COMPARISON BETWEEN BIS AND CLINICAL CALES OF PROGNOSIS IN INTUBATED PATIENTS WITH DIFFERENT PATHOLOGIC HEAD INJURIES DUE TO ACUTE HEAD TRAUMA ADMITTED TO THE ICU IN THE RASOOL AKRAM HOSPITAL

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MORADI MOGHADDAM OMID; NIAKANLAHIJI MOHAMMAD; HASANI VALIOLLAH; KAZEMI GEZIK FARID; FARAZI EHSAN

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Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2015 | Volume:37 | Issue:1 (89) Page(s): 20-30

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Title

COMPARISON BETWEEN BIS AND CLINICAL CALES OF PROGNOSIS IN INTUBATED PATIENTS WITH DIFFERENT PATHOLOGIC HEAD INJURIES DUE TO ACUTE HEAD TRAUMA ADMITTED TO THE ICU IN THE RASOOL AKRAM HOSPITAL

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Keywords

INTENSIVE CARE UNITQ2

HEAD TRAUMAQ2

BISPECTRAL INDEXQ2

APACHE IIQ2

SOFA SCOREQ2

Abstract

Background: There is still insufficient evidence to warrant the routine use of BISPECTRAL INDEX (BIS) in the INTENSIVE CARE UNIT. One way of evaluating the usefulness of BIS in monitoring the level of consciousness in ICU patients is demonstration its degree of correlation to commonly used scales of prognosis. The aim of this study is to Compare BIS with APACHE II and SOFA SCORE in Intubated Patients with Different Pathologic Injuries of the Brain Due to Acute HEAD TRAUMA Admitted to the ICU.Materials and methods: 30 intubated HEAD TRAUMA patients over 15 years old admitted to the ICU were included in this cross-sectional study. In the first three days of admission, each patient underwent monitoring of BIS every sixty minutes just for six hours a day. All the hypnotic drugs were discontinued six hours before starting of monitoring and only opioids (fentanyl) were administered if needed. APACHE II in the first day of admission, SOFA SCORE in the first three days, type of cranial injury, and laboratory data were all collected. Statistical analyses were used to evaluate the data. P<0.05 was assumed statistically significant.Results: APACHE II and SOFA SCORE, had no statistically significat correlations with mean BIS in each three days of study and the mean BIS total.Mean BIS in the second and third days had statistically significant differences in different types of cranial lesions (contusion, subdural hemorrhage, subarachnoid hemorrhage).Conclusion: In acute HEAD TRAUMA patients BIS has not acceptable conformity with APACHE II and SOFA SCORE. Different kinds of acute traumatic cranial lesions with different prognosis may have different values in BIS monitoring.

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APA: Copy

MORADI MOGHADDAM, OMID, NIAKANLAHIJI, MOHAMMAD, HASANI, VALIOLLAH, KAZEMI GEZIK, FARID, & FARAZI, EHSAN. (2015). COMPARISON BETWEEN BIS AND CLINICAL CALES OF PROGNOSIS IN INTUBATED PATIENTS WITH DIFFERENT PATHOLOGIC HEAD INJURIES DUE TO ACUTE HEAD TRAUMA ADMITTED TO THE ICU IN THE RASOOL AKRAM HOSPITAL. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 37(1 (89)), 20-30. SID. https://sid.ir/paper/63095/en

Vancouver: Copy

MORADI MOGHADDAM OMID, NIAKANLAHIJI MOHAMMAD, HASANI VALIOLLAH, KAZEMI GEZIK FARID, FARAZI EHSAN. COMPARISON BETWEEN BIS AND CLINICAL CALES OF PROGNOSIS IN INTUBATED PATIENTS WITH DIFFERENT PATHOLOGIC HEAD INJURIES DUE TO ACUTE HEAD TRAUMA ADMITTED TO THE ICU IN THE RASOOL AKRAM HOSPITAL. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2015;37(1 (89)):20-30. Available from: https://sid.ir/paper/63095/en

IEEE: Copy

OMID MORADI MOGHADDAM, MOHAMMAD NIAKANLAHIJI, VALIOLLAH HASANI, FARID KAZEMI GEZIK, and EHSAN FARAZI, “COMPARISON BETWEEN BIS AND CLINICAL CALES OF PROGNOSIS IN INTUBATED PATIENTS WITH DIFFERENT PATHOLOGIC HEAD INJURIES DUE TO ACUTE HEAD TRAUMA ADMITTED TO THE ICU IN THE RASOOL AKRAM HOSPITAL,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 37, no. 1 (89), pp. 20–30, 2015, [Online]. Available: https://sid.ir/paper/63095/en

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