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Updated: Aug 24, 2025

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Peri-operative multimodal monitoring: a real need or a luxury?
Zahra Moaiyeri1, Flávia Duarte2, Massimo Lamperti1
1Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.
Abstract:
The present case of a patient with several co-morbidities undergoing complex vitrectomy under peribulbar block and sedation with Target Controlled Infusion (TCI of propofol and dexmedetomidine with EEG and Analgesia Nociception Index (ANI) monitoring illustrates the benefits of multimodal monitoring to differentiate the effect of hypnotic and antinociceptive drugs.It is highlighted the delta-alpha electroencephalographic pattern showing adequate sedation, the beta arousal pattern in the EEG concommitant to decrease in the ANI translating insufficient anti-nociception.
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