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2010, Número 1

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Rev Mex Anest 2010; 33 (1)


Anestesia y neuromonitorización transoperatoria funcional

Mendoza-Popoca CU, Suárez-Morales M

Idioma: Español
Referencias bibliográficas: 54
Paginas: 23-30
Archivo PDF: 70.38 Kb.


RESUMEN

Actualmente el alto grado de eficiencia y confiabilidad de la neuromonitorización eléctrica en el paciente neuroquirúrgico hace que ésta tenga cada vez más un lugar preponderante y necesario, por razones tanto éticas como legales, en el quirófano. Tan es así que ya forma parte integral del equipo neuroquirúrgico. Por lo anterior es indispensable que el anestesiólogo conozca los alcances y limitaciones de esta práctica; además, y de forma muy importante, los efectos causados por los anestésicos utilizados durante la intervención. El objetivo de esta revisión es puntualizar la influencia que sobre la neuromonitorización ejercen nuestros anestésicos, con el fin de poder, de acuerdo a la preferencia de cada anestesiólogo, integrar la técnica anestésica a la monitorización y viceversa, para una mejor vigilancia y protección del paciente.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Loftus CM, Traynelis VC. Intraoperative monitoring techniques in neurosurgery. McGraw Hill. 1994.

  2. Todd MM, Drummond JC. The hemodynamic consequences of high dose thiopental anesthesia. Anesth Analg 1985; 64: 681-87.

  3. Wang B, Bai Q, Jiao X, Wang E, White P. Effect of sedative and hypnotic doses of propofol on the EEG activity of patients with or without a history of seizure disorders. J Neurosurg Anesthesiol 1997: 335-40.

  4. Milde LN, Milde JH, Michenfelder JD. Cerebral functional metabolic and hemodynamic effects of etomidate in dogs. Anesthesiology 1985; 63: 371-7.

  5. Smith NT, Dec-Silver H, Sanford TJ. EEGs during high dose fentanyl, sufentanyl or morphine-oxygen anesthesia. Anesth Analg 1984; 63: 386-93.

  6. Detsch O, Kochs E. Effects of ketamine on CNS function. Anaesthesist 1997; 46: S20-9.

  7. Veselis RA. The effects of midazolam on the EEG during sedation of critically ill patients. Anaesthesia 1993; 48: 463-70.

  8. Campkin TV, Honigsberger L, Smith IS. Isoflurane: Effect on the electroencephalogram during carotid endarterectomy. Anaesthesia 1985; 40: 188-91.

  9. Rampil IJ, Lockhart SH, Eger EI. The electroencephalographic effects of desflurane in humans. Anesthesiology 1991; 74: 434-9.

  10. Kiyotaka S, Hiroshi S, Masato K. Effect of sevoflurane on electrocorticogram in normal brain. J Neurosurg Anesthesiol 2002; 14: 63-65.

  11. Yamamura T, Fukuda M, Takeya H. Fast oscillatory EEG activity induced by analgesic concentrations of nitrous oxide in man. Anesth Analg 1981; 60: 283-8.

  12. Michenfelder JD, Milde JH. The effect of profound levels of hypothermia (below 14 ºC) on canine cerebral metabolism. J Cereb Blood Flow Metab 1992; 12: 877-80.

  13. Rao GSU, Ali Z, Ramamoorthy M. Equi-MAC concentrations of halothane and isoflurane do not reproduce similar bispectral index values. J Neurosurg Anesthesiol 2007; 19: 93-6.

  14. Schawb HS, Seeberger MD, Eger E II. Sevoflurane decreases bispectral index values more than does halothane at equal MAC multiples. Anesth Analg 2004; 99: 1723-27.

  15. Delfino AE, Cortinez LI, Fierro CV, Muñoz HR. Propofol consumption and recovery times after bispectral index o r cerebral state index guidance of anaesthesia. Br J Anaesth 2009; 103: 255-9.

  16. Hemanshu P, Zulfiqar A, Parmod K. EEG entropy values during isoflurane, sevoflurane and halothane anesthesia with and without nitrous oxide. J Neurosurg Anesthesiol 2009; 21: 108-11.

  17. Martorano PP, Falzetti G, Pelaia P. Bispectral index and spectral entropy in neuroanesthesia. J Neurosurg Anesthesiol 2006; 18: 205-10.

  18. Liu EHC, Wong HK, Chia CP. Effects of isoflurane and propofol on cortical somatosensory evoked potentials during comparable depth of anaesthesia as aguided by bispectral index. Brit J of Anaesth 2005; 94: 193-97.

  19. Boisseau N, Madany M, Staccini P. Comparison of the effects of sevoflurane and propofol on cortical somatosensory evoked potentials. Br J Anaesth 2002; 88: 785-9.

  20. Hagnighi SS, Sirintraun SJ, Johnson JC, Keller BP. Suppression of spinal and cortical somatosensory evoked potentials by desflurane anesthesia. J Neurosurg Anesthesiol 1996; 8: 148-53.

  21. Fletcher JE, Hinn AR, Heard Ch M. the effects of isoflurane and desflurano titrated to a bispectral index of 60 on the cortical somatosensory evoked potential during pediatric scoliosis surgery. Anesth Analg 2005; 100: 1797-1803.

  22. Markand ON, Warren C, Mallik GS. Effects of hypothermia on short latency somatosensory evoked potentials in humans. Electroencephalogr Clin Neurophysiol 1990; 77: 416-24.

  23. Lang M, Welte M, Syben R, Hansen D. Effects of hypothermia on median nerve somatosensory evoked potentials durng spontaneous circulation. J Neurosurg Anesth 2002; 14: 141-5.

  24. Tenenbein PK, Lam AM, Klein L. Effects of sevoflurane and propofol on flash visual evoked potentials. J Neurosurg Anesthesiol 2006; 18: 310.

  25. Zenter J, Albrecht T, Heuser D. Influence of halothane, enflurane and isoflurane on motor evoked potentials. Neurosurgery 1992; 31: 298-305.

  26. Bernard JM, Pereon Y, Fayet G, Guiheneuc P. Effects of isoflurane and desflurano on neurogenic motor-and somatosensory- evoked potential monitoring for scoliosis surgery. Anesthesiology 1996; 85: 1013-19.

  27. Pelosi L, Stevenson M, Hobbs GJ. Intraoperative motor evoked potentials to transcranial electrical stimulation during two anesthetic regimens. Clin Neurophysiol 2001; 112: 1076-87.

  28. MacDonald DB, AlZayed Z, Khoudir I. Monitoring scoliosis surgery with combined multiple pulse transcranial electric motor and cortical somatosensory-evoked potentials from de lower and upper extremities. Spine 2003; 28: 194-203.

  29. Bala E, Sessler D, Dileep R. Motor and somatosensory evoked potentials are well maintained in patients given dexmedetomidine during spine surgery. Anesthesiology 2008; 109: 417-25.

  30. Mahmoud M, Sadhasivam S, Sestokas A. Loss of transcranial electric motor evoked potentials during pediatric spine surgery with dexmedetomidina. Anesthesiology 2007; 106: 393-6.

  31. Kurita N, Kawaguchi M, Hoshida T. Effects of nitrous oxide on spike activity on electrocorticogram under sevoflurane anesthesia in epileptic patients. J Neurosurg Anesthesiol 2005; 17: 199-202.

  32. Lebowitz MH, Blitt CD, Dillon JB. Enflurane-induced central nervous system excitation and its relation to carbon dioxide tension. Anesth Analg 1972; 51: 355-63.

  33. Puolton TJ, Ellingson RJ. Seizure associated with induction of anesthesia with isoflurane. Anesthesiology 1984; 61: 471-6.

  34. Kofke WA, Young RSK, Davis P. Isoflurane for refractory status epilepticus: a clinical series. Anesthesiology 1989; 71: 653-9.

  35. Ian JW, Richard GH, Matthew RC. Electroencephalographic evidence of seizure activity under deep sevoflurane anesthesia in a non epileptic patient. Anestesiology 1997; 87: 1579-82.

  36. Komatsu H, Taie S, Endo S. Electrical seizures during sevoflurane anesthesia in two pediatric patients with epilepsy. Anesthesiology 1994; 87: 1579-82.

  37. Hisada K, Morioka T, Fukui K, Shunji N. Effects of sevoflurane and isoflurane on electrocortocographic activities in patients with temporal lobe epilepsy. J Neurosurg Anesth 2001; 13: 333-7.

  38. Kiyotaka S, Hiroshi S, Masato K. Effect of sevoflurane on electrocorticogram in normal brain. J Neurosurg Anesth 2002; 14: 63-5.

  39. Julliac B, Guehl D, Chopin F. Risk factors for the occurrence of electroencephalogram abnormalities during induction of anesthesia with sevoflurane in non epileptic patients. Anesthesiology 2007; 106: 243-51.

  40. Mirsattari SM, Sharpe M, Young B. Treatment of refractory status epilepticus with inhalational anesthetic agents isoflurane and desflurane. Arch Neurol 2004; 61: 1254-9.

  41. Laughlin TP, Newberg LA. Prolonged myoclonos after etomidate anesthesia. Anesth Analg 1985; 64: 80-2.

  42. Gancher S, Laxer KD, Krieger W. Activation of epileptogenic activity by etomidate. Anesthesiology 1984; 61: 616-8.

  43. Treiman DM. The roll of benzodiazepines in the management of status epilepticus. Neurology 1990; 40: 32-42.

  44. Mckenzie SJ, Kapadia F, Grant IS. Propofol infusion for control of status epilepticus. Anaesthesia 1990; 45: 1043-5.

  45. Merigian KS, Browning RG, Leeper KV. Successful treatment of amoxapina-induced refractory status epilepticus with propofol. Acad Energ Med 1995; 2: 128-33.

  46. Kuisma N, Roine RO. Propofol in prehospital treatment of convulsive status epilepticus. Epilepsia 1995; 36: 1241-3.

  47. Simson KH, Halsall PJ, Carr CM. Propofol reduces seizures duration in patients having anaesthesia for electroconvulsive therapy. Br J Anaesth 1988; 61: 343-4.

  48. Bekker AY, Kaufman B, Samir H. The use of dexmedetomidina infusion for awake craniotomy. Anesth Analg 2001; 92: 1251-3.

  49. Mack PF, Perrine K, Kobylarz E. Dexmedetomidine and neurocognitive testing in awake craniotomy. J Neurosurg Anesthesiol 2004; 16: 20-5.

  50. Tanaka K, Oda Y, Funao T. Dexmedetomidine decreases the convulsive potency of bupivacaine and levobupivacaine in rats: involvement of a2 – adrenoceptor for controlling convulsions. Anesth Analg 2005; 100: 687-96.

  51. Frost JJ, Maberg HS, Fisher RS. Mu opiate receptors measured by positron emission tomography are increased in temporal lobe epilepsy. Ann Neurol 1988; 123: 231-7.

  52. Kearse LA Jr, Koski G, Husain MB. Epileptiform activity during opioid anesthesia. Electroencephalogr Clin Neurophysiol 1993; 87: 374-9.

  53. Tempelhoff R, Modica PA, Bernardo KL. Fentanyl, induced electrocorticographic seizures in patients with complex partial epilepsy. J Neurosurg 1992; 77: 2.

  54. Souter MJ, Rozet I, Ojemann JG. Dexmedetomidine sedation during awake craniotomy for seizure resection: effects on electrocorticogram. J Neurosurg Anesthesiol 2007; 19: 38-44.




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