Perspectives on sedation assessment in critical care

Daiwai M. Olson, Suzanne M. Thoyre, David B. Auyong

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations


Multiple studies have been undertaken to show that neurofunction monitors can correlate to objective sedation assessments. Showing a correlation between these 2 patient assessments tools may not be the correct approach for validation of neurofunction monitors. Two different methods of assessing 2 different modes of the patient's response to sedation should not be expected to precisely correlate unless the desire is to replace one method with the other. We provide a brief summary of several sedation scales, physiologic measures and neurofunction monitoring tools, and correlations literature for bispectral index monitoring, and the Ramsay Scale and the Sedation Agitation Scale. Neurofunction monitors provide near continuous information about a different domain of the sedation response than intermittent observational assessments. Further research should focus on contributions from this technology to the improvement of patient outcomes when neurofunction monitoring is used as a complement, not a replacement, for observational methods of sedation assessment.

Original languageEnglish (US)
Pages (from-to)380-395
Number of pages16
JournalAACN advanced critical care
Issue number4
StatePublished - Oct 2007


  • Conscious sedation
  • Critical care
  • Sedation assessment

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care


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