analgesia, anesthesia, bispectral index monitoring, electrical cardioversion, electroencephalography, sedation



  1. Mitchell-Hines, Theadoshia MSN, RN, CCNS, CEN
  2. Ellison, Kristi BSN, RN, CCRN, AACN
  3. Willis, Scott MD


Abstract: Using a specialized bedside electroencephalographic monitor, clinicians can achieve individualized levels of moderate sedation/analgesia with predictive targeted brain wave values. Called the bispectral index (BIS) monitor, this noninvasive device can be used without assistance from highly specialized clinicians. This article explains how BIS monitoring works and describes the authors' experience with BIS monitoring in patients undergoing elective synchronized electrical cardioversion.