Effect of physiotherapy on the auditory evoked response of paralysed, sedated patients in the intensive care unit

J. R. Sneyd; D. Y. Wang; D. Edwards; C. J.D. Pomfrett; B. R.H. Doran; T. E.J. Healy; B. J. Pollard

doi:10.1093/bja/68.4.349

Effect of physiotherapy on the auditory evoked response of paralysed, sedated patients in the intensive care unit

J. R. Sneyd
, D. Y. Wang
, D. Edwards
, C. J.D. Pomfrett
, B. R.H. Doran
, T. E.J. Healy
, B. J. Pollard^*

^*Corresponding author for this work

Faculty of Health

Research output: Contribution to journal › Article › peer-review

Abstract

Auditory evoked response (AER) was recorded before, during and after physiotherapy in 11 paralysed (atracurium 0.56 (SD) 0.13 mg kg^-1 h^-1), sedated (propofol 2.2 (1.0) mg kg^-1 h^-1; fentanyl 4.4 (2.3) μg kg^-1 h^-1) and critically ill patients undergoing ventilation in the intensive care unit (ICU). The latency of the negative wave, N_B, was reduced by physiotherapy (mean 44.8 (SD) 7.9 ms before, 41.0 (6.8) ms during (P < 0.01, non-parametric Friedman test) and 45.6 (6.3) ms after physiotherapy) ;N_B amplitude showed no consistent change (-0.81 (1.4) μV, -0.81 (1.5) μV and - 0.71 (1.3) μV, respectively). N_B latency responded to patient arousal at constant levels of sedation and this requires further evaluation as a means of monitoring sedation in paralysed patients in the ICU.

Original language	English
Pages (from-to)	349-351
Number of pages	3
Journal	British Journal of Anaesthesia
Volume	68
Issue number	4
DOIs	https://doi.org/10.1093/bja/68.4.349
Publication status	Published - Apr 1992

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

Keywords

Auditory evoked response
Brain
Evoked response
Intensive care
Lung
Monitoring
Physiotherapy
Sedation

Access to Document

10.1093/bja/68.4.349

Cite this

@article{40c02c66987343b68da396b8151c0277,

title = "Effect of physiotherapy on the auditory evoked response of paralysed, sedated patients in the intensive care unit",

abstract = "Auditory evoked response (AER) was recorded before, during and after physiotherapy in 11 paralysed (atracurium 0.56 (SD) 0.13 mg kg-1 h-1), sedated (propofol 2.2 (1.0) mg kg-1 h-1; fentanyl 4.4 (2.3) μg kg-1 h-1) and critically ill patients undergoing ventilation in the intensive care unit (ICU). The latency of the negative wave, NB, was reduced by physiotherapy (mean 44.8 (SD) 7.9 ms before, 41.0 (6.8) ms during (P < 0.01, non-parametric Friedman test) and 45.6 (6.3) ms after physiotherapy) ;NB amplitude showed no consistent change (-0.81 (1.4) μV, -0.81 (1.5) μV and - 0.71 (1.3) μV, respectively). NB latency responded to patient arousal at constant levels of sedation and this requires further evaluation as a means of monitoring sedation in paralysed patients in the ICU.",

keywords = "Auditory evoked response, Brain, Evoked response, Intensive care, Lung, Monitoring, Physiotherapy, Sedation",

author = "Sneyd, \{J. R.\} and Wang, \{D. Y.\} and D. Edwards and Pomfrett, \{C. J.D.\} and Doran, \{B. R.H.\} and Healy, \{T. E.J.\} and Pollard, \{B. J.\}",

year = "1992",

month = apr,

doi = "10.1093/bja/68.4.349",

language = "English",

volume = "68",

pages = "349--351",

journal = "British Journal of Anaesthesia",

issn = "0007-0912",

publisher = "Elsevier Ltd.",

number = "4",

}

TY - JOUR

T1 - Effect of physiotherapy on the auditory evoked response of paralysed, sedated patients in the intensive care unit

AU - Sneyd, J. R.

AU - Wang, D. Y.

AU - Edwards, D.

AU - Pomfrett, C. J.D.

AU - Doran, B. R.H.

AU - Healy, T. E.J.

AU - Pollard, B. J.

PY - 1992/4

Y1 - 1992/4

N2 - Auditory evoked response (AER) was recorded before, during and after physiotherapy in 11 paralysed (atracurium 0.56 (SD) 0.13 mg kg-1 h-1), sedated (propofol 2.2 (1.0) mg kg-1 h-1; fentanyl 4.4 (2.3) μg kg-1 h-1) and critically ill patients undergoing ventilation in the intensive care unit (ICU). The latency of the negative wave, NB, was reduced by physiotherapy (mean 44.8 (SD) 7.9 ms before, 41.0 (6.8) ms during (P < 0.01, non-parametric Friedman test) and 45.6 (6.3) ms after physiotherapy) ;NB amplitude showed no consistent change (-0.81 (1.4) μV, -0.81 (1.5) μV and - 0.71 (1.3) μV, respectively). NB latency responded to patient arousal at constant levels of sedation and this requires further evaluation as a means of monitoring sedation in paralysed patients in the ICU.

AB - Auditory evoked response (AER) was recorded before, during and after physiotherapy in 11 paralysed (atracurium 0.56 (SD) 0.13 mg kg-1 h-1), sedated (propofol 2.2 (1.0) mg kg-1 h-1; fentanyl 4.4 (2.3) μg kg-1 h-1) and critically ill patients undergoing ventilation in the intensive care unit (ICU). The latency of the negative wave, NB, was reduced by physiotherapy (mean 44.8 (SD) 7.9 ms before, 41.0 (6.8) ms during (P < 0.01, non-parametric Friedman test) and 45.6 (6.3) ms after physiotherapy) ;NB amplitude showed no consistent change (-0.81 (1.4) μV, -0.81 (1.5) μV and - 0.71 (1.3) μV, respectively). NB latency responded to patient arousal at constant levels of sedation and this requires further evaluation as a means of monitoring sedation in paralysed patients in the ICU.

KW - Auditory evoked response

KW - Brain

KW - Evoked response

KW - Intensive care

KW - Lung

KW - Monitoring

KW - Physiotherapy

KW - Sedation

UR - https://www.scopus.com/pages/publications/0026566062

U2 - 10.1093/bja/68.4.349

DO - 10.1093/bja/68.4.349

M3 - Article

C2 - 1642911

AN - SCOPUS:0026566062

SN - 0007-0912

VL - 68

SP - 349

EP - 351

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

IS - 4

ER -

Effect of physiotherapy on the auditory evoked response of paralysed, sedated patients in the intensive care unit

Abstract

ASJC Scopus subject areas

Keywords

Access to Document

Other files and links

Fingerprint

Cite this