Aniset Luc, Knitschke Rebekka, Frietsch Thomas
Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Apr;45(4):230-6; quiz 237. doi: 10.1055/s-0030-1253089. Epub 2010 Apr 12.
Modern computer-based methods to monitor anesthesia are widespread. They are used in order to avoid awareness, to reduce consumption of anesthetics, to optimize recovery times and to detect prolonged times of deep anesthesia and associated immunsuppression, mortality and morbidity. This review illustrates the evidence with which these goals were achieved until now. Finally, a recommendation for each indication is given. The useage of EEG-monitoring may help to avoid awareness and allows a reduced of consumption of anesthetics. The question if a cumulated time of deep anesthesia is associated with elevated mortality might be of a certain importance in the future.
现代基于计算机的麻醉监测方法已广泛应用。其目的是避免术中知晓、减少麻醉药物用量、优化苏醒时间，并检测深度麻醉的延长时间以及相关的免疫抑制、死亡率和发病率。本综述阐述了迄今为止实现这些目标的证据。最后，针对每种适应症给出了建议。脑电图监测的应用可能有助于避免术中知晓并减少麻醉药物用量。深度麻醉累计时间是否与死亡率升高相关的问题在未来可能具有一定重要性。
