A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
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Neurological_Examination_for_the_Anesthesiologist_10_09_18.pdf
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Figures_Neuro_Exam_07_06_17.pdf
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Author(s)
Reshef, Edith
Schiff, Nicholas
Brown, Emery Neal
Date Issued
March 2019
Journal
Anesthesiology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Citation
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.
Version
Author's final manuscript
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.
MIT Department
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
Terms of Use
Creative Commons Attribution-Noncommercial-Share Alike
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DOI of Published Version
https://doi.org/10.1097/ALN.0000000000002559
