Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Frontal EEG for intensive care unit sedation: treating numbers or patients? | Available online http content 12 5 186 Commentary Frontal EEG for intensive care unit sedation treating numbers or patients Peter V Sackey Department of Anesthesiology Surgical Services and Intensive Care Medicine Karolinska University Hospital Solna 171 76 Stockholm Sweden Corresponding author Peter V Sackey See related research by Haenggi et al. http content 12 5 R119 Published 23 October 2008 Critical Care 2008 12 186 doi cc7029 This article is online at http content 12 5 186 2008 BioMed Central Ltd Abstract In this issue of Critical Care Dr Haenggi and co-workers present a study evaluating bispectral index BIS state entropy SE and response entropy in 44 patients sedated in the intensive care unit ICU . As in recent studies attempting to correlate frontal electroencephalogram EEG measurements with clinical evaluations of sedative efficacy there is considerable overlap in numerical EEG values and different clinical levels of sedation. This precludes the use of these monitors for monitoring or titrating sedation in the critically ill. Despite many attempts no study has yet presented data showing improved outcome with the use of EEG monitors in ICU sedation. Meanwhile clinical sedation protocols have emerged improving important endpoints in critically ill patients needing sedation. A major underlying problem in applying EEG monitors in the ICU is that they have been developed for measuring anesthetic depth and the related risk of recall rather than the acknowledged endpoints of sedation namely reduction of anxiety and discomfort. Until an objective monitor is developed to measure the degree of such symptoms physicians should continue treating patients and not numbers. In this issue of Critical Care Dr Haenggi and co-workers from Bern University Hospital present a study evaluating bispectral index BIS state entropy SE and response entropy RE during sedation in 44 patients in the intensive care .
