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...
Main Authors: | , , |
---|---|
Other Authors: | |
Format: | Article |
Language: | English |
Published: |
Ovid Technologies (Wolters Kluwer Health)
2020
|
Online Access: | https://hdl.handle.net/1721.1/125068 |
_version_ | 1826201659187920896 |
---|---|
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. |
first_indexed | 2024-09-23T11:55:04Z |
format | Article |
id | mit-1721.1/125068 |
institution | Massachusetts Institute of Technology |
language | English |
last_indexed | 2024-09-23T11:55:04Z |
publishDate | 2020 |
publisher | Ovid Technologies (Wolters Kluwer Health) |
record_format | dspace |
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 |
work_keys_str_mv | AT reshefedith aneurologicexaminationforanesthesiologistsassessingarousallevelduringinductionmaintenanceandemergence AT schiffnicholas aneurologicexaminationforanesthesiologistsassessingarousallevelduringinductionmaintenanceandemergence AT brownemeryneal aneurologicexaminationforanesthesiologistsassessingarousallevelduringinductionmaintenanceandemergence AT reshefedith neurologicexaminationforanesthesiologistsassessingarousallevelduringinductionmaintenanceandemergence AT schiffnicholas neurologicexaminationforanesthesiologistsassessingarousallevelduringinductionmaintenanceandemergence AT brownemeryneal neurologicexaminationforanesthesiologistsassessingarousallevelduringinductionmaintenanceandemergence |