Spectral entropy monitoring for adults and children undergoing general anaesthesia

The Cochrane Database of Systematic Reviews
Anjolie ChhabraSaloni Paranjape

Abstract

Anaesthetic drugs during general anaesthesia are titrated according to sympathetic or somatic responses to surgical stimuli. It is now possible to measure depth of anaesthesia using electroencephalography (EEG). Entropy, an EEG-based monitor can be used to assess the depth of anaesthesia using a strip of electrodes applied to the forehead, and this can guide intraoperative anaesthetic drug administration. The primary objective of this review was to assess the effectiveness of entropy monitoring in facilitating faster recovery from general anaesthesia. We also wanted to assess mortality at 24 hours, 30 days, and one year following general anaesthesia with entropy monitoring.The secondary objectives were to assess the effectiveness of the entropy monitor in: preventing postoperative recall of intraoperative events (awareness) following general anaesthesia; reducing the amount of anaesthetic drugs used; reducing cost of the anaesthetic as well as in reducing time to readiness to leave the postanaesthesia care unit (PACU). We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2014, Issue 10), MEDLINE via Ovid SP (1990 to September 2014) and EMBASE via Ovid SP (1990 to September 2014). We reran the search in CENTR...Continue Reading

Associated Clinical Trials

References

Jul 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P Dion
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May 24, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
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Jul 23, 2009·BMJ : British Medical Journal·David MoherUNKNOWN PRISMA Group
Oct 29, 2009·Anesthesia and Analgesia·Kate LeslieTimothy J McCulloch
Nov 17, 2009·Anesthesia and Analgesia·Kate LeslieMatthew T V Chan
Dec 1, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Werner BauligUrs Schwarz
Feb 13, 2010·Acta Anaesthesiologica Scandinavica·S R ChoiC J Chung
Oct 6, 2011·Current Opinion in Anaesthesiology·Terri G Monk, B Craig Weldon
Apr 17, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Ma JiahaiJiang Xiuliang
Jan 23, 2013·Anesthesiology·Tarek El HorJavad Bidgoli

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Citations

Nov 2, 2016·The Cochrane Database of Systematic Reviews·Anthony G MessinaNathan Leon Pace
May 4, 2017·Paediatric Drugs·Ramón Eizaga RebollarLuis M Torres Morera
Jun 3, 2021·Pharmaceuticals·Michał Jan StasiowskiPrzemysław Jałowiecki
Jan 13, 2021·Minerva anestesiologica·Simonetta TesoroJurgen C DE Graaff

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