TY - JOUR
T1 - A review of the utility of EEG depth of anaesthesia monitors in the paediatric intensive care environment.
AU - Johnston, Linda
AU - McKeever, Stephen
AU - Davidson, Andrew
PY - 2012/10
Y1 - 2012/10
N2 - 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.
AB - 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.
KW - Nursing and midwifery
UR - https://www.ncbi.nlm.nih.gov/pubmed/22537477
U2 - 10.1016/j.iccn.2012.01.010
DO - 10.1016/j.iccn.2012.01.010
M3 - Article
C2 - 22537477
SN - 0964-3397
VL - 28
SP - 294
EP - 303
JO - Intensive and Critical Care Nursing
JF - Intensive and Critical Care Nursing
IS - 5
ER -