Preliminary study of the use of root with sedline® eeg monitoring for assessment of anesthesia depth in 6 horses

Abstract

Management of equine anesthesia monitoring is still a challenge. Careful monitoring to provide guidelines for anesthesia depth assessment currently relies upon eye signs, cardiopulmonary responses, and the level of muscle relaxation. Electroencephalography, as a non-invasive brain activity monitor, may be used to complement the routinely monitored physiologic parameters. Six horses, undergoing various surgical procedures and anesthesia protocols, were monitored with the use of a Root with Sedline EEG monitor and a routine monitor of life parameters. The life parameters were compared to the changes on the EEG density spectral array observed live during anesthesia. During all procedures the level of awareness was monitored using the EEG, with higher frequency and power of waves indicating a higher level of awareness. It was evident from this that there were variations according to the type of procedure and the anesthetic protocol. Cerebral activity was elevated during painful moments of the surgery and recovery, requiring adjustments in anesthetic concentrations. Evaluation of changes in the spectral edge frequency (SEF) could show the periods when the patient is stabilized. EEG monitoring has the potential to be used in clinical anesthesiology of horses. It was shown that this system may be used in horses under general anesthesia but is currently less effective in a standing horse for diagnostic or minor procedures.