Quantifying nursing care in barbiturate-induced coma with the therapeutic intervention scoring system.

G. L. Myles, A. G. Perry, Marc Malkoff, B. J. Shatto, M. C. Scott-Killmade

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The use of pentobarbital-induced coma to manage intractable increased intracranial pressure remains a viable option in the acutely brain-injured patient. In a retrospective review of 15 patients with a variety of neurological injuries at our institution, it was found that aggressive management of respiratory, hemodynamic, metabolic and neurological status was required with the use of pentobarbital coma. A scoring system to determine the amount of interventions and nursing care required was used in the review. The Therapeutic Intervention Scoring System (TISS) demonstrated that with the acuity of illness, there were predictably increased interventions. As a method for quantifying the amount of care in this group of individuals, scoring of the interventions before, during, and after barbiturate coma was assessed. The findings demonstrated a significant difference in the scoring. Mean scores were: pre-treatment = 31.8, s.d. = 7.5; during = 41.7, s.d. = 2.0; post-treatment = 36.4, s.d. = 5.2, p < 0.01. Further modifications of the TISS to include current neuroscience therapies, such as the monitoring of cerebral oxygen extraction by jugular bulb catheterization, may increase the utility of the TISS.

Original languageEnglish (US)
Pages (from-to)35-42
Number of pages8
JournalThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
Volume27
Issue number1
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Coma
Nursing Care
Pentobarbital
Therapeutics
Intracranial Pressure
Neurosciences
Catheterization
barbituric acid
Neck
Hemodynamics
Oxygen
Wounds and Injuries
Brain

All Science Journal Classification (ASJC) codes

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

Cite this

Quantifying nursing care in barbiturate-induced coma with the therapeutic intervention scoring system. / Myles, G. L.; Perry, A. G.; Malkoff, Marc; Shatto, B. J.; Scott-Killmade, M. C.

In: The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, Vol. 27, No. 1, 01.01.1995, p. 35-42.

Research output: Contribution to journalArticle

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