Anesthetic management during intraoperative neurological monitoring

Tod B. Sloan

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

In general, the effect of anesthetic agents on the evoked responses parallels the effects on the electroencephalogram and can be predicted by effects at synapses in the pathways, effects on ancillary pathways, and on the pathways thought to be major components of the anesthetic state (the spinal cord reflexes and the gating of sensory information at the thalamus). By understanding the synoptic effects of the medications the appropriate combinations of drugs can be chosen for monitoring using specific modalities. In most patients an anesthetic suitable for monitoring sensory and motor potentials can be found when the anesthesiologist is familiar with the monitoring methods, the underlying physiology and the different effects of anesthetic agents. When appropriate responses are not recorded, different anesthetic agents may be needed, such as changing from inhalational agents to total intravenous anesthesia (TIVA).

Original languageEnglish (US)
Pages (from-to)5-10
Number of pages6
JournalRivista Medica
Volume12
Issue number1-2
StatePublished - Mar 2006
Externally publishedYes

Keywords

  • Anesthesia
  • Evoked potentials
  • Muscle relaxation

ASJC Scopus subject areas

  • Surgery
  • Psychiatry and Mental health

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