Correlation of the modified Glasgow coma scale and Ramsay sedation scale scores with bispectral index monitoring in unconscious critically ill patients
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Researches
VOLUME: 1 ISSUE: 3
P: 90 - 94
December 2005

Correlation of the modified Glasgow coma scale and Ramsay sedation scale scores with bispectral index monitoring in unconscious critically ill patients

Med J Bakirkoy 2005;1(3):90-94
1. Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi 2. Anesteziyoloji ve Reanimasyon Kliniği, İstanbul
No information available.
No information available
Received Date: 10.11.2005
Accepted Date: 09.12.2005
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ABSTRACT

Conclusion:

It was concluded that BIS is suitable for monitoring the neurologic status in unsedated critically ill patients. BIS was well correlated with the clinical assessment based on various scores.

Results:

BIS values correlated significantly with RSS (r= -0,388; p= 0,016) and GCSC (r= 0,629; p= 0,001). GCSC was significantly correlated with RSS (r= -0,518; p= 0,001).

Material and Methods:

Thirty-eight patients ranged from 15 to 65 years of age were evaluated for level of consciousness using BIS, GCSC and RSS in addition to standard intensive care monitorization. Spearman’s correlation coefficient was used to correlate the BIS scores with clinical scales.

Objective:

Monitoring critically ill patients with a decreased level of consciousness is challenging. It is suggested that bispectral index monitoring (BIS) may be useful in the assessment of neurologic functions for critical care patients because simplicity is its essence. The aim of this randomised, prospective study was to assess the correlation of BIS with the Glasgow coma score modified by Cook and Palma (GCSC) and Ramsay sedation scale (RSS) for the measurement of neurologic status in critically ill patients.

Keywords:
Critical care, electroencephalography, bispectral index, consciousness