Decreasing Frontal Electroencephalogram Alpha Power and Increasing Sensitivity to Volatile Anesthetics Over 3 Surgeries Within 7 Months: A Case Report.

Kaiser, Heiko; Hirschi, Trevor; Hartwich, Volker; Stucki, Monika; Rummel, Christian; Reineke, David; Hight, Darren (2019). Decreasing Frontal Electroencephalogram Alpha Power and Increasing Sensitivity to Volatile Anesthetics Over 3 Surgeries Within 7 Months: A Case Report. A & A practice, 13(7), pp. 274-277. Wolters Kluwer 10.1213/XAA.0000000000001053

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Depth of anesthesia (DoA) monitors are widely used during general anesthesia to guide individualized dosing of hypnotics. Other than age and specific drugs, there are few reports on which comorbidities may influence the brain and the resultant electroencephalogram (EEG) of patients undergoing general anesthesia. We present a case of a patient undergoing 3 cardiac operations within 7 months with severe illness and comorbidity, leading to pronounced physical frailty and significant changes of frontal alpha power in the EEG and increased sensitivity to volatile anesthetics. These findings may have important clinical implications and should trigger further investigations on this topic.

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 Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Kaiser, Heiko Andreas, Hirschi, Trevor Glenn, Stucki, Monika Pia, Rummel, Christian, Reineke, David Christian, Hight, Darren Fletcher

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2575-3126

Publisher:

Wolters Kluwer

Language:

English

Submitter:

Martin Zbinden

Date Deposited:

08 Aug 2019 09:20

Last Modified:

27 Feb 2024 14:28

Publisher DOI:

10.1213/XAA.0000000000001053

PubMed ID:

31274512

URI:

https://boris.unibe.ch/id/eprint/131845

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