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
Hauptverfasser: Quraishi, Sadeq A, Blosser, Sandralee A, Cherry, Robert A
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creator Quraishi, Sadeq A
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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.
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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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