TY - JOUR
T1 - EEG-controlled "overdosage" of anesthetics in a patient with a history of intra-anesthetic awareness
AU - Brundidge, Phyllis K.
AU - Leavell, Michael E.
AU - Tempelhoff, René
PY - 1994/1/1
Y1 - 1994/1/1
N2 - In spite of the ever-growing pharmacologic arsenal available for induction and maintenance of anesthesia, to our knowledge no treatment regimen exists that will provide full protection against intraoperative awareness. To date, no single monitoring technique is able to detect awareness or predict recall. Although the frequency of these complications is rare, the occurrence of any such event can be very distressful for the patient. Based on our clinical experience with a patient with a history of recall and a marked resistance to benzodiazepines, we present electroencephalogram-based anesthetic management as a technique to address this difficult problem.
AB - In spite of the ever-growing pharmacologic arsenal available for induction and maintenance of anesthesia, to our knowledge no treatment regimen exists that will provide full protection against intraoperative awareness. To date, no single monitoring technique is able to detect awareness or predict recall. Although the frequency of these complications is rare, the occurrence of any such event can be very distressful for the patient. Based on our clinical experience with a patient with a history of recall and a marked resistance to benzodiazepines, we present electroencephalogram-based anesthetic management as a technique to address this difficult problem.
KW - Anesthesia-awareness, depth, recall
KW - drug overdosage
KW - electroencephalography
UR - http://www.scopus.com/inward/record.url?scp=0028556583&partnerID=8YFLogxK
U2 - 10.1016/0952-8180(94)90091-4
DO - 10.1016/0952-8180(94)90091-4
M3 - Article
C2 - 7880514
AN - SCOPUS:0028556583
SN - 0952-8180
VL - 6
SP - 496
EP - 499
JO - Journal of clinical anesthesia
JF - Journal of clinical anesthesia
IS - 6
ER -