• Nitin Manohara, Alessandra Ferrari, Adam Greenblatt, Andrea Berardino, Cristina Peixoto, Flávia Duarte, Zahra Moyiaeri, Chiara Robba, Fabio Nascimento, Matthias Kreuzer, Susana Vacas, and Francisco A Lobo.
• Division of Anesthesiology, Cleveland Clinic Abu Dhabi, Integrated Hospital Care Institute, Abu Dhabi, United Arab Emirates.
• J Clin Monit Comput. 2024 Dec 20.

AbstractPerioperative anesthetic, surgical and critical careinterventions can affect brain physiology and overall brain health. The clinical utility of electroencephalogram (EEG) monitoring in anesthesia and intensive care settings is multifaceted, offering critical insights into the level of consciousness and depth of anesthesia, facilitating the titration of anesthetic doses, and enabling the detection of ischemic events and epileptic activity. Additionally, EEG monitoring can aid in predicting perioperative neurocognitive disorders, assessing the impact of systemic insults on cerebral function, and informing neuroprognostication. This review provides a comprehensive overview of the fundamental principles of electroencephalography, including the foundations of processed and quantitative electroencephalography. It further explores the characteristic EEG signatures associated wtih anesthetic drugs, the interpretation of the EEG data during anesthesia, and the broader clinical benefits and applications of EEG monitoring in both anesthetic practice and intensive care environments.© 2024. The Author(s), under exclusive licence to Springer Nature B.V.

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