Abstract
This paper discusses the series of steps which have been taken to evaluate auditory evoked potentials (AEP) as a measure of depth of anesthesia. A brief description of the origins of the AEP and the reasons for its choice are given. The following two sections describe the experimental evaluation, where a hypothesis was formulated and statistical tests carried out, and clinical evaluation of the technique during surgery and anesthesia. Finally, progress is reviewed and future work discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Celesia GC, Broughton RJ, Rasmussen T, Branch C (1968) Auditory evoked responses from the exposed human cortex. Electroencephalogr Clin Neurophysiol 24:458–466
Chat rain GE, Petersen MC, Lazarte J A (1960) Responses to clicks from the human brain: some depth electrographic observations. Electroencephalogr Clin Neurophysiol 12:479–489
Cullen DJ, Eger EI. II, Stevens WC, Smith NT, Cromwell TH, Cullen BF, Gregory GA, Balman SH, Dolan WM, Stoelting RK, Fourcade HE (1972) Clinical signs of anesthesia. Anesthesiology 36:21–36
Evans JM, Davies WL (1984) Monitoring anaesthesia. Clin Anaesthesiol 2:243–262
Harker LA, Hosick EC, Voots RJ, Mendel MI (1977) Influence of succinylcholine on middle component auditory evoked potentials. Arch Otolaryngol 103:133–137
Jewett DL, Williston JS (1971) Auditory-evoked far fields averaged from scalp of humans. Brain 94:681–696
Kaga K, Hink RF, Shinoda Y, Suzuki J (1980) Evidence for a primary cortical origin of a middle latency auditory evoked potential in cats. Electroencephalogr Clin Neurophysiol 50:254–266
Newton DEF, Thornton C, Creagh-Barry P, Dore CJ (1989) The early cortical auditory evoked response in anaesthesia: comparison of the effects of nitrous oxide and isoflurane. Br J Anaesth 62:61–65
Newton DEF, Thornton C, Konieczko KM, Jordan C, Webster NR, Luff NP, Frith CD, Dore CJ (1992) The auditory evoked response and awareness: a study in volunteers at sub-Mac concentrations of isoflurane. Br J Anaesth 69:122–129
Thornton C (1991) Evoked potentials in anaesthesia. Eur J Anaesth 8:89–107
Thornton C, Newton DEF (1989) The auditory evoked responses. In: Jones JG, (ed) Balliere’s clinical anaesthesiology - depth of anaesthesia, vol 3 (No. 3) Harcourt Brace Jovanovich, London
Thornton C, Konieczko K, Jones JG, Jordan C, Dore CJ, Heneghan CPH (1988) Effect of surgical stimulation on the auditory evoked response. Br J Anaesth 60:372–378
Thornton C, Barrowcliffe MP, Konieczko KM, Ventham P, Dore CJ, Newton DEF, Jones JG (1989a) The auditory evoked response as an indicator of awareness. Br J Anaesth 63:113–115
Thornton C, Konieczko KM, Knight AB, Kaul B, Jones JG, Doré CJ, White DC (1989b) The effect of propofol on the auditory evoked response and on oesophageal contractility. Br J Anaesth 63:411–417
Thornton C, Craegh-Barry P, Jordan C, Luff NP, Doré CJ, Henley M, Newton DEF (1992) Somatosensory and auditory evoked responses recorded simultaneously: differential effects of nitrous oxide and isoflurane. Br J Anaesth 68:504–514
Woods DL, Clayworth CC, Knight RT, Simpson GV, Naeser MA (1987) Generators of middle- and long latency auditory evoked potentials: implications from studies of patients with bitemporal lesions. Electroencephalogr Clin Neurophysiol 68:132–148
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer-verlag Berlin Heidelberg
About this chapter
Cite this chapter
Thornton, C., Creagh-Barry, P., Newton, D.E.F. (1994). Peri-operative Anesthesiological Monitoring of Auditory-Evoked Potentials. In: Schulte am Esch, J., Kochs, E. (eds) Central Nervous System Monitoring in Anesthesia and Intensive Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78441-5_13
Download citation
DOI: https://doi.org/10.1007/978-3-642-78441-5_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-78443-9
Online ISBN: 978-3-642-78441-5
eBook Packages: Springer Book Archive