Does electroencephalographic burst suppression still play a role in the perioperative setting?

被引：10

作者：

Lobo, Francisco Almeida ^{[1
]}

Vacas, Susana ^{[2
]}

Rossetti, Andrea O. ^{[3
,4
]}

Robba, Chiara ^{[5
]}

Taccone, Fabio Silvio ^{[6
]}

机构：

[1] Ctr Hosp Tras Os Montes & Alto Douro, Anesthesiol Dept, Ave Noruega, P-5000508 Vila Real, Portugal

[2] Univ Calif Los Angeles, Reagan UCLA Med Ctr, Dept Anesthesiol & Perioperat Med, 757 Westwood Plaza 3325, Los Angeles, CA 90095 USA

[3] Lausanne Univ Hosp, Dept Neurol, CH-1011 Lausanne, Switzerland

[4] Univ Lausanne, CH-1011 Lausanne, Switzerland

[5] Azienda Osped Univ San Martino Genova, Largo Rosanna Benzi 15, I-16100 Genoa, Italy

[6] Univ Libre Bruxelles, Dept Intens Care Med, Hop Erasme, Route Lennik 808, B-1070 Brussels, Belgium

来源：

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY | 2021年 / 35卷 / 02期

关键词：

electroencephalogram; burst suppression; brain protection; postoperative cognitive disorders; CRITICALLY-ILL PATIENTS; POSTOPERATIVE COGNITIVE DYSFUNCTION; HYPOTHERMIC CIRCULATORY ARREST; CEREBRAL-BLOOD-FLOW; EPILEPTIC ENCEPHALOPATHY; BISPECTRAL INDEX; TEMPERATURE MANAGEMENT; REGIONAL DIFFERENCES; BRAIN PROTECTION; EEG TERMINOLOGY;

D O I：

10.1016/j.bpa.2020.10.007

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

With the widespread use of electroencephalogram [EEG] monitoring during surgery or in the Intensive Care Unit [ICU], clinicians can sometimes face the pattern of burst suppression [BS]. The BS pattern corresponds to the continuous quasi-periodic alternation between high-voltage slow waves [the bursts] and periods of low voltage or even isoelectricity of the EEG signal [the suppression] and is extremely rare outside ICU and the operative room. BS can be secondary to increased anesthetic depth or a marker of cerebral damage, as a therapeutic endpoint [i.e., refractory statusBest Practice & Research Clinical Anaesthesiology 35 (2021) 159-169 epilepticus or refractory intracranial hypertension]. In this review, we report the neurophysiological features of BS to better define its role during intraoperative and critical care settings. (c) 2020 Elsevier Ltd. All rights reserved.

引用

页码：159 / 169

页数：11

共 101 条

[1] A comparison of the electrophysiologic characteristics of EEG burst-suppression as produced by isoflurane, thiopental, etomidate, and propofol [J].

Akrawi, WP ;

Drummond, JC ;

Kalkman, CJ ;

Patel, PM .

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY, 1996, 8 (01) :40-46

[2] Malignant EEG patterns in cardiac arrest patients treated with targeted temperature management who survive to hospital discharge [J].

Amorim, Edilberto ;

Rittenberger, Jon C. ;

Baldwin, Maria E. ;

Callaway, Clifton W. ;

Popescu, Alexandra .

RESUSCITATION, 2015, 90 :127-132

[3] What does burst suppression really mean? [J].

Amzica, Florin .

EPILEPSY & BEHAVIOR, 2015, 49 :234-237

[4] Basic physiology of burst-suppression [J].

Amzica, Florin .

EPILEPSIA, 2009, 50 :38-39

[5] Regional differences in the coupling of cerebral blood flow and oxygen metabolism changes in response to activation: Implications for BOLD-fMRI [J].

Ances, Beau M. ;

Leontiev, Oleg ;

Perthen, Joanna E. ;

Liang, Christine ;

Lansing, Amy E. ;

Buxton, Richard B. .

NEUROIMAGE, 2008, 39 (04) :1510-1521

[6] Burst Suppression on Processed Electroencephalography as a Predictor of Postcoma Delirium in Mechanically Ventilated ICU Patients [J].

Andresen, Jennifer M. ;

Girard, Timothy D. ;

Pandharipande, Pratik P. ;

Davidson, Mario A. ;

Ely, E. Wesley ;

Watson, Paula L. .

CRITICAL CARE MEDICINE, 2014, 42 (10) :2244-2251

[7]

[Anonymous], 2010, Guidelines for the Management of Atrial Fibrillation: The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC), Europace

[8] Isoflurane depresses electroencephalographic and medial thalamic responses to noxious stimulation via an indirect spinal action [J].