Publication in refereed journal
香港中文大学研究人员 ( 现职)
| Professor Tony GIN (麻醉及深切治疗学系) |
| 陈德威教授 (麻醉及深切治疗学系) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.1097/00001503-200410000-00007 |
引用次数
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/4Scopus source URL
其它资讯
摘要Purpose of review: Intraoperative neurophysiologic monitoring provides useful information on the functional status of the nervous system. This review focuses on recently published data concerning the impact of monitoring on patient outcome. Recent findings: There is level I evidence to support the use of bispectral index monitoring to prevent awareness during anesthesia in high-risk patients. A number of randomized trials have shown that monitoring-guided anesthesia using the bispectral index or other devices will expedite recovery and improve perioperative drug utilization. There are also preliminary reports suggesting that anesthesia dictated by bispectral index monitoring may alter long-term outcome and reduce mortality. In surgical procedures, however, it is less clear whether neurophysiologic monitoring will improve patient outcome. Currently, the majority of data are derived from respective case series. Nonetheless, monitoring with somatosensory evoked potential has been shown to reduce postoperative neurologic deficits after spinal surgery. There is also evidence to suggest that electromyography and motor evoked potential are essential complements to somatosensory evoked potential for monitoring of spinal cord surgery. Summary: Brain monitoring facilitates anesthetic drug administration. An increasing number of neurosurgical procedures will require some form of intraoperative neurophysiologic monitoring to achieve higher degrees of safety and accuracy. In many instances, the data derived from monitoring will guide and influence surgical decisions. In this context, neurophysiologic monitoring should be regarded as interventional.
着者Chan M.T.V., Gin T., Goh K.Y.C.
期刊名称Current Opinion in Anaesthesiology
出版年份200http://aims.cuhk.edu.hk/converis/portal/Publication/4
月份10
日期1
卷号17
期次5
出版社Lippincott Williams & Wilkins Ltd.
出版地United States
页次389 - 396
国际标準期刊号0952-7907
电子国际标準期刊号1http://aims.cuhk.edu.hk/converis/portal/Publication/473-6500
语言英式英语
关键词Anesthesia, Electroencephalogram, Evoked potential, Monitoring, Neurophysiology, Neurosurgery, Outcome
