The Vancouver sedative recovery scale for children: validation and reliability of scoring based on videotaped instruction

Macnab, Andrew; Levine, Marc; Glick, Ned; Phillips, Norman; Susak, Lark; Elliott, Mary

doi:10.1007/bf03010934

Cited by 22 publications

(10 citation statements)

References 17 publications

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“…Several observational scoring systems for assessing sedation depth have been developed and tested in a variety of clinical settings (8,10,(15)(16)(17)(18)(19)(20)(21). The UMSS was designed as a simple tool to assess sedation depth over the entire continuum from awake to unarousable as defined by the AAP and the ASA and endorsed by the JCAHO (3,4,6,7).…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Observational and Objective Measures to Differentiate Depth of Sedation in Children from Birth to 18 Years of Age

Malviya

Voepel‐Lewis

Tait

2006

Anesthesia &Amp; Analgesia

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Several observational and objective methods are available to assess sedation depth; however, data regarding their accuracy in differentiating deep sedation are limited. In this study we compared 3 sedation tools in children from birth to 18 yr of age and determined their relative value in detecting deep levels of sedation. Bispectral index monitoring (BIS), Modified Maintenance of Wakefulness Tests (MMWT), and the University of Michigan Sedation Scale (UMSS) were used to assess sedation. Three-hundred-twenty-seven observations were recorded in 39 children. The overall validity of each measure was supported by appropriate changes after sedation administration through the observation period. There were moderate to high correlations between UMSS and BIS (rho = -0.73) and UMSS and MMWT (rho = -0.59; P < 0.01). The correlation between BIS and MMWT was significant but low (r = 0.36; P < 0.01). Measures of exact agreement supported the reliability of the UMSS and MMWT across the sedation continuum. There were significant decreases in BIS across UMSS scores except from scores 2-3. ROC curves suggested that BIS < or = 80 and MMWT < or = 14 min were most sensitive in delineating deep sedation. Our findings demonstrate the overall validity of these observational and objective measures of sedation depth in children <18 yr of age but show ongoing limitations distinguishing moderate from deep sedation.

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Section: Discussionmentioning

confidence: 99%

A Comparison of Observational and Objective Measures to Differentiate Depth of Sedation in Children from Birth to 18 Years of Age

Malviya

Voepel‐Lewis

Tait

2006

Anesthesia &Amp; Analgesia

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“…24 The entire duration of sedation, from placement of the BIS monitor to sedation recovery, was recorded via video monitoring for 10 of the patients enrolled. The videos were subsequently reviewed by 2 of the investigators (M.M.…”

Section: Study Protocolmentioning

confidence: 99%

Etomidate for Short Pediatric Procedures in the Emergency Department

Mandt¹,

Roback²,

Bajaj³

et al. 2012

Pediatric Emergency Care

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“…3 Balanced incomplete block design was used to assess inter-rater reliability of Vancouver Sedative Recovery Scale by 16 raters using 16 children. 4 This design has an efficiency index of 0.89 relative to a completely crossed design (in which each of 16 raters would rate each of 16 children). 4 Balanced incomplete block design is indicated for comparing the raters' mean levels of rating and whether each mean is estimated with the same precision.…”

Section: ____________________________________________________________mentioning

confidence: 99%

“…4 This design has an efficiency index of 0.89 relative to a completely crossed design (in which each of 16 raters would rate each of 16 children). 4 Balanced incomplete block design is indicated for comparing the raters' mean levels of rating and whether each mean is estimated with the same precision. 2 The advantage of this method is not having the need to rate all the subjects by every rater.…”

Section: ____________________________________________________________mentioning

confidence: 99%

Inter-rater variability of ultrasound scan measurements: balanced incomplete block design

Abeysena

Jayawardana

2012

J Coll Community Phys Sri Lanka

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IntroductionTo assess inter-rater variability of ultrasound scan measurements for determining period of gestation by three raters applying balanced incomplete block design. Methodology Twelve pregnant women who attended the field antenatal clinics were subjected to scan measurements, in terms of bi-parietal diameter (BPD), femur length (FL), abdominal (AC) and head (HC) circumferences of the fetus between 15-24 weeks of gestation. Each pregnant woman was scanned by two of the three raters who were blind to the measurements made by the other using the same machine. Balanced incomplete block design was generated and data were analyzed using ANOVA. Results There were no statistically significant variation among raters in measuring BPD (F = 0.68; p = 0.53), AC (F = 1.99; p = 0.19) and HC (F = 0.06; p = 0.94). There was statistically significant variation among raters for measuring FL (F = 7.4; p = 0.01). Conclusion Statistically significant inter-rater differences were observed only for measurements of FL. However, despite the inter-rater differences of mean abdominal and head circumferences being not significant statistically, their variance can have a clinical significance.

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The Vancouver sedative recovery scale for children: validation and reliability of scoring based on videotaped instruction

Cited by 22 publications

References 17 publications

A Comparison of Observational and Objective Measures to Differentiate Depth of Sedation in Children from Birth to 18 Years of Age

A Comparison of Observational and Objective Measures to Differentiate Depth of Sedation in Children from Birth to 18 Years of Age

Etomidate for Short Pediatric Procedures in the Emergency Department

Inter-rater variability of ultrasound scan measurements: balanced incomplete block design

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