BIS guide for clinicians
BIS guide for clinicians
BIS guide for clinicians
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<strong>BIS</strong> Monitoring During Typical GA<br />
<strong>BIS</strong> Value*<br />
Management Strategy<br />
High value<br />
• Assess level of surgical stimulation<br />
• Confirm delivery of hypnotics/analgesics<br />
• Consider ↑ hypnotic/ ↑ analgesic dosing<br />
• Consider antihypertensive administration<br />
Desired range<br />
(e.g., <strong>BIS</strong> 45 to 60)<br />
• Assess level of surgical stimulation<br />
• Consider ↑ analgesic dosing<br />
• Consider antihypertensive administration<br />
Low value<br />
• Consider antihypertensive administration<br />
• Assess level of surgical stimulation<br />
• Consider ↓ hypnotic/ ↑ analgesic dosing<br />
High value<br />
• Assess level of surgical stimulation<br />
• Consider ↑ hypnotic dosing<br />
• Consider ↑ analgesic dosing<br />
Desired range<br />
(e.g., <strong>BIS</strong> 45 to 60)<br />
• Continue observation<br />
Low value<br />
• Consider ↓ hypnotic dosing<br />
• Consider ↓ analgesic dosing<br />
High value<br />
• Consider blood pressure support<br />
• Assess <strong>for</strong> other etiologies<br />
• Consider ↑ hypnotic/ ↑ analgesic dosing<br />
Desired range<br />
(e.g., <strong>BIS</strong> 45 to 60)<br />
• Assess <strong>for</strong> other etiologies<br />
• Consider blood pressure support<br />
Low value<br />
• Consider ↓ hypnotic/ ↓ analgesic dosing<br />
• Consider blood pressure support<br />
• Assess <strong>for</strong> other etiologies<br />
* Potential impact of artifact should be considered when interpreting <strong>BIS</strong> values.<br />
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