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The book is based on papers presented at the recently held
international meeting on central-nervous-system monitoring in
Hamburg, Germany. Experts inthe fields of neurophysiology,
experimental and clincial anesthesia and intensive care discussed
the state of the art in noninvasive central-nervous-system
monitoring. Starting with the principles of CNS monitoring in
humans, the topics covered include pharmacokinetic pharmacodynamic
interactions, the usefulness of spontaneous and evoked brain
electrical activity as an overall-control for afferent systems
andfor the assessment of analgesic drug treatment, perioperative
anesthesiological monitoring, and intraoperative awareness.
Recently developed specific EEG and EP indices such as spectral
edge frequency, median frequency, auditory and somatosensory evoked
responses for the assessment of depth of anesthesia are evaluated
for intraoperative monitoring. The surgical and anesthesiological
perspective in intraoperativemonitoring during vascular surgery are
presented, as is the state of theart in the monitoring of afferent
central-nervous-system pathways by monitoring transcranial motor
evoked potentials. Bispectral EEG analysis forthe assessment of
anesthetic adequacy represents the future trend in intraoperative
monitoring. In addition to neurophysiological methods, assessment
of jugular bulb venous oxygen saturation and transcranial Doppler
sonography may give additional information for the interpretation
of brain fuction. In the field of intensive care, topics in
multimodal long-term monitoring of brain function are presented.
The application of an expert system supporting the diagnosis of
brain death is also included.
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