[Neuromonitoring in anaesthesia].
Modern computer-based methods to monitor anesthesia are widespread. They are used in order to avoid awareness, to reduce consumption of anesthetics, to optimize recovery times and to detect prolonged times of deep anesthesia and associated immunsuppression, mortality and morbidity. This review illustrates the evidence with which these goals were achieved until now. Finally, a recommendation for each indication is given. The useage of EEG-monitoring may help to avoid awareness and allows a reduced of consumption of anesthetics. The question if a cumulated time of deep anesthesia is associated with elevated mortality might be of a certain importance in the future.
Aniset
Luc
L
luc.aniset@med.unimarburg.de
Knitschke
Rebekka
R
Frietsch
Thomas
T
D000465:Algorithms; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D000771:Anesthesia, Intravenous; D000777:Anesthetics; D001143:Arousal / Q000187:drug effects* / Q000502:physiology*; D001364:Awareness / Q000187:drug effects* / Q000502:physiology*; D001463:Barbiturates; D001921:Brain / Q000187:drug effects* / Q000503:physiopathology*; D003128:Coma / Q000503:physiopathology; D003362:Cost-Benefit Analysis; D003422:Critical Care / Q000191:economics / Q000379:methods*; D004569:Electroencephalography / Q000187:drug effects / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D004576:Electromyography / Q000187:drug effects / Q000191:economics / Q000379:methods; D004734:Energy Metabolism / Q000502:physiology; D004867:Equipment Design; D005072:Evoked Potentials, Auditory / Q000187:drug effects; D005858:Germany; D006801:Humans; D016343:Monitoring, Intraoperative / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D010348:Patient Care Team; D012307:Risk Factors; D012815:Signal Processing, Computer-Assisted
D000777:Anesthetics; D001463:Barbiturates