A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence.
Anesthesiology
; 130(3): 462-471, 2019 03.
Article
em En
| MEDLINE
| ID: mdl-30664547
ABSTRACT
Anesthetics have profound effects on the brain and central nervous system. Vital signs, along with the electroencephalogram and electroencephalogram-based indices, are commonly used to assess the brain states of patients receiving general anesthesia and sedation. Important information about the patient's arousal state during general anesthesia can also be obtained through use of the neurologic examination. This article reviews the main components of the neurologic examination focusing primarily on the brainstem examination. It details the components of the brainstem examination that are most relevant for patient management during induction, maintenance, and emergence from general anesthesia. The examination is easy to apply and provides important complementary information about the patient's arousal level that cannot be discerned from vital signs and electroencephalogram measures.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Nível de Alerta
/
Cuidados Pós-Operatórios
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Anestésicos Inalatórios
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Anestesiologistas
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Exame Neurológico
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article