RT Journal Article
ID 14777f6a1bc41a3a
A1 van Gils, Mark
A1 Korhonen, Ilkka
A1 Yli-Hankala, Arvi
T1 Procedures for Evaluating the Adequacy of Anesthesia
JF Critical Reviews™ in Biomedical Engineering
JO CRB
YR 2017
FD 2018-01-01
VO 45
IS 1-6
SP 121
OP 146
K1 anaesthesia
K1 hypnosis
K1 analgesia
K1 neuromuscular transmission
K1 monitoring
AB Assessing adequacy of anesthesia requires evaluation of its components: hypnosis, analgesia, and neuromuscular transmission. In order to do this, many methods have been developed that process signals representing different modalities. Assessment of hypnosis requires cortical measures of the central nervous system (CNS); methods that assess analgesia concentrate on subcortical and spinal levels of the CNS; and neuromuscular transmission is a peripheral phenomenon. This article presents an overview of the current state of methods available for measuring each of these components. We conclude that, whereas important gains have been made in the area of assessment of hypnosis, mainly owing to the advancement of methods using EEG and auditory evoked potentials, and whereas neuromuscular transmission can be objectively monitored using motor nerve stimulation, assessment of analgesia still contains many challenges.


PB Begell House
LK https://www.dl.begellhouse.com/journals/4b27cbfc562e21b8,24f1531450c9f74a,14777f6a1bc41a3a.html