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Titolo:
MONITORING DEPTH OF ANESTHESIA
Autore:
SCHNEIDER G; SEBEL PS;
Indirizzi:
GRADY HLTH SYST,DEPT ANESTHESIOL,BOX 26074,80 BUTLER ST SE ATLANTA GA30335 EMORY UNIV,SCH MED,DEPT ANESTHESIOL ATLANTA GA 00000
Titolo Testata:
European journal of anaesthesiology
, volume: 14, anno: 1997, supplemento:, 15
pagine: 21 - 28
SICI:
0265-0215(1997)14:<21:MDOA>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUDITORY-EVOKED-POTENTIALS; LOWER ESOPHAGEAL CONTRACTILITY; LOOP FEEDBACK-CONTROL; QUANTITATIVE EEG ANALYSIS; NITROUS-OXIDE ANESTHESIA; SPECTRAL EDGE FREQUENCY; STEADY-STATE RESPONSE; TOTAL IV ANESTHESIA; GENERAL-ANESTHESIA; THERAPEUTIC SUGGESTIONS;
Keywords:
MONITORING, EVOKED POTENTIALS; BRAIN EEG, EVOKED POTENTIALS; ANESTHESIA DEPTH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
106
Recensione:
Indirizzi per estratti:
Citazione:
G. Schneider e P.S. Sebel, "MONITORING DEPTH OF ANESTHESIA", European journal of anaesthesiology, 14, 1997, pp. 21-28

Abstract

In clinical practice, indirect and non-specific signs are used for monitoring anaesthetic adequacy. These include haemodynamic, respiratory, muscular and autonomic signs. These measures do not indicate adequacy of anaesthesia in a reliable manner. Many attempts have been made tofind a more accurate monitor. Direct monitoring of anaesthetic effectshould be possible by EEG measurement. EEG information can be reduced, condensed and simplified, leading to single numbers (spectral edge frequency and median frequency). These methods appear insufficient for assessing anaesthetic adequacy. The bispectral index, derived from bispectral analysis of the EEG, is a very promising tool for measuring adequacy of anaesthesia. An alternative approach is to monitor evoked potentials. Middle latency auditory evoked potentials may be helpful in assessing anaesthetic adequacy. Both techniques need further validation.

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Documento generato il 02/07/20 alle ore 22:08:10