Correlation Between Observational Scales of Sedation and Comfort and Bispectral Index Scores Michael Barbato, MBBS, FRACP, Greg Barclay, MBBS, FAChPM,

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Correlation Between Observational Scales of Sedation and Comfort and Bispectral Index Scores Michael Barbato, MBBS, FRACP, Greg Barclay, MBBS, FAChPM, Jan Potter, MBChB, FRACP, Wilf Yeo, MD, FRACP, Joseph Chung, MBChB Journal of Pain and Symptom Management Volume 54, Issue 2, Pages 186-193 (August 2017) DOI: 10.1016/j.jpainsymman.2016.12.335 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Patient connected to Bispectral Index monitor via adult Quatro sensor. All rights reserved. Used with permission of Covidien. Journal of Pain and Symptom Management 2017 54, 186-193DOI: (10.1016/j.jpainsymman.2016.12.335) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 The time course of the Bispectral Index Score recordings in 17 patients with 24 hours of observations before death. Note: Time 0 does not coincide with death. It represents the closest four-hourly reading to the moment of death. Journal of Pain and Symptom Management 2017 54, 186-193DOI: (10.1016/j.jpainsymman.2016.12.335) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 (a) Relation between Bispectral Index Score and Richmond Agitation and Sedation Scale (correlation coefficient = 0.42; P < 0.0004). (b) Relation between Bispectral Index Score and Patient Comfort Score (correlation coefficient = 0.30; P = 0.003). Journal of Pain and Symptom Management 2017 54, 186-193DOI: (10.1016/j.jpainsymman.2016.12.335) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions