EEG/Bispectral Index (BIS) Monitoring - Neuromuscular Blockade • Use EEG/BIS monitor to ensure sedation depth is adequate • The principle is that EEG monitoring provides an quasi-empiric measure of anesthesia depth, which is used to titrate sedation during NMB. Theoretically this prevents both oversedation & undersedation. • Bispectral index is an algorithmic technique to combine multiple EEG parameters, providing a single numeric output • There is no evidence that BIS monitoring reduces awareness of NMB, nor that it simplifies sedations Excerpted from original infographic by Nick Mark MD @nickmmark #BIS #Bispectral #Index #Monitoring #Neuromuscular #Blockade #NMB #neurology #criticalcare #diagnosis
