Assessment of changes in the electrical activity of the brain during general anesthesia using portable electroencephalography.

Introduction The analysis of the electrical activity of the brain using scalp electrodes with electroencephalography (EEG) could reveal the depth of anesthesia of a patient during surgery. However, conventional EEG equipment, due to its price and size, are not a practical option for the operating ro...

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Publicado en:Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología Vol. 49; no. 2; pp. 1 - 10
Autores principales: Gaviria García, Verónica, Loaiza López, Daniel, Serna Rojas, Carolina, Arismendy, Sara Ríos, Montoya Guevara, Eduardo, Mora Lesmes, Juan Daniel, Gómez Oquendo, Francisco Javier, Ochoa Gómez, John Fredy
Formato: Artículo
Publicado: Sociedad Colombiana de Anestesiologia y Reanimacion 2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
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        atl: Assessment of changes in the electrical activity of the brain during general anesthesia using portable electroencephalography.
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          Gaviria García, Verónica
          Loaiza López, Daniel
          Serna Rojas, Carolina
          Arismendy, Sara Ríos
          Montoya Guevara, Eduardo
          Mora Lesmes, Juan Daniel
          Gómez Oquendo, Francisco Javier
          Ochoa Gómez, John Fredy
        affil:
          Neuropsychology and Behavior Group, School of Medicine, Universidad de Antioquia. Medellín, Colombia
          Computer neurosciences seedbed, Bioengineering Program, Universidad de Antioquia. Medellín, Colombia
          School of Medicine, Universidad de Antioquia. Medellín, Colombia
          IPS Universitaria, Sede Prado. Medellín, Colombia
          Biointrumentation Research Group and Clinical Engineering, School of Engineering, Universidad de Antioquia. Medellín, Colombia
      su:
        General anesthesia
        Electroencephalography
        Brain waves
        Operating rooms
        Brain-computer interfaces
        Propofol
      sug:
        subj:
          General anesthesia
          Electroencephalography
          Brain waves
          Operating rooms
          Brain-computer interfaces
          Propofol
      keyword:
        electroencephalography
        OpenBCI technology
        portable technologies
        propofol
        spectrum analysis
        análisis espectral
        Anestesia general
        electroencefalografía
        tecnología OpenBCI
        tecnologías portables
      ab:
        Introduction The analysis of the electrical activity of the brain using scalp electrodes with electroencephalography (EEG) could reveal the depth of anesthesia of a patient during surgery. However, conventional EEG equipment, due to its price and size, are not a practical option for the operating room and the commercial units used in surgery do not provide access to the electrical activity. The availability of low-cost portable technologies could provide for further research on the brain activity under general anesthesia and facilitate our quest for new markers of depth of anesthesia. Objective To assess the capabilities of a portable EEG technology to capture brain rhythms associated with the state of consciousness and the general anesthesia status of surgical patients anesthetized with propofol. Methods Observational, cross-sectional study that reviewed 10 EEG recordings captured using OpenBCI portable low-cost technology, in female patients undergoing general anesthesia with propofol. The signal from the frontal electrodes was analyzed with spectral analysis and the results were compared against the reports in the literature. Results The signal captured with frontal electrodes, particularly a rhythm, enabled the distinction between resting with eyes closed and with eyes opened in a conscious state, and sustained anesthesia during surgery. Conclusions It is possible to differentiate a resting state from sustained anesthesia, replicating previous findings with conventional technologies. These results pave the way to the use of portable technologies such as the OpenBCI tool, to explore the brain dynamics during anesthesia.
        Introducción El análisis de la actividad eléctrica cerebral mediante electrodos ubicados sobre el cuero cabelludo con electroencefalografía (EEG) podría permitir conocer la profundidad anestésica de un paciente durante cirugía. Sin embargo, los equipos de EEG convencionales, por su precio y tamaño, no son una alternativa práctica en quirófanos y los equipos comerciales usados en cirugía no permiten acceder a la actividad eléctrica. Disponer de tecnologías portables y de bajo costo aumentaría el número de investigaciones sobre la actividad cerebral bajo anestesia general y facilitaría la búsqueda de nuevos marcadores para la profundidad anestésica. Objetivo Evaluar la capacidad de una tecnología EEG portable de adquirir ritmos cerebrales relacionados con el estado consciente y el estado de anestesia general de pacientes en cirugía anestesiados con propofol. Métodos Estudio observacional de corte transversal en el que se analizaron datos de 10 registros EEG obtenidos mediante tecnología portable y de bajo costo OpenBCI, de pacientes de sexo femenino que fueron sometidas a anestesia general con propofol. La señal obtenida de los electrodos frontales se analizó mediante análisis espectral y se contrastaron los resultados con lo descrito en la literatura. Resultados La señal obtenida con electrodos frontales, especialmente el ritmo a, permitió diferenciar el reposo con ojos cerrados y ojos abiertos en estado consciente, del estado de mantenimiento de la anestesia durante cirugía. Conclusiones Se logra la diferenciación de estado de reposo y de mantenimiento de la anestesia replicando hallazgos previos de tecnologías convencionales. Estos resultados abren la posibilidad de utilizar las tecnologías portables como el OpenBCI para investigar la dinámica cerebral durante la anestesia.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      holder: Sociedad Colombiana de Anestesiologia y Reanimacion
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