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Effects of Bispectral Index Monitoring Based Sedative Administration on Conscious Sedation, Physiological Stability and Recovery Time in Patients Receiving Endoscopic Submucosal Dissection

이중분광계수 모니터기반 진정제 투여가 내시경 점막하 박리술 환자의 의식하 진정상태, 생리적 안정성 및 회복시간에 미치는 효과

  • Lee, Mi Jeong (Department of Nursing, Samsung Medical Center) ;
  • Hwang, Moon Sook (Department of Nursing Science, School of Oriental Medicine in WooSuk University) ;
  • Lim, Hyun Sook (Department of Nursing, Samsung Medical Center) ;
  • Park, Mi Ok (Department of Nursing, Samsung Medical Center) ;
  • Huh, Ji Won (Department of Nursing, Samsung Medical Center) ;
  • Kang, Ki Joo (Department of Internal Medicine, Samsung Medical Center) ;
  • Kim, Jae Jun (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Myung Sook (Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Samsung Medical Center)
  • 이미정 (삼성서울병원) ;
  • 황문숙 (우석대학교 간호학과) ;
  • 임현숙 (삼성서울병원 간호파트) ;
  • 박미옥 (삼성서울병원) ;
  • 허지원 (삼성서울병원) ;
  • 강기주 (삼성서울병원 소화기내과) ;
  • 김재준 (삼성서울병원 소화기내과) ;
  • 조명숙 (성균관대학교 임상간호대학원, 삼성서울병원 간호본부)
  • Received : 2012.05.07
  • Accepted : 2012.06.26
  • Published : 2012.08.31

Abstract

Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration, compared to MOAA/S (Modified Observer's Assessment of Alertness and Sedation), on conscious sedation, physiological stability and recovery time for patients undergoing endoscopic submucosal dissection. Methods: Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching, memory, pain, discomfort, physiological stability (MBP, PR, $SpO_2$), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters. Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching, memory, pain, or discomfort), physiological stability and recovery time. Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.

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