A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment.

Journal article


McKeever, S, Johnston, L and Davidson, A (2012). A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment. Intensive and Critical Care Nursing. 28 (5), pp. 294 - 303.
AuthorsMcKeever, S, Johnston, L and Davidson, A
Abstract

OBJECTIVES: This paper aims to bring together current evidence regarding the use of depth of anaesthesia monitors (DoAM) as objective measures of sedation for paediatric intensive care (PIC) patients. BACKGROUND: Delivering appropriate dosages of sedative agents, to individual PIC patients, is important to reduce the many risks of over- or under-sedation. Although based on adult anaesthesia, DoAMs could offer increased objectivity to the titration of sedative agents for children in PIC. This article synthesises the current available evidence from studies investigating DoAM use in the PIC environment. METHOD: Literature regarding DoAM use in PIC was reviewed, from 1996 and August 2011, after EMBASE, PubMed, CINAHL and ProQuest Dissertation & Theses Database were searched using key search terms. FINDINGS: Fourteen original research articles addressing sedation assessment using DoAMs in PIC were identified. The main findings were that DoAMs generally have a moderate or poor correlation with sedation scores and their performance varies in varying clinical settings. DoAMs do not make reliable conclusions about depth of sedation of individual PIC children, and can be influenced by children's age. CONCLUSION: Evidence to support DoAMs in the PIC setting is currently not sufficient to advocate their routine use in clinical practice.

Year2012
JournalIntensive and Critical Care Nursing
Journal citation28 (5), pp. 294 - 303
PublisherElsevier
Digital Object Identifier (DOI)doi:10.1016/j.iccn.2012.01.010
Publication dates
Print01 Oct 2012
Publication process dates
Deposited04 Apr 2017
Accepted01 Oct 2012
Accepted author manuscript
License
CC BY-NC-ND 4.0
File description
Journal Article
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https://openresearch.lsbu.ac.uk/item/87968

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