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Cerebral Monitoring in the Operating Room and the Intensive Care Unit

  • Book
  • © 1990

Overview

Authors:
  1. Enno Freye

    1. Department of Vascular Surgery and Renal Transplantation, Heinrich Heine University of Düsseldorf, Germany
      Department of Central Diagnostics, Rheinische Landes- und Hochschulklinik in the University Clinics of Essen, Germany

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Part of the book series: Developments in Critical Care Medicine and Anaesthesiology (DCCA, volume 22)

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Table of contents (22 chapters)

  1. Front Matter

    Pages I-X
    Download chapter PDF

  2. Introduction

    • Enno Freye
    Pages 1-5

  3. The principle of EEG recording using computerized power spectral analysis

    • Enno Freye
    Pages 6-20

  4. Set-up of monitoring the EEG

    • Enno Freye
    Pages 21-24

  5. Anesthesia and the EEG

    • Enno Freye
    Pages 25-36

  6. The EEG and cerebral ischemia

    • Enno Freye
    Pages 37-46

  7. Cerebral monitoring in the intensive care unit

    • Enno Freye
    Pages 47-63

  8. Trouble shooting

    • Enno Freye
    Pages 64-67

  9. Systems currently available for processed EEG recording

    • Enno Freye
    Pages 68-83

  10. Sensory Evoked Potentials

    • Enno Freye
    Pages 84-87

  11. The principle of Somatosensory Evoked Potential Monitoring

    • Enno Freye
    Pages 88-103

  12. Optimising signal-to-noise ratio

    • Enno Freye
    Pages 104-112

  13. Evaluating the response of the evoked potential

    • Enno Freye
    Pages 113-121

  14. The effect of drugs on the evoked potential

    • Enno Freye
    Pages 122-129

  15. Use of evoked potentials in the ICU

    • Enno Freye
    Pages 130-144

  16. Auditory Evoked Potentials (AEPs) and Brainstem Auditory Evoked Responses (BAER or BAEP)

    • Enno Freye
    Pages 145-150

  17. Visual Evoked Potentials (VEPs)

    • Enno Freye
    Pages 151-155

  18. Complications that arise during EP monitoring

    • Enno Freye
    Pages 156-157

  19. Systems of use for EP measurements in the OR and in the ICU

    • Enno Freye
    Pages 158-177

  20. New scopes in cerebral monitoring by topographic mapping of EEG-power spectra and EP waves

    • Enno Freye
    Pages 178-181
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Keywords

About this book

In spite of today's increasing body of knowledge in regard to central nervous func­ tion and/or the mode of action of centrally active compounds, little is done to monitor those patients which are at risk of cerebral lesions either in the OR or in the ICU. Due to the inconsistency of reports regarding the application and the benefits computerized EEG and/or evoked potential monitoring will bring to the clinician, physicians still are reluctant to get involved with a technique, which they think, will have little or no effect on the outcome of a patients well being. However, due to the development in computer technology, data acquisition and comprehension, it now is possible to monitor such a viable organ as the Central Nervous System (CNS) on a routine base without being a specialist in neurology or electroencephalography. Thus, the book is intended to guide the clinician to use BEG and evoked potential monitoring in a day to day situation, without going too deep into technical details. As an improvement of cerebral care is needed, various representative cases underline the interpretation of EEG power spectra and evoked potential changes in regard to the underlying clinical situation. It is hoped that this book will serve as a guide to anyone who considers cerebral monitoring a necessity in today's patient care. This may be the anesthesiologist, the intensive care therapist, the nurse anesthetist as well as the medical personnel in the lCU setting.

Authors and Affiliations

  • Department of Vascular Surgery and Renal Transplantation, Heinrich Heine University of Düsseldorf, Germany

    Enno Freye

  • Department of Central Diagnostics, Rheinische Landes- und Hochschulklinik in the University Clinics of Essen, Germany

    Enno Freye

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