Neuroanesthesia & neurocritical care

Assessment of depth of sedation using Bispectral Index™ monitoring in patients with severe traumatic brain injury in UK intensive care units

BJA OpenPublished Prospective observational study

Main finding · Correlation between BIS and clinical sedation scoreResult — go to the resultCorrelation coefficient 0.17 95% CI 0.08–0.26

Authors' conclusion

This study supports previous work showing that BIS decreases with decreasing sedation score. However, the variation in BIS values increased with deeper levels of clinical sedation.

Study context

Population
Patients with severe TBI sedated in four UK ICUs
Participants
26 patients
Outcome
Relationship between BIS value and clinical sedation score
Methodological detailsmulticentre, blinded BIS data collection, Sedation management at the discretion of the ICU clinical team
  • Multicentre
  • Blinded BIS data collection
  • Sedation management at the discretion of the ICU clinical team

Main finding

As reported in the abstract

Correlation between BIS and clinical sedation score · 24-h period

Correlation coefficient

0.17

95% CI 0.08–0.26

Mean BIS (IQR 29-44)
38

Observational data: associations, not effects.

Further findings

BIS vs ICP, vasopressor use, osmotherapy use, need for additional sedative

No statistically significant relationship

Original publication

Assessment of depth of sedation using Bispectral Index™ monitoring in patients with severe traumatic brain injury in UK intensive care units. BJA Open. Published 28 May 2024. doi:10.1016/j.bjao.2024.100287

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