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脑电图的双谱分析:其在麻醉领域的发展与应用综述

Bispectral analysis of the electroencephalogram: a review of its development and use in anesthesia.

作者信息

March Philip A, Muir William W

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.

出版信息

Vet Anaesth Analg. 2005 Sep;32(5):241-55. doi: 10.1111/j.1467-2995.2005.00221.x.

DOI:10.1111/j.1467-2995.2005.00221.x
PMID:16135205
Abstract

OBJECTIVE

To evaluate the different methodologies used to monitor anesthetic depth and to review the principles and potential applications of bispectral index (BIS) monitoring in veterinary anesthesia.

DATABASES USED

Medline (1966 to present); Pubmed (mid-1960s to present); personal files.

CONCLUSIONS

Current anesthetic monitoring techniques rely on indirect measures of corticocerebral arousal after a noxious stimulus. Some anesthetics and pre-anesthetics suppress responses that are used to gauge adequate hypnosis and analgesia. The BIS is a direct measure of corticocerebral activation and is inversely related to the degree of hypnosis. Dynamic changes in the BIS after a noxious stimulus may signify early nociceptive activation of the cerebral cortex and may be a useful marker of inadequate analgesia. However, application of this technique during the use of various drug combinations (i.e. clinical anesthesia) will require further research and understanding.

摘要

目的

评估用于监测麻醉深度的不同方法,并综述脑电双频指数(BIS)监测在兽医麻醉中的原理及潜在应用。

使用的数据库

医学索引数据库(1966年至今);医学期刊数据库(20世纪60年代中期至今);个人文档。

结论

当前的麻醉监测技术依赖于对有害刺激后大脑皮质觉醒的间接测量。一些麻醉药和麻醉前用药会抑制用于评估充分催眠和镇痛的反应。BIS是大脑皮质激活的直接测量指标,与催眠程度呈负相关。有害刺激后BIS的动态变化可能表明大脑皮质早期伤害性激活,可能是镇痛不足的有用指标。然而,在使用各种药物组合(即临床麻醉)期间应用该技术将需要进一步的研究和理解。

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