Actimetry-Documented Persistent Periodic Limb Movements During EEG-Confirmed Deep General Anesthesia

Lersch, Friedrich; Jerney, Pascal; Kaiser, Heiko; Willy, Cédric; Steck, Katharina; Hight, Darren; Zubler, Frédéric (2020). Actimetry-Documented Persistent Periodic Limb Movements During EEG-Confirmed Deep General Anesthesia. A & A practice, 14(6), e01183. Wolters Kluwer 10.1213/XAA.0000000000001183

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Motor activity during general anesthesia (GA) without neuromuscular blockade is often interpreted as reflecting insufficient anesthesia. Here we present the case of an octogenarian undergoing deep sclerectomy with opioid-sparing electroencephalography (EEG)-guided anesthesia. Periodic leg movements (PLM) appeared during ongoing surgery while the patient's raw EEG displayed a pattern of deep anesthesia, evidenced by burst suppression. Recognizing PLM in the context of opioid-sparing GA is of importance for anesthesiologists, as deep anesthesia is not necessarily associated with a decrease in motor activity.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Lersch, Friedrich; Jerney, Pascal; Kaiser, Heiko; Steck, Katharina; Hight, Darren and Zubler, Frédéric

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2575-3126

Publisher:

Wolters Kluwer

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

02 Jun 2020 16:48

Last Modified:

07 Jun 2020 02:52

Publisher DOI:

10.1213/XAA.0000000000001183

PubMed ID:

32224690

BORIS DOI:

10.7892/boris.144099

URI:

https://boris.unibe.ch/id/eprint/144099

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