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Sophisticated software algorithms and miniaturized hardware components have opened new non-invasive vistas to monitor the central nervous system. Electrophysiological modalities (electroencephalography (EEG), evoked potentials) can be used to assess the integrity (or compromise) of neuronal structures at different levels. Spectroscopic methods are used to evaluate oxygen metabolism in the brain and ultrasound techniques can depict cerebral perfusion. Quantifying oscillations of the heart-rate sequence sheds light on the regulatory systems governing complex autonomic feedback loops.

european journal of anaesthesiology

Transcranial cerebral oximetry, transcranial Doppler sonography, and heart rate variability: useful neuromonitoring tools in anaesthesia and intensive care?