Document Detail


Extended monitoring of the sedated patient: bispectral index, Narcotrend and automated responsiveness monitor.
MedLine Citation:
PMID:  20407252     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It has been demonstrated that a processed EEG derivative may reflect the patient's level of consciousness during endoscopic sedation. However, to date a clinical benefit of EEG monitoring with respect to relevant safety parameters in routine gastrointestinal endoscopy has not been demonstrated. During long-lasting procedures (e.g. ERCP, ESD) a propofol-sparing effect has been shown, but a benefit regarding patient safety could not be documented. The use of an automated responsiveness monitor may help to achieve and to maintain the level of conscious sedation with propofol, but its precise role in endoscopic sedation is undefined.
Authors:
Till Wehrmann
Publication Detail:
Type:  Journal Article     Date:  2010-04-21
Journal Detail:
Title:  Digestion     Volume:  82     ISSN:  1421-9867     ISO Abbreviation:  Digestion     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-21     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0150472     Medline TA:  Digestion     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  90-3     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Affiliation:
Division of Gastroenterology, Deutsche Klinik für Diagnostik, Wiesbaden, Germany. till.wehrmann@dkd-wiesbaden.de
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MeSH Terms
Descriptor/Qualifier:
Anesthesia*
Automation
Electroencephalography
Endoscopy, Digestive System / methods*
Humans
Monitoring, Physiologic / instrumentation,  methods*
Time Factors

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