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Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management
The development of general anesthesia techniques and anesthetic substances has opened new horizons for the expansion and improvement of surgical techniques. Nevertheless, more complex surgical procedures have brought a higher complexity and longer duration for general anesthesia, which has led to a...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7913052/ https://www.ncbi.nlm.nih.gov/pubmed/33540844 http://dx.doi.org/10.3390/medicina57020132 |
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author | Rogobete, Alexandru Florin Bedreag, Ovidiu Horea Papurica, Marius Popovici, Sonia Elena Bratu, Lavinia Melania Rata, Andreea Barsac, Claudiu Rafael Maghiar, Andra Garofil, Dragos Nicolae Negrea, Mihai Petcu, Laura Bostangiu Toma, Daiana Dumbuleu, Corina Maria Rimawi, Samir Sandesc, Dorel |
author_facet | Rogobete, Alexandru Florin Bedreag, Ovidiu Horea Papurica, Marius Popovici, Sonia Elena Bratu, Lavinia Melania Rata, Andreea Barsac, Claudiu Rafael Maghiar, Andra Garofil, Dragos Nicolae Negrea, Mihai Petcu, Laura Bostangiu Toma, Daiana Dumbuleu, Corina Maria Rimawi, Samir Sandesc, Dorel |
author_sort | Rogobete, Alexandru Florin |
collection | PubMed |
description | The development of general anesthesia techniques and anesthetic substances has opened new horizons for the expansion and improvement of surgical techniques. Nevertheless, more complex surgical procedures have brought a higher complexity and longer duration for general anesthesia, which has led to a series of adverse events such as hemodynamic instability, under- or overdosage of anesthetic drugs, and an increased number of post-anesthetic events. In order to adapt the anesthesia according to the particularities of each patient, the multimodal monitoring of these patients is highly recommended. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, the reduction of awakening times, and the reduction of postoperative complications. Another important aspect is the impact on the status of inflammation and the redox balance. By minimizing inflammatory and oxidative impact, a faster recovery can be achieved that increases patient safety. The purpose of this literature review is to present the most modern multimodal monitoring techniques to discuss the particularities of each technique. |
format | Online Article Text |
id | pubmed-7913052 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79130522021-02-28 Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management Rogobete, Alexandru Florin Bedreag, Ovidiu Horea Papurica, Marius Popovici, Sonia Elena Bratu, Lavinia Melania Rata, Andreea Barsac, Claudiu Rafael Maghiar, Andra Garofil, Dragos Nicolae Negrea, Mihai Petcu, Laura Bostangiu Toma, Daiana Dumbuleu, Corina Maria Rimawi, Samir Sandesc, Dorel Medicina (Kaunas) Review The development of general anesthesia techniques and anesthetic substances has opened new horizons for the expansion and improvement of surgical techniques. Nevertheless, more complex surgical procedures have brought a higher complexity and longer duration for general anesthesia, which has led to a series of adverse events such as hemodynamic instability, under- or overdosage of anesthetic drugs, and an increased number of post-anesthetic events. In order to adapt the anesthesia according to the particularities of each patient, the multimodal monitoring of these patients is highly recommended. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, the reduction of awakening times, and the reduction of postoperative complications. Another important aspect is the impact on the status of inflammation and the redox balance. By minimizing inflammatory and oxidative impact, a faster recovery can be achieved that increases patient safety. The purpose of this literature review is to present the most modern multimodal monitoring techniques to discuss the particularities of each technique. MDPI 2021-02-02 /pmc/articles/PMC7913052/ /pubmed/33540844 http://dx.doi.org/10.3390/medicina57020132 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Rogobete, Alexandru Florin Bedreag, Ovidiu Horea Papurica, Marius Popovici, Sonia Elena Bratu, Lavinia Melania Rata, Andreea Barsac, Claudiu Rafael Maghiar, Andra Garofil, Dragos Nicolae Negrea, Mihai Petcu, Laura Bostangiu Toma, Daiana Dumbuleu, Corina Maria Rimawi, Samir Sandesc, Dorel Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management |
title | Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management |
title_full | Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management |
title_fullStr | Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management |
title_full_unstemmed | Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management |
title_short | Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management |
title_sort | multiparametric monitoring of hypnosis and nociception-antinociception balance during general anesthesia—a new era in patient safety standards and healthcare management |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7913052/ https://www.ncbi.nlm.nih.gov/pubmed/33540844 http://dx.doi.org/10.3390/medicina57020132 |
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