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Richard Ellerkmann, Martin Söhle

    Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
    |December 6, 2023
    PubMed
    Summary

    Processed electroencephalogram (EEG) monitors measure anesthetic hypnosis, aiding in patient care. These EEG monitors help identify anesthetic susceptibility and reduce awareness and delirium.

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    Area of Science:

    • Anesthesiology
    • Neuroscience
    • Medical Devices

    Context:

    • Processed electroencephalogram (EEG) monitors are increasingly utilized in clinical anesthesia.
    • Understanding anesthetic depth is crucial for patient management and outcomes.
    • Existing literature provides a basis for applying EEG monitors in anesthesia.

    Purpose:

    • To explain the application of processed EEG monitors for measuring anesthetic depth.
    • To discuss the clinical implications of using EEG monitors in anesthesia.
    • To review the role of EEG monitors in managing hypnotic states and patient variability.

    Summary:

    • EEG monitors quantify the hypnotic component of anesthesia, not nociception.
    • They are used in German hospitals to observe interindividual anesthetic variability, particularly with propofol.
    • Deep anesthesia's link to mortality is noted but not definitively causal; however, monitors identify susceptible patients.

    Impact:

    • Depth of anesthesia monitoring can reduce intraoperative awareness.
    • Processed EEG monitors are recommended for decreasing postoperative delirium incidence.
    • These devices help identify patients particularly sensitive to anesthetic agents.

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