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Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
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2017, Number 3

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Rev Mex Anest 2017; 40 (3)

Effect of anesthetics on electroencephalography

López-Castruita VM, Muñoz-García A, de la Serna-Soto HJ
Full text How to cite this article

Language: Spanish
References: 5
Page: 216-219
PDF size: 472.84 Kb.


Key words:

Electroencephalography and anesthesia, biespectral index, entropy, 10/20 system.

ABSTRACT

Since 1937 it was reported that changes in the state of consciousness caused by anesthetic can be monitored by electroencephalography (EEG). Later the bispectral index (BIS) and Entropy retook the concept, making it easier to interpretation through graphs and numerical rating. However, its use is only validated for some drugs. The following EEG records were taken from actual patients under general anesthesia in neurological surgery by two bipolar channels positioned according to the 10/20 system, A1-Fp1 and A2-Fp2. Records an awake and under the effect of drugs commonly used in anesthesia as propofol, sevoflurane and dexmedetomidine patient is included. The study of these images, in contrast to the entropy and bispectral index, to interpret the different waves and monitor the specific effects of each drug in real time, on brain states and neural mechanisms.


REFERENCES

  1. Gibbs FA, Gibbs EL, Lennox WG. Effect on the electro-encephalogram of certain drugs which influence nervous activity. Arch Intern Med. 1937;60:154-166.

  2. Purdon PL, Sampson A, Pavone KJ, Brown EN. Clinical electroencephalography for anesthesiologists part I: background and basic signatures. Anesthesiology. 2015;123:937-960.

  3. Schwender D, Daunderer M, Mulzer S, Klasing S, Finsterer U, Peter K. Spectral edge frequency of the electroencephalogram to monitor “depth” of anaesthesia with isoflurane or propofol. Br J Anaesth. 1996;77:179-184.

  4. Brown EN, Solt KEN, Purdon PL. Control del estado encefálico durante la anestesia general y la sedación. Miller. Anestesia. Elsevier España, S.L.U.; 2016, pp. 1524-1540.

  5. Morimoto Y. Usefulness of electroencephalogramic monitoring during general anesthesia Effect of anesthetics on EEG and BIS. J Anesth. 2008;22:498-501.




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Rev Mex Anest. 2017;40