Bispectral index monitoring in the management of sedation in an intensive care unit patient with locked-in syndrome
Locked-in syndrome is an extremely rare neurological state caused by injury of the ventral pons. The syndrome is characterized by quadriplegia and anarthria with concomitant preservation of cortical function. When a reversible underlying pathological abnormality is identified and managed aggressivel...
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Veröffentlicht in: | American journal of critical care 2011-11, Vol.20 (6), p.487-490 |
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creator | Quraishi, Sadeq A Blosser, Sandralee A Cherry, Robert A |
description | Locked-in syndrome is an extremely rare neurological state caused by injury of the ventral pons. The syndrome is characterized by quadriplegia and anarthria with concomitant preservation of cortical function. When a reversible underlying pathological abnormality is identified and managed aggressively, meaningful recovery is possible. Because patients retain consciousness throughout their illness, a dependable method for titrating sedation may improve their quality of life. The case presented suggests that bispectral index monitoring may be a cost-effective and reliable method for managing sedation in patients with locked-in syndrome. |
doi_str_mv | 10.4037/ajcc2011674 |
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The syndrome is characterized by quadriplegia and anarthria with concomitant preservation of cortical function. When a reversible underlying pathological abnormality is identified and managed aggressively, meaningful recovery is possible. Because patients retain consciousness throughout their illness, a dependable method for titrating sedation may improve their quality of life. 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subjects | Conscious Sedation Consciousness Monitors Humans Intensive Care Units Nursing Quadriplegia Quality of Life |
title | Bispectral index monitoring in the management of sedation in an intensive care unit patient with locked-in syndrome |
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