Zhenilo V M, Beliaevskiĭ A D, Bychkov A A, Zelenina T A
Anesteziol Reanimatol. 2001 May-Jun(3):6-8.
Monitoring of cerebral evoked potentials during total anesthesia provides objective data on the depth of anesthesia. Somatosensory and auditory evoked potentials (SSEP and AEP, respectively) were recorded in 48 patients (ASA physical status 1-2) before and during surgery. AEPs were assessed using a two-stimulus oddball paradigm under passive ignore conditions. Decreased amplitudes and increased latencies of mid-latency SSEP were regarded as decreased conduction of pain pulse via specific and nonspecific pathways. The amplitude of late-latency AEP indicated the level of consciousness during total anesthesia. The removal of evoked potentials was followed by development of painful reaction. Registration of cerebral evoked potentials helps evaluate the depth of anesthesia and intraoperative memory in patients subjected to total anesthesia.
全身麻醉期间监测脑诱发电位可提供有关麻醉深度的客观数据。在48例患者(美国麻醉医师协会身体状况1-2级)手术前及手术期间记录体感诱发电位和听觉诱发电位(分别为SSEP和AEP)。在被动忽略条件下,使用双刺激oddball范式评估AEP。中潜伏期SSEP波幅降低和潜伏期延长被视为痛觉冲动经特异性和非特异性通路传导减弱。晚潜伏期AEP波幅表明全身麻醉期间的意识水平。诱发电位消失后会出现疼痛反应。记录脑诱发电位有助于评估接受全身麻醉患者的麻醉深度和术中记忆。