BIS guide for clinicians
BIS guide for clinicians
BIS guide for clinicians
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AVOIDING AWARENESS ALGORITHM<br />
Preoperative Patient Assessment<br />
Previous episode of awareness<br />
Anticipated tolerance to opioids or sedatives<br />
Known or anticipated difficult airway<br />
Known or anticipated hemodynamic instability<br />
Surgical procedure with increased risk <strong>for</strong><br />
awareness<br />
Anesthesia Management Plans<br />
Muscle relaxant use during maintenance phase<br />
Reduced anesthetic doses during paralysis<br />
Total intravenous anesthesia<br />
Nitrous oxide-opioid anesthesia<br />
Does Patient<br />
Have<br />
Risk Factors<br />
For<br />
Awareness?<br />
In<strong>for</strong>m patient of possibility<br />
of awareness<br />
YES<br />
Consider prophylactic<br />
administration of benzodiazepine<br />
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