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[肺部手术全身麻醉期间镇痛与遗忘的监测]

[Monitoring of analgesia and amnesia during the general anesthesia in surgeries made on the lungs].

作者信息

Zhenilo V M, Vashchenko V G, Bychkov A A, Zhenilo M V, Litvinova V N

出版信息

Anesteziol Reanimatol. 2004 May-Jun(3):12-4.

PMID:15314849
Abstract

Somatosensorially evoked and auditorially evoked potentials (SSEP and AEP) were evaluated in 75 patients in different stages of general anesthesia during surgical procedures made on the lungs. N19-P23 latent increases of SSEP denoted an adequate level of analgesia. The AEP evaluation is recommended for monitoring the amnesia status during general anesthesia. N1 depression, long-latent N2 and P300 as well as disappearance of AEP and intracerebral asymmetry inversion with predominance of the bioelectric activity in the right cerebral hemisphere are regarded as objective signs of amnesia induction.

摘要

在75例接受肺部手术的患者处于全身麻醉不同阶段时,对体感诱发电位和听觉诱发电位(SSEP和AEP)进行了评估。SSEP的N19 - P23潜伏期延长表明镇痛水平适当。推荐进行AEP评估以监测全身麻醉期间的遗忘状态。N1波幅降低、长潜伏期N2和P300以及AEP消失和以右半球生物电活动为主的脑内不对称反转被视为遗忘诱导的客观征象。

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