Poster Presentation: Bispectral Index (BIS) Does Timing of Commencement of Monitoring Impact the BIS Score Related to Muscle Relaxant Administration

Availability

On-Demand

Expires on 02/20/2025

Cost

$0.00

Credit Offered

0.25 Class A Credit

Studies have suggested that BIS monitors may not be helpful in paralyzed patients. In these cases, patients who were paralyzed and not sedated showed a significant decrease in their BIS values after administering muscle relaxants (NMBAs). However, using NMBAs during anesthesia leads to a remarkable 16-fold increase in reported instances of awareness compared to cases where NMBAs are not used. BIS monitoring must be used reliably with muscle relaxation; otherwise, it is not always beneficial for anesthesia providers and patients. Determining the timing of the commencement of BIS monitoring in relation to muscle relaxant administration could produce more reliable BIS values that reflect the actual level of sedation and hypnosis and prevent awareness with recall in patients under anesthesia.  

Learning Outcomes:

Following the poster presentation, the participants will indicate that obtaining a baseline BIS is not needed when muscle relaxation with rocuronium is used.

Following the poster presentation, the participants will verbalize how a BIS monitor evaluates anesthetic depth.

Following the poster presentation, the participants will identify the usefulness of BIS monitoring for TIVA cases when muscle relaxation is used.

This program has been prior approved by the American Association of Nurse Anesthesiology for 0.25 Class A CE credits; Code Number 1044768; Expiration Date 2/20/2025.

Cory Keller, BSN, RN
Marcin Moryc, MS, BSN, RN

Accreditation Information:
The American Association of Nurse Anesthesiology is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

Disclosure Statement:
Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Post-Test Attempt Notice:
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:
The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthesiology.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthesiology has no responsibility or liability for the accuracy or completeness of the content.

Refund Policy:
Continuing education activities are nonrefundable.