Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8610880 | Best Practice & Research Clinical Anaesthesiology | 2017 | 35 Pages |
Abstract
The difficulty of defining the three so-called components of « an-esthesia » is emphasized: hypnosis, absence of movement, and adequacy of anti-nociception (intraoperative « analgesia »). Data obtained from anesthetized animals or humans delineate the activation of cardiac and vasomotor sympathetic reflex (somato-sympathetic reflex) and the cardiac parasympathetic deactivation observed following somatic stimuli. Sympathetic activation and parasympathetic deactivation are used as monitors to address the adequacy of intraoperative anti-nociception. Finally, intraoperative nociception through the administration of nonopioid analgesics vs. opioid analgesics is considered to achieve minimal postoperative side effects.
Keywords
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Authors
A. (Senior Scientist and Executive Officer), F. (Attending Anesthesiologist and Head), N. (Attending Anesthesiologist and Associate Professor), M. (Attending Anesthesiologist), M. (Attending Anesthesiologist and Professor),