Abstract
Despite changes in electroencephalogram (EEG) activity caused by anesthetic drugs being first demonstrated more than 80 years ago, it took decades to implement EEG monitoring into the clinical practice of anesthesia. The use of EEG-based indices for “depth-of-anesthesia” monitoring has been suggested to reduce the risk of awareness on the one hand (with inadequately “light” anesthesia) and reduce unintended side effects and an increased risk of postoperative delirium, delayed neurocognitive recovery, and postoperative neurocognitive disorder on the other hand (with excessively “deep” anesthesia). Therefore, the basic principles of the EEG and its processing, electroencephalogram signatures of common anesthetic drugs, and the clinical application of EEG monitoring systems are reviewed in this chapter.
Original language | English |
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Title of host publication | Koht, Sloan, Toleikis’s Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals |
Subtitle of host publication | Third Edition |
Publisher | Springer International Publishing |
Pages | 211-226 |
Number of pages | 16 |
ISBN (Electronic) | 9783031097195 |
ISBN (Print) | 9783031097188 |
DOIs | |
State | Published - 1 Jan 2022 |
Externally published | Yes |
Keywords
- Anesthetic drugs impact
- Awareness
- Delayed neurocognitive recovery
- Delirium
- EEG
- EEG processing
- Electroencephalogram
- Neuromonitoring
- Postoperative neurocognitive disorder