Methods for assessing adequacy of anesthesia

Mark van Gils, Ilkka Korhonen, Arvi Yli-Hankala

    Research output: Contribution to journalArticleScientificpeer-review

    11 Citations (Scopus)

    Abstract

    Assessing adequacy of anesthesia requires evaluation of its components: hypnosis, analgesia, and neuromuscular transmission. In order to do this, many methods have been developed that process signals representing different modalities.
    Assessment of hypnosis requires cortical measures of the central nervous system (CNS); methods that assess analgesia concentrate on subcortical and spinal levels of the CNS; and neuromuscular transmission is a peripheral phenomenon.
    This article presents an overview of the current state of methods available for measuring each of these components.
    We conclude that, whereas important gains have been made in the area of assessment of hypnosis, mainly owing to the advancement of methods using EEG and auditory evoked potentials, and whereas neuromuscular transmission can be objectively monitored using motor nerve stimulation, assessment of analgesia still contains many challenges.



    Original languageEnglish
    Pages (from-to)99-130
    JournalCritical Reviews in Biomedical Engineering
    Volume30
    Issue number1-3
    DOIs
    Publication statusPublished - 2002
    MoE publication typeA1 Journal article-refereed

    Keywords

    • anaesthesia
    • hypnosis
    • analgesia
    • neuromuscular transmission
    • monitoring

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