A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence
Author(s)Reshef, Edith; Schiff, Nicholas; Brown, Emery Neal
MetadataShow full item record
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.
DepartmentMassachusetts 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
Ovid Technologies (Wolters Kluwer Health)
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.
Author's final manuscript