A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence Academic Article uri icon

Overview

MeSH Major

  • Blood Flow Velocity
  • Brain
  • Cerebrovascular Circulation
  • Echo-Planar Imaging
  • Magnetic Resonance Angiography
  • Models, Biological

abstract

  • 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.

publication date

  • March 2019

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1097/ALN.0000000000002559

PubMed ID

  • 30664547

Additional Document Info

start page

  • 462

end page

  • 471

volume

  • 130

number

  • 3