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Outpatient Surgery E-Weekly

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Home > Archive > November 2005
Mind Reader?
When it comes to using a brain monitor to measure consciousness during surgery, everybody has an opinion. What's yours?
Editors of Outpatient Surgery

Should there be a brain monitor in every OR? The answer is no, at least not yet, for 58 percent of you surveyed. The American Society of Anesthesiologists agreed, declining to make monitors the standard of care when it approved the group's first standards on preventing intraoperative awareness at its annual meeting last month. Instead of putting its collective muscle behind the technology, the ASA's house of delegates gave monitors a tepid endorsement, approving a practice advisory that leaves to individual practitioners the decision to use the technology. But for the manufacturer of the Bispectral Index monitor, for the loyal legion of clinicians who swear by the machine's ability to precisely measure consciousness during surgery and let them deliver a better anesthetic, and for those patients who've experienced intraoperative awareness, the answer is yes. What's your call?

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