Intraoperative Monitoring of EEG and Processed EEG

Svenja Letz, Gerhard Schneider

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

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 languageEnglish
Title of host publicationKoht, Sloan, Toleikis’s Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals
Subtitle of host publicationThird Edition
PublisherSpringer International Publishing
Pages211-226
Number of pages16
ISBN (Electronic)9783031097195
ISBN (Print)9783031097188
DOIs
StatePublished - 1 Jan 2022
Externally publishedYes

Keywords

  • Anesthetic drugs impact
  • Awareness
  • Delayed neurocognitive recovery
  • Delirium
  • EEG
  • EEG processing
  • Electroencephalogram
  • Neuromonitoring
  • Postoperative neurocognitive disorder

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