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 language||English (US)|
|Number of pages||6|
|Journal||Current opinion in anaesthesiology|
|State||Published - Dec 1 2018|
Bibliographical noteFunding Information:
This work was supported by the Department of Anesthesiology, University of Minnesota School of Medicine and Weill Cornell Medicine.
P.A.G. receives funding from the United States Department of Defense and the Daedalus Fund for Innovation for research unrelated to this work.
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
- Ambulatory surgery
- Standard of care