Neuromonitoring in the ambulatory anesthesia setting: a pro-con discussion

Jeff Grosland, Michael M Todd, Peter A. Goldstein

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

PURPOSE OF REVIEW: Various neurologically focused monitoring modalities such as processed electroencephalography (pEEG), tissue/brain oxygenation monitors (SbO2), and even somatosensory evoked responses have been suggested as having the potential to improve the well tolerated and effective delivery of care in the setting of outpatient surgery. The present article will discuss the pros and cons of such monitors in this environment. RECENT FINDINGS: There is a paucity of evidence from rigorous, well designed clinical trials demonstrating that the routine use of any neuromonitoring technique in an ambulatory surgery setting leads to meaningful cost savings or a reduction in morbidity or mortality. SUMMARY: The use of advanced neuromonitoring techniques (primarily pEEG) may be considered reasonable in two instances: for the prevention of intraoperative awareness during the administration of total intravenous anesthesia coupled with the use of a neuromuscular blocking drug, and for the prevention of relative drug overdose (and possibly postoperative delirium) in the elderly.

Original languageEnglish (US)
Pages (from-to)667-672
Number of pages6
JournalCurrent opinion in anaesthesiology
Volume31
Issue number6
DOIs
StatePublished - Dec 1 2018

PubMed: MeSH publication types

  • Journal Article
  • Review

Fingerprint Dive into the research topics of 'Neuromonitoring in the ambulatory anesthesia setting: a pro-con discussion'. Together they form a unique fingerprint.

Cite this