Key result
This year-in-review article summarizes significant 2019 publications covering general and regional anesthesia, hemodynamic monitoring, airway management, and perioperative medicine.
Why the study?
The use of closed-loop systems in anesthesia remains limited, possibly because their reliability and effectiveness are still debated.
Do closed-loop systems in anesthesia improve the maintenance of target values of Bispectral Index, heart rate, and mean arterial pressure compared to manual control?
Do closed-loop systems in anesthesia improve the maintenance of target values of Bispectral Index, heart rate, and mean arterial pressure compared to manual control?
Closed-loop systems in anesthesia appear superior to manual control for maintaining hemodynamic and depth-of-anesthesia targets, though their clinical use remains limited.
Answers are grounded in this paper and cite their sources.
Closed-loop systems may improve target control in anesthesia practice; confirms Level 1 superiority over manual titration.
In the past year, this journal published many interesting articles on general anesthesia. The use of closed-loop systems in anesthesia is still limited, possibly because their reliability and effectiveness are still debated.1 In the January issue, a fascinating review by Kong et al. focused on these systems’ hemodynamic stability.2 The meta-analysis carried out by the authors confirmed the superiority of the closed-loop systems over manual control in maintaining the target values of Bispectral Index, heart rate, and mean arterial pressure. The review prompts future research on closed-loop systems based on multiparametric controls
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Cavaliere et al. (2021) conducted a review in Anesthesia and perioperative medicine. Various anesthetic and perioperative interventions was evaluated. This year-in-review article summarizes significant 2019 publications covering general and regional anesthesia, hemodynamic monitoring, airway management, and perioperative medicine.
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