Influence of general anaesthesia on the brainstem
| Autor: | L. Bosch, J. Fernández-Candil, A. León, Pedro L. Gambús |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.diagnostic_test
business.industry Cranial nerves General Medicine Review article 03 medical and health sciences 0302 clinical medicine Blood pressure Neuroimaging 030202 anesthesiology Anesthesia otorhinolaryngologic diseases Reflex medicine General anaesthesia Brainstem Functional magnetic resonance imaging business 030217 neurology & neurosurgery |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 64:157-167 |
| ISSN: | 2341-1929 |
| Popis: | The exact role of the brainstem in the control of body functions is not yet well known and the same applies to the influence of general anaesthesia on brainstem functions. Nevertheless in all general anaesthesia the anaesthesiologist should be aware of the interaction of anaesthetic drugs and brainstem function in relation to whole body homeostasis. As a result of this interaction there will be changes in consciousness, protective reflexes, breathing pattern, heart rate, temperature or arterial blood pressure to name a few. Brainstem function can be explored using three different approaches: clinically, analyzing changes in brain electric activity or using neuroimaging techniques. With the aim of providing the clinician anaesthesiologist with a global view of the interaction between the anaesthetic state and homeostatic changes related to brainstem function, the present review article addresses the influence of anaesthetic drug effects on brainstem function through clinical exploration of cranial nerves and reflexes, analysis of electric signals such as electroencephalographic changes and what it is known about brainstem through the use of imaging techniques, more specifically functional magnetic resonance imaging. |
| Databáze: | OpenAIRE |
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