Basics of Neuromonitoring and Anesthetic Considerations

Shilpa Rao; James Kurfess; Miriam M Treggiari

doi:10.1016/j.anclin.2020.11.009

Basics of Neuromonitoring and Anesthetic Considerations

Anesthesiol Clin. 2021 Mar;39(1):195-209. doi: 10.1016/j.anclin.2020.11.009.

Authors

Shilpa Rao¹, James Kurfess², Miriam M Treggiari³

Affiliations

¹ Division of Neuroanesthesia, Department of Anesthesiology, Yale School of Medicine, Yale University, PO Box 208051, 333 Cedar Street, TMP 3, New Haven, CT 06510, USA. Electronic address: shilpa.rao@yale.edu.
² Department of Anesthesiology, Yale University, PO Box 208051, 333 Cedar Street, TMP 3, New Haven, CT 06510, USA.
³ Department of Anesthesiology, Yale School of Medicine, Yale University, PO Box 208051, 333 Cedar Street, TMP 3, New Haven, CT 06510, USA.

PMID: 33563382
DOI: 10.1016/j.anclin.2020.11.009

Abstract

It is important anesthesiologists understand the pharmacologic interactions of anesthetics and monitoring of evoked potentials or electroencephalography. Intravenous and inhaled anesthetics have varying degrees of influence on different monitoring modalities and can affect amplitude and latency of evoked potentials or voltage and frequency of electroencephalography. Sudden and abrupt changes in monitoring are concerning and should be evaluated promptly. The source of the changes is related to sudden modifications of anesthesia delivery, variations in vital parameters, or the result of surgical manipulation. Identifying sources of abnormal signals and determining the reason for the change should be addressed immediately and corrected accordingly.

Keywords: Burst suppression; Electroencephalography; Evoked potentials.

Publication types

Review

MeSH terms

Anesthetics* / pharmacology
Electroencephalography
Evoked Potentials, Somatosensory* / drug effects
Humans

Substances

Anesthetics