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 Andreas, Steck, Katharina, Hight, Darren Fletcher, 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: |
02 Mar 2023 23:33 |
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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