A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence

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 pati...

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Main Authors: Reshef, Edith, Schiff, Nicholas, Brown, Emery Neal
Other Authors: Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Format: Article
Language:English
Published: Ovid Technologies (Wolters Kluwer Health) 2020
Online Access:https://hdl.handle.net/1721.1/125068
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author Reshef, Edith
Schiff, Nicholas
Brown, Emery Neal
author2 Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
author_facet Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences
Reshef, Edith
Schiff, Nicholas
Brown, Emery Neal
author_sort Reshef, Edith
collection MIT
description 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.
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spelling mit-1721.1/1250682022-10-01T06:57:01Z A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence Reshef, Edith Schiff, Nicholas Brown, Emery Neal Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences Massachusetts Institute of Technology. Institute for Medical Engineering & Science Massachusetts Institute of Technology. Institute for Data, Systems, and Society Picower Institute for Learning and Memory 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. National Institutes of Health (U.S.) (Grants DP1-OD003646 and R01-GM104948 ) 2020-05-06T18:44:03Z 2020-05-06T18:44:03Z 2019-03 2017-07 2019-12-13T14:28:41Z Article http://purl.org/eprint/type/JournalArticle 0003-3022 https://hdl.handle.net/1721.1/125068 Reshef, Edith R. et al. "A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence." Anesthesiology 130, 3 (March 2019): 462-471 © 2019 the American Society of Anesthesiologists, Inc. Wolters Kluwer Health, Inc. en http://dx.doi.org/10.1097/ALN.0000000000002559 Anesthesiology Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf application/pdf Ovid Technologies (Wolters Kluwer Health) Prof. Brown via Courtney Crummett
spellingShingle Reshef, Edith
Schiff, Nicholas
Brown, Emery Neal
A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
title A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
title_full A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
title_fullStr A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
title_full_unstemmed A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
title_short A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
title_sort neurologic examination for anesthesiologists assessing arousal level during induction maintenance and emergence
url https://hdl.handle.net/1721.1/125068
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