Evaluation of Different Positive End-Expiratory Pressures Using Supreme™ Airway Laryngeal Mask during Minor Surgical Procedures in Children

Fiedler, Mascha O.; Schätzle, Elisabeth; Contzen, M.; Gernoth, C.; Weiß, Christel; Walter, Thomas; Viergutz, Tim; Kalenka, Armin

doi:10.3390/medicina56100551

Cited by 6 publications

(7 citation statements)

References 22 publications

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“…Bonhomme et al, have evaluated the Surgical Pleth Index (SPI, GE Healthcare, Helsinki, Finland) trend and have made correlations with variability in mean arterial pressure and heart rate. Following this study they have shown that there is a strong correlation between all these variables and therefore SPI values depend on the doses of opioid medication administered during the anesthesia [58]. Bergmann et al, have carried out a randomized study that included 170 patients receiving general anesthesia with propofol and remifentanil.…”

Section: Figurementioning

confidence: 99%

“…The aim of these parameters is to come as an aid to the clinician in deciding the adequate analgesia dosage for each patient. While monitoring the degree of hypnosis is achieved through the direct evaluation of the EEG signals, the nociceptionantinociception balance can be monitored indirectly [9,12], by evaluating certain variables such as the vasomotor reflex, pupillary size, the H reflex, and the hemodynamic response [57][58] (Figure 1).…”

Section: Monitoring Techniques For the Nociception-antinociception Balancementioning

confidence: 99%

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Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Rogobete

Bedreag

Păpurică

et al. 2021

Preprint

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With the development of general anesthesia techniques and anesthetic substances, brought new horizons for the expansion and improvement of surgical techniques. Nevertheless, more complex surgical procedures brought a higher complexity and longer duration for general anesthesia that led to a series of adverse events such as hemodynamic instability, under- or overdosage of anesthetic drugs, as well as an increased number of post-anesthetic events. In order to adapt the anesthesia according to the particularities of each patient, the multimodal monitoring of these patients is highly recommended. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, reduction of awakening times, and the reduction of post-operative complications. Another important aspect is the impact on the status of inflammation and the redox balance. By minimizing inflammatory and oxidative impact one can achieve a faster recovery that will lead to both increased patient satisfaction and an increase in patient safety. The purpose of this literature review is to present the most modern multimodal monitoring techniques, respectively to discuss the particularities of each technique.

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Section: Figurementioning

confidence: 99%

Section: Monitoring Techniques For the Nociception-antinociception Balancementioning

confidence: 99%

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Rogobete

Bedreag

Păpurică

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…The aim of these parameters is to aid the clinician in deciding the adequate analgesia dosage for each patient. Whereas monitoring the degree of hypnosis is achieved through the direct evaluation of the EEG signals, the nociception-antinociception balance can be monitored indirectly [ 9 , 12 ] by evaluating certain variables such as the vasomotor reflex, pupillary size, the H reflex, and the hemodynamic response [ 57 , 58 ] ( Figure 1 ).…”

Section: Monitoring Techniques For the Nociception-antinociceptionmentioning

confidence: 99%

“…Following this study, they showed that there is a strong correlation between all these variables. Therefore SPI values depend on the doses of opioid medication administered during the anesthesia [ 58 ]. Bergmann et al carried out a randomized study that included 170 patients receiving general anesthesia with propofol and remifentanil.…”

Section: Monitoring Techniques For the Nociception-antinociceptionmentioning

confidence: 99%

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management

et al. 2021

View full text Add to dashboard Cite

The development of general anesthesia techniques and anesthetic substances has opened new horizons for the expansion and improvement of surgical techniques. Nevertheless, more complex surgical procedures have brought a higher complexity and longer duration for general anesthesia, which has led to a series of adverse events such as hemodynamic instability, under- or overdosage of anesthetic drugs, and an increased number of post-anesthetic events. In order to adapt the anesthesia according to the particularities of each patient, the multimodal monitoring of these patients is highly recommended. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, the reduction of awakening times, and the reduction of postoperative complications. Another important aspect is the impact on the status of inflammation and the redox balance. By minimizing inflammatory and oxidative impact, a faster recovery can be achieved that increases patient safety. The purpose of this literature review is to present the most modern multimodal monitoring techniques to discuss the particularities of each technique.

show abstract

“…The aim of these parameters is to come as an aid to the clinician in deciding the adequate analgesia dosage for each patient. While monitoring the degree of hypnosis is achieved through the direct evaluation of the EEG signals, the nociception-antinociception balance can be monitored indirectly [9,12,57], by evaluating certain variables such as the vasomotor reflex, pupillary size, the H reflex, and the hemodynamic response [58] (Figure 1). Figure 1.…”

Section: Monitoring Techniques For the Nociception-antinociception Bamentioning

confidence: 99%

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Rogobete¹,

Bedreag²,

Păpurică³

et al. 2020

Preprint

View full text Add to dashboard Cite

Worldwide, an increasing number of patients undergo complex surgeries. With the development of general anesthesia techniques and anesthetic substances, the most complex surgical techniques could be developed. In order to adapt the anesthesia according to the particularities of each patient, it is recommended the multimodal monitoring of these patients. Classically, general anesthesia monitoring consists of the analysis of vital functions and gas exchange. Multimodal monitoring refers to the concomitant monitoring of the degree of hypnosis and the nociceptive-antinociceptive balance. By titrating anesthetic drugs according to these parameters, clinical benefits can be obtained, such as hemodynamic stabilization, reduction of awakening times, reduction of post-operative complications. Also, there is an important impact on the status of inflammation and the redox balance. The purpose of this literature review is to present the most modern multimodal monitoring techniques, respectively to discuss the particularities of each technique.

show abstract

Evaluation of Different Positive End-Expiratory Pressures Using Supreme™ Airway Laryngeal Mask during Minor Surgical Procedures in Children

Cited by 6 publications

References 22 publications

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia—A New Era in Patient Safety Standards and Healthcare Management

Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance During General Anesthesia - A New Era in Patient Safety Standards and Healthcare Management

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