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


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
Issue number6
StatePublished - Dec 1 2018

Bibliographical note

Funding Information:
This work was supported by the Department of Anesthesiology, University of Minnesota School of Medicine and Weill Cornell Medicine.

Funding Information:
P.A.G. receives funding from the United States Department of Defense and the Daedalus Fund for Innovation for research unrelated to this work.

Publisher Copyright:
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.


  • Ambulatory surgery
  • Anesthesia
  • Electroencephalography
  • Monitoring
  • Standard of care


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