• J Clin Monit Comput · Dec 2021

    Letter Case Reports

    Loss of spectral alpha power during spine surgery: what could be wrong?

    • Francisco A Lobo, Susana Vacas, and Marusa Naranjo.
    • Institute of Anesthesiology, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE. francisco.lobo@me.com.
    • J Clin Monit Comput. 2021 Dec 1; 35 (6): 153115331531-1533.

    AbstractThe electroencephalographic signatures of anesthetic drugs relate to a specific set of action mechanisms within the neural circuits. During intraoperative care, the recognition and correct interpretation of the EEG spectrogram can be used as a tool to guide anesthetic administration. For example, loss of alpha power during propofol anesthesia may be a sign of lighter level of hypnosis and/or of an increase in nociceptive inputs. We describe a case report of inadvertent interruption of propofol delivery that was first detected by changes in the electroencephalogram spectrogram.© 2021. The Author(s), under exclusive licence to Springer Nature B.V.

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