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- Title
Linear thinking does not reflect the newer 21st-century anesthesia concepts. A narrative review.
- Authors
Sepúlveda, Pablo O.; Vera, Rodrigo; Fernández, M. Silvia; Lobo, Francisco A.
- Abstract
The brain constitutes a good example of a chaotic, nonlinear biological system where large neuronal networks operate chaotically with random connectivity. This critical state is significantly affected by the anesthetic loss of consciousness induced by drugs whose pharmacological behavior has been classically based on linear kinetics and dynamics. Recent developments in pharmacology and brain monitoring during anesthesia suggest a different view that we tried to explore in this article. The concepts of effect-site for hypnotic drugs modeling a maximum effect, electroencephalographic dynamics during induction, maintenance, and recovery from anesthesia are discussed, integrated into this alternative view, and how it may be applied in daily clinical practice.
- Subjects
HYPNOTICS; ANESTHESIA; LOSS of consciousness; NEURAL circuitry; NEURAL development
- Publication
Journal of Clinical Monitoring & Computing, 2023, Vol 37, Issue 5, p1133
- ISSN
1387-1307
- Publication type
Article
- DOI
10.1007/s10877-023-01021-5