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Double standard: why electrocardiogram is standard care while electroencephalogram is not?
Yun Li1,2, Christian Bohringer2, Hong Liu2
1Department of Anesthesiology and Perioperative Medicine, The Second Hospital of Anhui Medical University, Hefei, China.
Current Opinion in Anaesthesiology
|August 10, 2020
Summary
Electroencephalogram (EEG) monitoring during surgery can reduce anesthesia drug use and prevent postoperative delirium. This review suggests it
Area of Science:
- Anesthesiology
- Neuroscience
- Surgical Monitoring
Background:
- Major adverse cardiovascular and cerebrovascular events (MACCE) impact surgical outcomes.
- Electrocardiogram (ECG) is a standard intraoperative monitor.
- Electroencephalogram (EEG) offers insights into the anesthetized state and anesthesia management.
Purpose of the Study:
- To review the role of intraoperative electroencephalogram (EEG) monitoring in surgery.
- To discuss whether EEG should be a standard intraoperative monitor.
Main Methods:
- Review of current literature on intraoperative EEG monitoring.
- Analysis of EEG's impact on anesthesia management and patient outcomes.
Main Results:
- Deep anesthesia is linked to postoperative delirium, particularly in elderly patients.
- Intraoperative EEG monitoring has been shown to decrease overall anesthesia drug administration.
- EEG monitoring is associated with a reduction in postoperative delirium.
Conclusions:
- EEG monitoring is not yet a globally standardized anesthesia monitor, unlike ECG.
- Processed EEG technology has been available for over 25 years, enhancing intraoperative utility.
- It is time to consider EEG as a standard anesthesia monitoring tool during surgical procedures.
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Definition
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Parts of an ECG
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Parts of an ECG
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