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A comparison of gradual sedation levels using the Comfort-B scale and bispectral index in children on mechanical ventilation in the pediatric intensive care unit.
Silva, Cláudia da Costa; Alves, Marta Maria Osório; El Halal, Michel Georges dos Santos; Pinheiro, Sabrina dos Santos; Carvalho, Paulo Roberto Antonacci.
Afiliación
  • Silva Cda C; Hospital das Clínicas de Porto Alegre, Unidade de Terapia Intensiva Pediátrica, Porto AlegreRS, Brasil, Unidade de Terapia Intensiva Pediátrica, Hospital das Clínicas de Porto Alegre - HCPA - Porto Alegre (RS), Brasil.
  • Alves MM; Hospital das Clínicas de Porto Alegre, Serviço de Pediatria, Porto AlegreRS, Brasil, Serviço de Pediatria, Hospital das Clínicas de Porto Alegre - HCPA - Porto Alegre (RS), Brasil.
  • El Halal MG; Universidade Federal do Rio Grande do Sul, Porto AlegreRS, Brasil, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
  • Pinheiro Sdos S; Hospital das Clínicas de Porto Alegre, Unidade de Terapia Intensiva Pediátrica, Porto AlegreRS, Brasil, Unidade de Terapia Intensiva Pediátrica, Hospital das Clínicas de Porto Alegre - HCPA - Porto Alegre (RS), Brasil.
  • Carvalho PR; Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Departamento de Pediatria, Porto AlegreRS, Brasil, Departamento de Pediatria, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.
Rev Bras Ter Intensiva ; 25(4): 306-11, 2013.
Article en En, Pt | MEDLINE | ID: mdl-24553512
OBJECTIVE: Compare the scores resulting from the Comfort-B scale with the bispectral index in children in an intensive care unit. METHODS: Eleven children between the ages of 1 month and 16 years requiring mechanical ventilation and sedation were simultaneously classified based on the bispectral index and the Comfort-B scale. Their behavior was recorded using digital photography, and the record was later evaluated by three independent evaluators. Agreement tests (Bland-Altman and Kappa) were then performed. The correlation between the two methods (Pearson correlation) was tested. RESULTS: In total, 35 observations were performed on 11 patients. Based on the Kappa coefficient, the agreement among evaluators ranged from 0.56 to 0.75 (p<0.001). There was a positive and consistent association between the bispectral index and the Comfort-B scale [r=0.424 (p=0.011) to r=0.498 (p=0.002)]. CONCLUSION: Due to the strong correlation between the independent evaluators and the consistent correlation between the two methods, the results suggest that the Comfort-B scale is reproducible and useful in classifying the level of sedation in children requiring mechanical ventilation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Respiración Artificial / Sedación Consciente / Hipnóticos y Sedantes Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En / Pt Revista: Rev Bras Ter Intensiva Año: 2013 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Respiración Artificial / Sedación Consciente / Hipnóticos y Sedantes Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En / Pt Revista: Rev Bras Ter Intensiva Año: 2013 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil