Skip Navigation LinksHome > May 1997 - Volume 14 - Issue > Monitoring depth of anaesthesia
European Journal of Anaesthesiology:
Update in Intravenous Anaesthesia: Original Papers

Monitoring depth of anaesthesia

Schneider, G.; Sebel, P. S.

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Abstract

In clinical practice, indirect and non-specific signs are used for monitoring anaesthetic adequacy. These include haemodynamic, respiratory, muscular and autonomic signs. These measures do not indicate adequacy of anaesthesia in a reliable manner. Many attempts have been made to find a more accurate monitor. Direct monitoring of anaesthetic effect should be possible by EEG measurement. EEG information can be reduced, condensed and simplified, leading to single numbers (spectral edge frequency and median frequency). These methods appear insufficient for assessing anaesthetic adequacy. The bispectral index, derived from bispectral analysis of the EEG, is a very promising tool for measuring adequacy of anaesthesia. An alternative approach is to monitor evoked potentials. Middle latency auditory evoked potentials may be helpful in assessing anaesthetic adequacy. Both techniques need further validation.

© 1997 European Society of Anaesthesiology

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