Document Detail


Perioperative use of bispectral (BIS) monitor for a pressure ulcer patient with locked-in syndrome (LIS).
MedLine Citation:
PMID:  23194154     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The bispectral (BIS) monitor uses brain electroencephalographic data to measure the depth of sedation and pharmacological response during anaesthetic procedures. In this case, the BIS monitor was used for another purpose, to demonstrate postoperatively to the nursing staff that a patient with history of locked-in syndrome (LIS), who underwent pressure ulcer debridement, had periods of wakefulness and apparent sensation, even with his eyes closed. Furthermore, as patients with LIS can feel pain, despite being unable to move, local block or general anaesthesia should be provided for sharp surgical debridement and other painful procedures. This use of the BIS has shown that as a general rule, the staff should treat the patient as though he might be awake and sensate even if he does not open his eyes or move his limbs. Our goal was to continuously monitor pain level and communicate these findings to the entire wound team, that is, anaesthesiologists, surgeons and nurses.
Authors:
Christine Yoo; Elizabeth A Ayello; Bryan Robins; Victor R Salamanca; Marc J Bloom; Patrick Linton; Harold Brem; Daniel K O'Neill
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-30
Journal Detail:
Title:  International wound journal     Volume:  -     ISSN:  1742-481X     ISO Abbreviation:  Int Wound J     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230907     Medline TA:  Int Wound J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. International Wound Journal © 2012 Blackwell Publishing Ltd and Medicalhelplines.com Inc.
Affiliation:
C Yoo, MD, New York University School of Medicine, New York, NY, USA EA Ayello, RN, PhD, ACNS-BC, CWON, MAPWCA, FAAN, Excelsior College School of Nursing, Albany, New York, NY, USA; The John A Hartford Institute for Geriatric Nursing, New York, NY, USA B Robins, BS, Department of Anesthesiology, New York University School of Medicine, New York, NY, USA VR Salamanca, MD, Department of Anesthesiology, New York University School of Medicine, New York, NY, USA MJ Bloom, MD, PhD, Department of Anesthesiology, New York University School of Medicine, New York, NY, USA P Linton, MD, Department of Anesthesiology, New York University School of Medicine, New York, NY, USA H Brem, MD, Division of Wound Healing and Regenerative Medicine, Winthrop University Hospital, Mineola, NY, USA DK O'Neill, MD, AAPWCA, Department of Anesthesiology, New York University School of Medicine, New York, NY, USA.
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