|
Increased BP, HR, or
autonomic/somatic response : |
|
BIS
|
Treatment
|
|
>65
|
inc. hypnotic/analgesic, ID strong stimuli |
|
50-65
|
inc. analgesic, maintain hypnotic, ?NMB, ?antihypertensive med
|
|
<45
|
dec hypnotic, inc analgesic, antihypertensive
|
|
Stable Patient: |
|
BIS
|
Treatment
|
|
>65
|
r/o artifact, inc hypnotic
|
|
50-65
|
PERFECT!
|
|
<45 |
dec hypnotic, ?dec analgesic |
|
Hypotension or Unstable Patient: |
|
BIS
|
Treatment
|
|
>65
|
support BP, dec analgesic, consider amnestic
|
|
50-65
|
support BP, dec analgesic
|
|
<45 |
support BP, dec hypnotic, dec analgesic |
|
