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Near-Infrared Spectroscopy for the Evaluation of Anesthetic Depth
Journal article   Open access   Peer reviewed

Near-Infrared Spectroscopy for the Evaluation of Anesthetic Depth

Gabriela Hernandez-Meza, Meltem Izzetoglu, Mary Osbakken, Michael Green and Kurtulus Izzetoglu
BioMed research international, v 2015, pp 939418-11
01 Jan 2015
PMID: 26495317
url
https://doi.org/10.1155/2015/939418View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Biotechnology & Applied Microbiology Life Sciences & Biomedicine Medicine, Research & Experimental Research & Experimental Medicine Science & Technology
The standard-of-care guidelines published by the American Society of Anesthesiologists (ASA) recommend monitoring of pulse oximetry, blood pressure, heart rate, and end tidal CO2 during the use of anesthesia and sedation. This information can help to identify adverse events that may occur during procedures. However, these parameters are not specific to the effects of anesthetics or sedatives, and therefore they offer little, to no, real time information regarding the effects of those agents and do not give the clinician the lead-time necessary to prevent patient "awareness." Since no "gold-standard" method is available to continuously, reliably, and effectively monitor the effects of sedatives and anesthetics, such a method is greatly needed. Investigation of the use of functional near-infrared spectroscopy (fNIRS) as a method for anesthesia or sedation monitoring and for the assessment of the effects of various anesthetic drugs on cerebral oxygenation has started to be conducted. The objective of this paper is to provide a thorough review of the currently available published scientific studies regarding the use of fNIRS in the fields of anesthesia and sedation monitoring, comment on their findings, and discuss the future work required for the translation of this technology to the clinical setting.

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Web of Science research areas
Biotechnology & Applied Microbiology
Medicine, Research & Experimental
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