Advances in awareness monitoring technologies
| Autor: | David B. Glick, Erica Stein |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
MEDLINE Anesthesia General Intraoperative Awareness law.invention 03 medical and health sciences Consciousness Monitors Emergence Delirium 0302 clinical medicine Randomized controlled trial Risk Factors 030202 anesthesiology law Monitoring Intraoperative Humans Medicine In patient Postoperative delirium Intensive care medicine Anesthetics Randomized Controlled Trials as Topic business.industry Volatile anesthetic Electroencephalography Anesthesiology and Pain Medicine Anesthesia Bispectral index business 030217 neurology & neurosurgery Depth of anesthesia |
| Zdroj: | Current Opinion in Anaesthesiology. 29:711-716 |
| ISSN: | 0952-7907 |
| Popis: | Purpose of review Initial studies suggested that the use of processed electroencephalogram technology could significantly decrease the incidence of unintended intraoperative awareness events during general anesthesia. Subsequent work has cast doubts on these findings. This review will examine the current state of awareness monitoring. Recent findings Recently published randomized controlled trials examining the use of the bispectral index during general anesthesia have not been able to show superiority over other forms of monitoring depth of anesthesia, such as end-tidal anesthetic-agent concentration. Additionally, there is current interest in utilizing the unprocessed electroencephalogram to ascertain depth of anesthesia and recent studies have demonstrated its use in preventing postoperative delirium. Summary Although awareness monitors such as the bispectral index monitor may have benefit in patients in whom volatile anesthetic agents must be minimized - such as in hemodynamically unstable patients, or patients undergoing total intravenous anesthesia - these monitors do not appear to be useful for all patients. |
| Databáze: | OpenAIRE |
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