Anästhesie und klinische Forschung
Offener Zugang

Abstrakt

Correlation between Monitoring Practices during Anesthesia and Patient Recovery after Complicated Surgeries-Anesthesia

Introduction: The monitoring in anesthetic practice is referred to the observation and assessment of several physiological variables of the patients such as cardiac output, depth of anesthesia, stroke volume, cerebral and tissue oxygen, joined with parameters evaluating the technological monitors of anesthesia measurement such as EEG or AEP. The frequency of severe complications related to Anesthesia seems to have diminished lately. However, anesthetic accidents remain occurring as well as a prolonged state of unconsciousness from anesthesia continues to be one of the severe challenges that involving an anesthesiologist.

Aim and objectives: The current study primarily aims to describe the role of anesthesia and patient monitoring; some of the available monitors and indicate how their combined use might be beneficial in managing the morbidity and mortality in patients undergoing complex surgeries.

Methodology: The current study adopts a method of critical review for evaluation of literature by referring to various electronic sources including Google Scholar, PubMed, PubMed Central, Cochrane Library, Science Direct, etc. for studies between the period of 2002 and 2019. Specific search terms of “anesthesia,” “anesthesia monitoring” and “surgery” are used to retrieve articles.

Results: It was found that the research in anesthesia and patient monitoring has immensely reduced the mortality and morbidity in patients. Further, the majority of publications considered the bispectral index as an anesthesia monitor and only a few publications that reported improved monitoring methods.

Conclusion: In conclusion, although there is research evidence proposing that the use of individual new monitors such as assessment of bispectral index, depth of anesthesia, tissue oxygenation and blood flow can affect the patient outcomes, it will only be their combination that will enormously improve the pre, intra- and postoperative complications, pain management and clinical outcomes of high-risk patients undergoing complicated surgeries.