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

Fingerprint

Neurology
Bioelectric potentials
Electroencephalography

Keywords

  • anaesthesia
  • hypnosis
  • analgesia
  • neuromuscular transmission
  • monitoring

Cite this

van Gils, Mark ; Korhonen, Ilkka ; Yli-Hankala, Arvi. / Methods for assessing adequacy of anesthesia. In: Critical Reviews in Biomedical Engineering. 2002 ; Vol. 30, No. 1-3. pp. 99-130.
@article{2e7a230645a24ea99c9522253aa96e70,
title = "Methods for assessing adequacy of anesthesia",
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.",
keywords = "anaesthesia, hypnosis, analgesia, neuromuscular transmission, monitoring",
author = "{van Gils}, Mark and Ilkka Korhonen and Arvi Yli-Hankala",
note = "Project code: T7SU00160",
year = "2002",
doi = "10.1615/CritRevBiomedEng.v30.i123.60",
language = "English",
volume = "30",
pages = "99--130",
journal = "Critical Reviews in Biomedical Engineering",
issn = "0278-940X",
publisher = "Begell House Inc.",
number = "1-3",

}

Methods for assessing adequacy of anesthesia. / van Gils, Mark; Korhonen, Ilkka; Yli-Hankala, Arvi.

In: Critical Reviews in Biomedical Engineering, Vol. 30, No. 1-3, 2002, p. 99-130.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Methods for assessing adequacy of anesthesia

AU - van Gils, Mark

AU - Korhonen, Ilkka

AU - Yli-Hankala, Arvi

N1 - Project code: T7SU00160

PY - 2002

Y1 - 2002

N2 - 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.

AB - 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.

KW - anaesthesia

KW - hypnosis

KW - analgesia

KW - neuromuscular transmission

KW - monitoring

U2 - 10.1615/CritRevBiomedEng.v30.i123.60

DO - 10.1615/CritRevBiomedEng.v30.i123.60

M3 - Article

VL - 30

SP - 99

EP - 130

JO - Critical Reviews in Biomedical Engineering

JF - Critical Reviews in Biomedical Engineering

SN - 0278-940X

IS - 1-3

ER -