New Project - BIS Monitoring in the ICU
Calling all Trainees!!
Please could you consider collaborating with us to conduct one of our regional projects in the other regions around the U.K. It is a survey-based project that aims to assess current practice regarding the use of BIS monitoring to guide sedation in the ICU. The purpose of this is to inform a non-commercial study.
Some clinicians in the ICU use Bispectral Index (BIS) to titrate the depth of sedation, although its use has only been validated in neurologically healthy patients over one year of age  and seems to correlate poorly to the Sedation-Agitation Scale . BIS monitoring may however be usefully employed as an adjunct to reduce the incidence of awareness in critically unwell patients in certain situations (e.g. patients requiring neuromuscular blockade and during invasive procedures such as tracheostomy insertion), or to minimize over-sedation, which is associated with poorer clinical outcomes .
Please let us know if you (or your group) are interested in contributing to this.
The SPARC-ICM Team (Part of the South Coast Perioperative Audit & Research Collaboration)
Email: firstname.lastname@example.org @sparc_icm
1. Sadhasivam S, Ganesh A, Robison A, Kaye R, Watcha MF. Validation of the Bispectral Index Monitor for Measuring the Depth of Sedation in Children. Anesthesia & Analgesia. 2006;102(2):383–388. doi:10.1213/01.ANE.0000184115.57837.30.
2. Nasraway SA SA, Wu EC, Kelleher RM, Yasuda CM, Donnelly AM. How reliable is the Bispectral Index in critically ill patients? A prospective, comparative, single-blinded observer study. Critical Care Medicine. 2002;30(7):1483–1487.
3. Bigham C, Bigham S, Jones C. Does the bispectral index monitor have a role in intensive care? 1A03 2C04 3A13. Journal of Intensive Care Society. 2012;13(4):314–319.