Electroencephalography for Anesthesiologists

Authors

  • Rocio López Herrero MIR Anestesia y Reanimación. Hospital Clínico Universitario de Valladolid.
  • Belén Sánchez Quirós MIR Anestesia y Reanimación. Hospital Clínico Universitario de Valladolid.
  • David Velasco Villanueva Adjunto Anestesia y Reanimación. Hospital Clínico Universitario de Valladolid.

DOI:

https://doi.org/10.30445/rear.v13i2.896

Keywords:

Electroencephalography, patient state index (PSI), electroencephalogram and anesthesia, depth monitoring

Abstract

The use of electroencephalography (EEG) monitors to assess the level of hypnosis is standard practice in anesthesiology. The monitors are based on an electroencephalographic record obtained by a sensor that it’s place on the patient's forehead. These signals are recorded by a machine and reflects by an index the degree of unconsciousness.
Anaesthetists generally pay attention only to the Patient State Index (PSI) calculated by EEG monitors. Sometimes the PSI index does not correspond to the clinical context of the patient. For this reason, we consider that it is necessary to know some basic aspects of electroencephalography.

References

Rampril IJ, Holzer JA, Quest DO, Rosenbaum SH, Correl JW. Prognostic value of computerized EEG análisis during carotid endarterectomy. Anesth Analg. 1993;62(2):186-92 (PubMed)

Myles PS,Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet. 204;363(9423):1757-63 (PubMed).

García-Colmenero IG, Zorrilla-Mendoza JG, Vega-Anzures LA, Garcia Nájera O. Electroencefalograma para el anestesiólogo, consideraciones clínicas. Revista Mexicana de Anestesiología. 2018;41(1)539-543 (PDF).

Purdon PL, Sampson A, Pavone KJ, Brown EN. Clinical Electroencephalography for Anesthesiologist Part I: Background and Basic Signatures. Anesthesiology. 2015;123(4):937-960. (PubMed)

Johansen JW. Update on bispectral index monitoring. Best Pract Res Clin Anaesthesiol. 2006;20(1):81-99 (PubMed)

Babadi B, Brown EN. A review of multipaper spetral analysis. IEEE Trans biomed Eng 2014; 61:1555-64. (PubMed)

Drummond JC, Brann CA, Perkins DE, Wolfe DE. A comparasion of median frequency, spectral edge frequency, a frequency band power ratio, total power, adn dominance shift in the determination of depth of anestesia. Acta anaesthesiol Scand. 1991;35:693-9 (PubMed)

Mhuircheartaigh RN, Rosenorn-Lanng D, Wise R, Jbabdi S, Rogers R, Tracey I. Cortical and subccortical connectivity changes during decreasing levels of consciousness in humans: a functional magnetic resonance imaging study using propofol. J Neurosci 2010;30:9095-102 (PubMed)

Published

2021-03-03

How to Cite

López Herrero, R., Sánchez Quirós, B., & Velasco Villanueva, D. (2021). Electroencephalography for Anesthesiologists. Revista Electrónica AnestesiaR, 13(2). https://doi.org/10.30445/rear.v13i2.896

Most read articles by the same author(s)