BIS Monitor

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I was shadowing a CRNA the other day and he happened to use a BIS Monitor on the patients he had for the day. He is the first person I have shadowed in the OR that has use one. His reason for using it was "Since we have it available, I just use it as an additional monitor." I know there is not conclusive evidence proving their reliability, but I was curious as to what others currently practicing (CRNA/SRNA) think about the monitor and its usefullness.

Aspect is very careful in their wording:

"Clinical judgement should always be used when interpreting the BIS in conjunction with other clinical signs."

"Reliance on BIS alone for sedative management is not recommended."

(Taken from Aspect's In the ICU: Oversedated? Undersedated? pamphlet)

This lets them off the hook for liability cause it will always fall back on the clinician's judgement and assessment skills...exactly what we are taught to trust foremost anyhow!

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Exactly Big Dave...so what's the point?

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Exactly Big Dave...so what's the point?

Best monitor in the OR...the CRNA!

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