Assessment of the depth of anesthesia using ART

AUTHORS : Manelis E.S. | Gotovsky Yu.V.

RELEVANT UNIVERSITIES : Center “IMEDIS”, Moscow, (City Clinical Hospital No. 2 named after Semashko, Samara, Russia

YEAR : 2004 | Category : Educational

The clinical picture of anesthesia is still the leading factor in assessing the depth and adequacy of anesthesia. Instrumental and laboratory methods control various parameters of the patient’s condition, first of all, the cardiovascular system, hemoglobin saturation oxygen (SpO2), the level of stress hormones, nucleotides. Assessment of the state of the central nervous system, which is the main target of both surgical trauma and anesthetic protection, is difficult, since reflex activity is masked by muscle relaxants, mechanical ventilation, and the electroencephalogram and its modifications (spectral analysis, BIS-index, etc.) are not always reliable criteria for the depth of anesthesia and loss of consciousness during surgery [1, 3].

Our attention was attracted by the possibility of studying the functional state of the central nervous system during anesthesia using ART (vegetative resonance test). For this purpose, the photon indices (PI) of various structures of the central nervous system were determined by filtering through the pointers or frequencies available in the IMEDIS-VOLL AIC (version 4.01c).

It is known that FIs indicate the state of intercellular communication and are highly sensitive in morpho-functional disorders of tissues and organs [2]. We examined 22 women in labor from 19 to 38 years old with a gestational age of 38–41 weeks, who underwent a cesarean section due to the unpreparedness of the birth canal, weakness of labor, not amenable to conservative therapy, and inconsistency of the uterine scar after a previous cesarean section.