Article (Scientific journals)
Monitorage de la profondeur de l'anesthésie: pourquoi, comment et a quel prix?
BONHOMME, Vincent; Hans, Pol
2007In Revue Médicale de Liège, 62 Spec No, p. 33-9
Peer reviewed
 

Files


Full Text
Monitorage profondeur anesthesie_RMLg 2007.pdf
Publisher postprint (640.21 kB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
Monitoring; Depth of anesthesia; Review
Abstract :
[en] The precise titration of anaesthetic agents is necessary to avoid the consequences of a too light depth of anaesthesia such as unexpected intraoperative awareness, as well as a too deep level of anaesthesia, which can be deleterious in terms of postoperative morbidity and mortality. The clinical evaluation of the depth of anaesthesia is poorly sensitive and specific. It does not permit to distinguish between pharmacodynamic components of anaesthesia. Several paraclinical depth of anaesthesia indices are currently available. Most of them are mainly designed to monitor the depth of the hypnotic component of anaesthesia. Their calculation is mostly based on the mathematical analysis of the electroencephalogram. They are efficient at reducing the incidence of unexpected intraoperative awareness, adjusting anaesthetic depth at an individual scale, predicting the time needed for recovery, allowing early extubation of patients, reducing their length of stay in the post anaesthesia care unit, and limiting the number of episodes of peroperative over and under dosage of anaesthetic agents. The knowledge of conditions that may impede the accurate interpretation of those indices is mandatory for an optimal use. Although undoubtedly beneficial for the patients, the use of those monitors is frequently responsible for supplementary' costs, particularly when the procedure is short.
Disciplines :
Anesthesia & intensive care
Author, co-author :
BONHOMME, Vincent  ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Hans, Pol ;  Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation
Language :
French
Title :
Monitorage de la profondeur de l'anesthésie: pourquoi, comment et a quel prix?
Alternative titles :
[en] Monitoring the Depth of Anaesthesia: Why, How and at Which Cost?
Publication date :
2007
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
62 Spec No
Pages :
33-9
Peer reviewed :
Peer reviewed
Available on ORBi :
since 13 August 2015

Statistics


Number of views
57 (2 by ULiège)
Number of downloads
0 (0 by ULiège)

Scopus citations®
 
2
Scopus citations®
without self-citations
2

Bibliography


Similar publications



Contact ORBi