Cogliolo P, Tufano R, Romano V, Villani R, Duvall M, Laurino S, Del Franco G, Coppola T
Ospedale A. Rizzoli, USL n. 21, Ischia.
Minerva Anestesiol. 1990 May;56(5):161-3.
Drugs used in anesthesia do not always produce the expected neurophysiological results. By studying those cases in which the reappearance of intraoperative awareness is most common, an attempt was made to estimate how many and which levels of cerebral function could be identified. Four levels were recognised: awareness with or without memory, and wakefulness with or without dreams. These conditions are related to greater or lesser cortical activity. They can be identified using Tunstall's technique and by carefully interviewing the patient immediately after the operation.
麻醉中使用的药物并非总能产生预期的神经生理结果。通过研究术中知晓再次出现最为常见的那些病例,试图估算可识别出多少种以及哪些脑功能水平。识别出了四个水平:伴有或不伴有记忆的知晓,以及伴有或不伴有梦境的清醒。这些状态与皮质活动程度的高低相关。可使用滕斯托尔技术并在术后立即仔细询问患者来识别这些状态。