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LETTERS TO THE EDITOR

Can BIS Monitoring Delay the Development of Clinical Judgment?

Department of Anesthesiology, Ormond Memorial Hospital, Ormond Beach, Florida

To the Editor:

A recent article by Pavlin et al. (1) reports that the use of BIS monitoring in their operating room had the greatest impact on inexperienced anesthesia providers. This finding was attributed to the idea that new practitioners have less experience and fewer preconceived biases concerning adjustment of anesthetic depth. This suggests another study to determine whether BIS monitoring delays the development of these biases in new trainees, biases that I call clinical judgment.

Footnotes

Dr. Pavlin did not respond.

References

1. Pavlin DJ, Hong JY, Freund PR, et al. The effect of bispectral index monitoring on end-tidal gas concentration and recovery duration after outpatient anesthesia. Anesth Analg 2001; 93: 613–9.[Abstract/Free Full Text]

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