Linear thinking does not reflect the newer 21st-century anesthesia concepts. A narrative review
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 cl...
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| Veröffentlicht in: | Journal of clinical monitoring and computing 2023-10, Vol.37 (5), p.1133-1144 |
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| container_title | Journal of clinical monitoring and computing |
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| creator | Sepúlveda, Pablo O. Vera, Rodrigo Fernández, M. Silvia Lobo, Francisco A. |
| description | 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. |
| doi_str_mv | 10.1007/s10877-023-01021-5 |
| format | Article |
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| subjects | Anesthesia Anesthesiology Behavior Brain Chaos theory Critical Care Medicine Determinism Drugs Evolution Health Sciences Intensive Medicine Medicine & Public Health Neural networks Pharmacology Physics Review Statistics for Life Sciences Variables |
| title | Linear thinking does not reflect the newer 21st-century anesthesia concepts. A narrative review |
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