[BIS与Ramsay评分在ICU中评估丙泊酚镇静效果的比较]
[Comparison of BIS and Ramsay score for evaluation of sedation with propofol in ICU].
作者信息
Inaba Shin, Hashimoto Manabu, Takahashi Minori, Motomura Yuji, Kochi Akira
机构信息
Department of Anesthesiology, National Cancer Center Hospital East, Chiba 277-0882.
出版信息
Masui. 2007 Jan;56(1):57-60.
BACKGROUND
BIS has not been evaluated for sedation in ICU. We examined BIS for evaluation of sedation with propofol in ICU.
METHODS
Eighteen male patients undergoing head and neck surgery (ASA-PS 1 x 2 and age<75 years) were randomly allocated to one of two groups receiving postoperative sedation with propofol in ICU. One group was monitored for sedation by BIS, and the other group by Ramsay score.
RESULTS
There were no significant differences between the two groups in the total-dose of propofol, and recovery time.
CONCLUSIONS
The use of BIS for sedation could not improve the management of postoperative sedation in ICU.
背景
脑电双频指数（BIS）尚未在重症监护病房（ICU）用于镇静评估。我们研究了在ICU中使用BIS评估丙泊酚镇静效果。
方法
18例接受头颈手术的男性患者（美国麻醉医师协会身体状况分级1或2级且年龄<75岁）被随机分配至两组之一，在ICU接受丙泊酚术后镇静。一组通过BIS监测镇静情况，另一组通过Ramsay评分监测。
结果
两组在丙泊酚总剂量和恢复时间方面无显著差异。
结论
在ICU中使用BIS进行镇静并不能改善术后镇静管理。
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