Use of the Bispectral Index monitor to aid titration of propofol during a drug-assisted interview.
We report two drug-assisted interviews with propofol in an 18-year-old with the diagnosis of Complex Regional Pain Syndrome type 1. We describe difficulty in titration of propofol in the first interview. Consequently, in the second interview, the Bispectral Index (BIS) monitor was applied to assist adjustment of the propofol infusion. This facilitated the achievement of a prolonged sedative-hypnotic state for a successful neuropsychological evaluation. Pertinent information was obtained from this patient. However, the role of drug-assisted interviews as a technique needs to be further elucidated.
Palmer
G M
GM
Department of Anesthesia, Children's Hospital, 333 Longwood Avenue, 5th Floor, Boston, MA 02115, USA. greta_palmer@hotmail.com
Davidson
A J
AJ
Sethna
N
N
Laussen
P
P
D000293:Adolescent; D004569:Electroencephalography; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007406:Interview, Psychological; D008297:Male; D008991:Monitoring, Physiologic; D015742:Propofol / Q000008:administration & dosage*; D012019:Reflex Sympathetic Dystrophy / Q000175:diagnosis / Q000523:psychology*
D006993:Hypnotics and Sedatives; D015742:Propofol