Technological advances in perioperative monitoring: Current concepts and clinical perspectives

Journal of Anaesthesiology, Clinical Pharmacology
Geetanjali ChilkotiAshok Kumar Saxena

Abstract

Minimal mandatory monitoring in the perioperative period recommended by Association of Anesthetists of Great Britain and Ireland and American Society of Anesthesiologists are universally acknowledged and has become an integral part of the anesthesia practice. The technologies in perioperative monitoring have advanced, and the availability and clinical applications have multiplied exponentially. Newer monitoring techniques include depth of anesthesia monitoring, goal-directed fluid therapy, transesophageal echocardiography, advanced neurological monitoring, improved alarm system and technological advancement in objective pain assessment. Various factors that need to be considered with the use of improved monitoring techniques are their validation data, patient outcome, safety profile, cost-effectiveness, awareness of the possible adverse events, knowledge of technical principle and ability of the convenient routine handling. In this review, we will discuss the new monitoring techniques in anesthesia, their advantages, deficiencies, limitations, their comparison to the conventional methods and their effect on patient outcome, if any.

References

Feb 1, 1992·Journal of Cardiothoracic and Vascular Anesthesia·A OwallG Settergren
Jun 1, 1991·Anaesthesia·W H LiuA R Aitkenhead
Jan 7, 1998·Anesthesiology·R LenhardtF Lackner
Jun 9, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J G Stevenson
Mar 29, 2000·The Annals of Thoracic Surgery·J A RousouD W Deaton
May 4, 2000·British Journal of Anaesthesia·C BaillardM Cupa
Mar 2, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Postanesthetic Care
Jan 3, 2003·The New England Journal of Medicine·James Dean SandhamUNKNOWN Canadian Critical Care Clinical Trials Group
Dec 17, 2003·Acta Anaesthesiologica Scandinavica·A SchultzB Schultz
Jun 29, 2004·British Journal of Anaesthesia·I K Moppett, R P Mahajan
Aug 31, 2004·Anesthesia and Analgesia·Peter S SebelKaren B Domino
Jun 4, 2005·Quality & Safety in Health Care·G A OsborneS C Helps
Jul 23, 2005·Anesthesia and Analgesia·Mitsuharu KodakaPeter S Sebel
Sep 27, 2005·British Journal of Anaesthesia·C BaillardC M Samama
Mar 31, 2006·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Intraoperative Awareness
May 16, 2006·British Journal of Anaesthesia·L A Steiner, P J D Andrews
May 16, 2006·British Journal of Anaesthesia·M M Tisdall, M Smith
May 16, 2006·British Journal of Anaesthesia·D Young, J Griffiths
Jun 6, 2006·British Journal of Anaesthesia·J Nortje, A K Gupta
Oct 25, 2006·British Journal of Anaesthesia·T LedowskiS A Schug
Nov 2, 2007·Journal of Clinical Monitoring and Computing·Richard R McNeerPaul Barach
Dec 25, 2007·Anesthesiology·Suman RajagopalanDaniel I Sessler
Mar 14, 2008·The New England Journal of Medicine·Michael S AvidanAlex S Evers
Feb 19, 2009·Anaesthesia·T Fuchs-BuderC Meistelman
Apr 25, 2009·Current Opinion in Anaesthesiology·Jaume Balust, Alex Macario
Feb 5, 2011·Current Opinion in Anaesthesiology·Mervyn Singer
Oct 4, 2011·Anesthesia and Analgesia·Julian A Hood, R Jonathan T Wilson
Oct 18, 2011·Anesthesia and Analgesia·Stefanie PilgeGerhard Schneider
Nov 24, 2011·Biomedical Instrumentation & Technology·Kevin B Frey

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Citations

Mar 8, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Ethan Y BrovmanRichard D Urman
Apr 13, 2018·Minerva anestesiologica·Antonio CorcioneUNKNOWN Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI) and Società Italiana di Chirurgia (SIC)
Oct 1, 2015·JACC. Clinical Electrophysiology·Brett A OestreichRyan G Aleong

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Methods Mentioned

BETA
sedation

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Drager
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