest that BIS may be used for assessing the level of consciousness in brain injured patients. However, the scatter of BIS values for any level of consciousness limited the worth of BIS in predicting mentality except in coma patients.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2005-6419
2005-7563
Relation: http://ekja.org/upload/pdf/kjae-64-246.pdf; https://doaj.org/toc/2005-6419; https://doaj.org/toc/2005-7563
DOI: 10.4097/kjae.2013.64.3.246
URL الوصول: https://doaj.org/article/62be5dcbdb804f13a51525e4bf19081e
رقم الانضمام: edsdoj.62be5dcbdb804f13a51525e4bf19081e
قاعدة البيانات: Directory of Open Access Journals
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