BIS Monitoring in ICU

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Hello. I have a question. For those working in Intensive Care Do you ever use BIS Monitoring when you have sedated and ventilated patients, and if so, I would like to know what you think from your experience both with and without Neuromuscular Blocking Agents. Thank you all so much. God Bless.

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Specializes in SICU, trauma, neuro.

We use BIS with neuromuscular blockers only. If a pt is merely sedated/vented, we titrate based on their RASS score; most often, the goal is 0 to -1.

I love, love, LOVE having it for our paralyzed pts. It's very reassuring to me to have a numerical measurement of the pts' sedation. If they were paralyzed and not on it, I know I'd wonder every time their HR or BP went up, "are they awake and panicking in there??"

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We also only use BIS with patients on paralytics. I've never seen it used on a patient who is under the effects of sedation only.

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