Intraoperative monitoring of the central and peripheral

Br J Anaesth · Feb 2024

Review

Intraoperative monitoring of the central and peripheral nervous systems: a narrative review.

The central and peripheral nervous systems are the primary target organs during anaesthesia. At the time of the inception of the British Journal of Anaesthesia, monitoring of the central nervous system comprised clinical observation, which provided only limited information. During the 100 yr since then, and particularly in the past few decades, significant progress has been made, providing anaesthetists with tools to obtain real-time assessments of cerebral neurophysiology during surgical procedures. In this narrative review article, we discuss the rationale and uses of electroencephalography, evoked potentials, near-infrared spectroscopy, and transcranial Doppler ultrasonography for intraoperative monitoring of the central and peripheral nervous systems.

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- Christopher Ryalino, Marko M Sahinovic, Gea Drost, and Anthony R Absalom.
- Department of Anaesthesiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
- Br J Anaesth. 2024 Feb 1; 132 (2): 285299285-299.
AbstractThe central and peripheral nervous systems are the primary target organs during anaesthesia. At the time of the inception of the British Journal of Anaesthesia, monitoring of the central nervous system comprised clinical observation, which provided only limited information. During the 100 yr since then, and particularly in the past few decades, significant progress has been made, providing anaesthetists with tools to obtain real-time assessments of cerebral neurophysiology during surgical procedures. In this narrative review article, we discuss the rationale and uses of electroencephalography, evoked potentials, near-infrared spectroscopy, and transcranial Doppler ultrasonography for intraoperative monitoring of the central and peripheral nervous systems.Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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Intraoperative monitoring of the central and peripheral nervous systems: a narrative review.

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