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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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