麻醉深度监测和术中知晓预防.pptVIP

* Additional high quality scientific evidence has documented the impact of BIS-guided anesthesia care in helping anesthesia providers to increase the level of patient safety and comfort. Drug Savings: Prospective, randomized studies have consistently shown reductions in the use of hypnotic anesthetics The net cost of utilizing BIS technology is $5.55 per patient when the cost savings gained from decreased drug use and increased efficiency are considered. Faster Wake-Ups: BIS monitored patients wake up faster, are extubated sooner, and are more oriented on arrival to the PACU PONV: Multiple factors may cause postoperative nausea and vomiting (PONV). This remains a significant challenge in managing anesthesia and a major dissatisfier for patients . BIS-titrated patients undergoing GA with volatile anesthetics for outpatient surgery reported significantly less PONV during recovery. Shorter PACU Stays: BIS monitored patients have been shown to be eligible for PACU discharge 32% sooner. BIS monitoring has also demonstrated benefits in areas beyond the perioperative environment, so now let’s look at the demonstrated benefits in the critical care and procedural sedation areas. * [SLIDE WILL BUILD AUTOMATICALLY AS YOU PRESENT THE FIRST SECTION] Apart from the global issues of patient assessment, patient management and direct benefits of BIS technology, this slide shows the broad array of clinical situations where BIS data can contribute to improved patient care. The general framework regarding determination of the best clinical application is similar to other monitoring applications when which patients, procedures, and techniques would benefit from the use of BIS monitoring must be considered. [AUTOMATIC ANIMATION OF PATIENT, PROCEDURE TECHNIQUE INFO HERE] Clearly, many cases could potentially benefit from the clinical value that BIS monitoring provides based upon this indication framework. Rather than review each of potential applications, we will explore some