Depth of general anaesthesia monitors

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Monitoring Depth of Anaesthesia

The overall incidence of intraoperative awareness with recall is about 0.2–3%,1 but it may be > 40% in certain high risk patients, like, those with multiple trauma, caesarean section, cardiac surgery and haemodynamically unstable patients.2 Intraoperative awareness is a major medico-legal liability to the anaesthesiologists and can lead to postoperative psychosomatic dysfunction in the patient,...

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It is a fitting place to begin an essay on "Measurement of depth of anaesthesia" with reference to the work of John Snow. He was the first qualified physician to devote his full time to anaesthesia and published his monograph On the Inhalation of the Vapour of Ether in 1847. He described the progression from conscious normality to respiratory paralysis with ether and quoted five recognizable st...

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Monitoring the Depth of Anaesthesia

One of the current challenges in medicine is monitoring the patients' depth of general anaesthesia (DGA). Accurate assessment of the depth of anaesthesia contributes to tailoring drug administration to the individual patient, thus preventing awareness or excessive anaesthetic depth and improving patients' outcomes. In the past decade, there has been a significant increase in the number of studi...

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Monitoring depth of anaesthesia by EEG

Depth of anaesthesia is a dynamic balance between effect-site concentration of hypnotic and analgesic drugs, and intensity of surgical stimulation. Awareness during surgery is one of the most feared complications of anaesthesia but excessive depth of anaesthesia is equally undesirable, given the narrow therapeutic index of anaesthetic drugs and the reduced physiological reserve of many patients...

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Anaesthesia for neurosurgery, especially intracranial operations, requires conditions which maintain the perfusion of the brain with blood. This perfusion results from the cerebral perfusion pressure: the difference between the arterial and the intracranial pressures. Anaesthesia must also facilitate surgical access by reducing brain volume and minimizing surgical haemorrhage. Other common prob...

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ژورنال

عنوان ژورنال: Indian Journal of Anaesthesia

سال: 2012

ISSN: 0019-5049

DOI: 10.4103/0019-5049.103956