Continuous noninvasive monitoring of barbiturate coma in critically ill children using the BispectralTM index monitor

Sandra A. Prins; Matthijs de Hoog; Joleen H. Blok; Dick Tibboel; Gerard H. Visser

doi:10.1186/cc6138

Continuous noninvasive monitoring of barbiturate coma in critically ill children using the Bispectral^TM index monitor

Sandra A. Prins, Matthijs de Hoog, Joleen H. Blok, Dick Tibboel^*, Gerard H. Visser

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

17 Citations (Scopus)

Abstract

Traumatic brain injury and generalized convulsive status epilepticus (GCSE) are conditions that require aggressive management. Barbiturates are used to lower intracranial pressure or to stop epileptiform activity, with the aim being to improve neurological outcome. Dosing of barbiturates is usually guided by the extent of induced burst-suppression pattern on the electroencephalogram (EEG). Dosing beyond the point of burst suppression may increase the risk for complications without offering further therapeutic benefit. For this reason, careful monitoring of EEG parameters is mandatory. A prospective study was conducted to evaluate the usefulness of the bispectral index suppression ratio for monitoring barbiturate coma.

Original language	English
Article number	R108
Number of pages	7
Journal	Critical Care
Volume	11
Issue number	5
DOIs	https://doi.org/10.1186/cc6138
Publication status	Published - 27 Sept 2007

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EMC MGC-02-53-01-A
EMC MM-04-44-02

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Continuous noninvasive monitoring of barbiturate coma in critically ill children using the Bispectral™ index monitorFinal published version, 650 KBLicence: CC BY

Cite this

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title = "Continuous noninvasive monitoring of barbiturate coma in critically ill children using the BispectralTM index monitor",

abstract = "Traumatic brain injury and generalized convulsive status epilepticus (GCSE) are conditions that require aggressive management. Barbiturates are used to lower intracranial pressure or to stop epileptiform activity, with the aim being to improve neurological outcome. Dosing of barbiturates is usually guided by the extent of induced burst-suppression pattern on the electroencephalogram (EEG). Dosing beyond the point of burst suppression may increase the risk for complications without offering further therapeutic benefit. For this reason, careful monitoring of EEG parameters is mandatory. A prospective study was conducted to evaluate the usefulness of the bispectral index suppression ratio for monitoring barbiturate coma.",

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AU - Prins, Sandra A.

AU - de Hoog, Matthijs

AU - Blok, Joleen H.

AU - Tibboel, Dick

AU - Visser, Gerard H.

PY - 2007/9/27

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N2 - Traumatic brain injury and generalized convulsive status epilepticus (GCSE) are conditions that require aggressive management. Barbiturates are used to lower intracranial pressure or to stop epileptiform activity, with the aim being to improve neurological outcome. Dosing of barbiturates is usually guided by the extent of induced burst-suppression pattern on the electroencephalogram (EEG). Dosing beyond the point of burst suppression may increase the risk for complications without offering further therapeutic benefit. For this reason, careful monitoring of EEG parameters is mandatory. A prospective study was conducted to evaluate the usefulness of the bispectral index suppression ratio for monitoring barbiturate coma.

AB - Traumatic brain injury and generalized convulsive status epilepticus (GCSE) are conditions that require aggressive management. Barbiturates are used to lower intracranial pressure or to stop epileptiform activity, with the aim being to improve neurological outcome. Dosing of barbiturates is usually guided by the extent of induced burst-suppression pattern on the electroencephalogram (EEG). Dosing beyond the point of burst suppression may increase the risk for complications without offering further therapeutic benefit. For this reason, careful monitoring of EEG parameters is mandatory. A prospective study was conducted to evaluate the usefulness of the bispectral index suppression ratio for monitoring barbiturate coma.

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JO - Critical Care

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ER -

Continuous noninvasive monitoring of barbiturate coma in critically ill children using the Bispectral^TM index monitor

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