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Textbook of Neuroanesthesia and Neurocritical Care pp 43–61Cite as

Intraoperative Monitoring of the Brain

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Abstract

Intraoperative brain monitoring during surgery at risk of neurological damage has become a common tool to minimize neurological morbidity and would be beneficial both for the clinicians and in particular for the patients. Currently, multimodal approaches are available for intraoperative monitoring of brain hemodynamics, oxygenation, metabolism, and function. The use of brain monitoring allows the anesthesiologist and surgeon to intervene before irreversible damage occurs. Since a single monitoring cannot detect all instances of cerebral compromise, simultaneous implementation of multiple variables enhances detection of critical situations and provides its responses to therapeutic interventions. This chapter will provide an overview and recent evidence of brain monitoring applicable to intraoperative and critical care management of patients with neurologic disease, focusing on intracranial pressure, transcranial Doppler, near-infrared spectroscopy, electroencephalography, and evoked potentials (somatosensory evoked potential, myogenic motor evoked potential, auditory brain stem response, and visual evoked potential). In addition, we discuss the interaction between the anesthetic agents and the specific brain monitoring modalities to be monitored.

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Authors and Affiliations

  1. Department of Anesthesiology, Nara Medical University Hospital, Kashihara, Japan

    Hironobu Hayashi & Masahiko Kawaguchi

Authors
  1. Hironobu Hayashi
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  2. Masahiko Kawaguchi
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Editors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India

    Hemanshu Prabhakar

  2. Division of Neuroanesthesiology, Department of Anesthesiology, Sher-i-Kashmir Institute of Medical Sciences Soura, Srinagar, Jammu and Kashmir, India

    Zulfiqar Ali

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Hayashi, H., Kawaguchi, M. (2019). Intraoperative Monitoring of the Brain. In: Prabhakar, H., Ali, Z. (eds) Textbook of Neuroanesthesia and Neurocritical Care. Springer, Singapore. https://doi.org/10.1007/978-981-13-3387-3_4

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  • DOI: https://doi.org/10.1007/978-981-13-3387-3_4

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-3386-6

  • Online ISBN: 978-981-13-3387-3

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