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脊柱手术过程中频谱 α 功率的丧失:可能出现了什么问题?

Loss of spectral alpha power during spine surgery: what could be wrong?

机构信息

Institute of Anesthesiology, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE.

Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles, Los Angeles, California, USA.

出版信息

J Clin Monit Comput. 2021 Dec;35(6):1531-1533. doi: 10.1007/s10877-021-00720-1. Epub 2021 May 15.

Abstract

The electroencephalographic signatures of anesthetic drugs relate to a specific set of action mechanisms within the neural circuits. During intraoperative care, the recognition and correct interpretation of the EEG spectrogram can be used as a tool to guide anesthetic administration. For example, loss of alpha power during propofol anesthesia may be a sign of lighter level of hypnosis and/or of an increase in nociceptive inputs. We describe a case report of inadvertent interruption of propofol delivery that was first detected by changes in the electroencephalogram spectrogram.

摘要

麻醉药物的脑电图特征与神经回路中特定的一组作用机制有关。在术中护理期间,可将 EEG 频谱图的识别和正确解释用作指导麻醉给药的工具。例如,异丙酚麻醉期间α波功率的丧失可能是催眠程度较轻和/或伤害性输入增加的迹象。我们描述了一个异丙酚输注意外中断的病例报告,该中断首先通过脑电图频谱图的变化检测到。

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