Closed-Loop Control of Total Intravenous Anesthesia During Significant Intraoperative Blood Loss: A Case Report.

Autor: Brodie SM; From the *Department of Anesthesia, Pharmacology, and Therapeutics, and †Department of Electrical and Computer Engineering, University of British Columbia, Vancouver, British Columbia, Canada., Görges M, Ansermino JM, Dumont GA, Merchant RN
Jazyk: angličtina
Zdroj: A & A case reports [A A Case Rep] 2017 Oct 15; Vol. 9 (8), pp. 239-243.
DOI: 10.1213/XAA.0000000000000576
Abstrakt: Closed-loop control of anesthesia based on continuous feedback from processed electroencephalography adjusts drug dosing to target a desired depth of hypnosis during dynamic clinical circumstances, freeing the anesthesiologist to focus on more complex tasks. We describe a case of closed-loop control of total intravenous anesthesia in which a sudden loss of blood required immediate intervention. This case illustrates that closed-loop control of drug delivery maintained an appropriate depth of hypnosis during a rapidly changing surgical situation, and that processed electroencephalography may be a useful adjunct indicator for cerebral hypoperfusion.
Databáze: MEDLINE