THE ROLE OF MONITORING THE DEPTH OF ANESTHESIA IN REDUCING POSTOPERATIVE COMPLICATIONS
Keywords:
depth of anesthesia, postoperative cognitive impairment, comprehensive monitoring, perioperative complications, personalized anesthesia, hemodynamic stabilityAbstract
Monitoring the depth of anesthesia is a key component of modern anesthesia aimed at optimizing the dosing of anesthetics and minimizing the risk of both under- and overanesthesia. This article discusses the role of objective monitoring of the depth of anesthesia in reducing the incidence of postoperative complications, including cognitive dysfunction, delirium, cardiorespiratory complications, and increased mortality. In addition, the use of monitoring the depth of anesthesia helps to
reduce the time of awakening and accelerate postoperative rehabilitation, especially in elderly patients and those with comorbidities. The introduction of objective methods for assessing the patient's anesthetic status is an effective strategy for
increasing the safety of surgical intervention and improving clinical outcomes.
References
Baymukhamedov, A. B., & Tursunov, B. A. (2021). Мониторинг глубины анестезии как способ повышения безопасности анестезиологического пособия. Вестник анестезиологии и реаниматологии, 18(3), 22–28.
Bruhn, J., Myles, P. S., Sneyd, R., & Struys, M. M. (2006). Depth of anaesthesia monitoring: what's available, what's validated and what's next? British Journal of Anaesthesia, 97(1), 85–94. https://doi.org/10.1093/bja/ael120
Chan, M. T., Cheng, B. C., Lee, T. M., & Gin, T. (2013). BIS-guided anesthesia decreases postoperative delirium and cognitive decline. Journal of Neurosurgical Anesthesiology, 25(1), 33–42. https://doi.org/10.1097/ANA.0b013e3182712fba
Checketts, M. R., Alladi, R., Ferguson, K., Gemmell, L., Handy, J. M., Klein, A. A., & Verma, R. (2016). Recommendations for standards of monitoring during anaesthesia and recovery 2015: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia, 71(1), 85–93. https://doi.org/10.1111/anae.13316
Punjasawadwong, Y., Phongchiewboon, A., & Bunchungmongkol, N. (2014). Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database of Systematic Reviews, 6, CD003843. https://doi.org/10.1002/14651858.CD003843.pub3
Rampil, I. J. (1998). A primer for EEG signal processing in anesthesia. Anesthesiology, 89(4), 980–1002. https://doi.org/10.1097/00000542-199810000 00023
Sessler, D. I. (2008). Temperature monitoring and perioperative thermoregulation. Anesthesiology, 109(2), 318–38. https://doi.org/10.1097/ALN.0
Sun, Y., Lu, Y., Huang, Y., & Jiang, H. (2015). Bispectral index monitoring to prevent awareness during general anaesthesia: a meta-analysis. British Journal of Anaesthesia, 115(5), 616–625. https://doi.org/10.1093/bja/aev272
