Differential dynamic of action on cortical and subcortical structures of anesthetic agents during induction of anesthesia.
Identifieur interne : 000D25 ( PubMed/Curation ); précédent : 000D24; suivant : 000D26Differential dynamic of action on cortical and subcortical structures of anesthetic agents during induction of anesthesia.
Auteurs : Lionel J. Velly [France] ; Marc F. Rey ; Nicolas J. Bruder ; François A. Gouvitsos ; Tatiana Witjas ; Jean Marie Regis ; Jean Claude Peragut ; François M. GouinSource :
- Anesthesiology [ 0003-3022 ] ; 2007.
English descriptors
- KwdEn :
- Aged, Anesthesia (methods), Anesthetics (pharmacology), Cerebral Cortex (drug effects), Consciousness (drug effects), Deep Brain Stimulation (methods), Dose-Response Relationship, Drug, Electrodes, Implanted, Electroencephalography (drug effects), Electroencephalography (methods), Female, Humans, Laryngoscopy (methods), Male, Methyl Ethers (pharmacology), Middle Aged, Monitoring, Intraoperative (methods), Movement (drug effects), Parkinson Disease (therapy), Predictive Value of Tests, Propofol (pharmacology), Prospective Studies, ROC Curve, Subthalamic Nucleus (drug effects).
- MESH :
- chemical , pharmacology : Anesthetics, Methyl Ethers, Propofol.
- drug effects : Cerebral Cortex, Consciousness, Electroencephalography, Movement, Subthalamic Nucleus.
- methods : Anesthesia, Deep Brain Stimulation, Electroencephalography, Laryngoscopy, Monitoring, Intraoperative.
- therapy : Parkinson Disease.
- Aged, Dose-Response Relationship, Drug, Electrodes, Implanted, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, ROC Curve.
Abstract
Dynamic action of anesthetic agents was compared at cortical and subcortical levels during induction of anesthesia. Unconsciousness involved the cortical brain but suppression of movement in response to noxious stimuli was mediated through subcortical structures.
DOI: 10.1097/01.anes.0000270734.99298.b4
PubMed: 17667563
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Bruder</name></author><author><name sortKey="Gouvitsos, Francois A" sort="Gouvitsos, Francois A" uniqKey="Gouvitsos F" first="François A" last="Gouvitsos">François A. Gouvitsos</name></author><author><name sortKey="Witjas, Tatiana" sort="Witjas, Tatiana" uniqKey="Witjas T" first="Tatiana" last="Witjas">Tatiana Witjas</name></author><author><name sortKey="Regis, Jean Marie" sort="Regis, Jean Marie" uniqKey="Regis J" first="Jean Marie" last="Regis">Jean Marie Regis</name></author><author><name sortKey="Peragut, Jean Claude" sort="Peragut, Jean Claude" uniqKey="Peragut J" first="Jean Claude" last="Peragut">Jean Claude Peragut</name></author><author><name sortKey="Gouin, Francois M" sort="Gouin, Francois M" uniqKey="Gouin F" first="François M" last="Gouin">François M. 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Velly</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anesthesiology, Centre Hospitalier Universitaire Timone, Université de la Méditerranée, Marseille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Anesthesiology, Centre Hospitalier Universitaire Timone, Université de la Méditerranée, Marseille</wicri:regionArea></affiliation></author><author><name sortKey="Rey, Marc F" sort="Rey, Marc F" uniqKey="Rey M" first="Marc F" last="Rey">Marc F. Rey</name></author><author><name sortKey="Bruder, Nicolas J" sort="Bruder, Nicolas J" uniqKey="Bruder N" first="Nicolas J" last="Bruder">Nicolas J. Bruder</name></author><author><name sortKey="Gouvitsos, Francois A" sort="Gouvitsos, Francois A" uniqKey="Gouvitsos F" first="François A" last="Gouvitsos">François A. Gouvitsos</name></author><author><name sortKey="Witjas, Tatiana" sort="Witjas, Tatiana" uniqKey="Witjas T" first="Tatiana" last="Witjas">Tatiana Witjas</name></author><author><name sortKey="Regis, Jean Marie" sort="Regis, Jean Marie" uniqKey="Regis J" first="Jean Marie" last="Regis">Jean Marie Regis</name></author><author><name sortKey="Peragut, Jean Claude" sort="Peragut, Jean Claude" uniqKey="Peragut J" first="Jean Claude" last="Peragut">Jean Claude Peragut</name></author><author><name sortKey="Gouin, Francois M" sort="Gouin, Francois M" uniqKey="Gouin F" first="François M" last="Gouin">François M. Gouin</name></author></analytic><series><title level="j">Anesthesiology</title><idno type="ISSN">0003-3022</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Anesthesia (methods)</term><term>Anesthetics (pharmacology)</term><term>Cerebral Cortex (drug effects)</term><term>Consciousness (drug effects)</term><term>Deep Brain Stimulation (methods)</term><term>Dose-Response Relationship, Drug</term><term>Electrodes, Implanted</term><term>Electroencephalography (drug effects)</term><term>Electroencephalography (methods)</term><term>Female</term><term>Humans</term><term>Laryngoscopy (methods)</term><term>Male</term><term>Methyl Ethers (pharmacology)</term><term>Middle Aged</term><term>Monitoring, Intraoperative (methods)</term><term>Movement (drug effects)</term><term>Parkinson Disease (therapy)</term><term>Predictive Value of Tests</term><term>Propofol (pharmacology)</term><term>Prospective Studies</term><term>ROC Curve</term><term>Subthalamic Nucleus (drug effects)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Anesthetics</term><term>Methyl Ethers</term><term>Propofol</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Cerebral Cortex</term><term>Consciousness</term><term>Electroencephalography</term><term>Movement</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anesthesia</term><term>Deep Brain Stimulation</term><term>Electroencephalography</term><term>Laryngoscopy</term><term>Monitoring, Intraoperative</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Dose-Response Relationship, Drug</term><term>Electrodes, Implanted</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Prospective Studies</term><term>ROC Curve</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dynamic action of anesthetic agents was compared at cortical and subcortical levels during induction of anesthesia. Unconsciousness involved the cortical brain but suppression of movement in response to noxious stimuli was mediated through subcortical structures.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17667563</PMID><DateCreated><Year>2007</Year><Month>08</Month><Day>01</Day></DateCreated><DateCompleted><Year>2007</Year><Month>09</Month><Day>21</Day></DateCompleted><DateRevised><Year>2014</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-3022</ISSN><JournalIssue CitedMedium="Print"><Volume>107</Volume><Issue>2</Issue><PubDate><Year>2007</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Anesthesiology</Title><ISOAbbreviation>Anesthesiology</ISOAbbreviation></Journal><ArticleTitle>Differential dynamic of action on cortical and subcortical structures of anesthetic agents during induction of anesthesia.</ArticleTitle><Pagination><MedlinePgn>202-12</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Dynamic action of anesthetic agents was compared at cortical and subcortical levels during induction of anesthesia. Unconsciousness involved the cortical brain but suppression of movement in response to noxious stimuli was mediated through subcortical structures.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-five patients with Parkinson disease, previously implanted with a deep-brain stimulation electrode, were enrolled during the implantation of the definitive pulse generator. During induction of anesthesia with propofol (n = 13) or sevoflurane (n = 12) alone, cortical (EEG) and subcortical (ESCoG) electrogenesis were obtained, respectively, from a frontal montage (F3-C3) and through the deep-brain electrode (p0-p3). In EEG and ESCoG spectral analysis, spectral edge (90%) frequency, median power frequency, and nonlinear analysis dimensional activation calculations were determined.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Sevoflurane and propofol decreased EEG and ESCoG activity in a dose-related fashion. EEG values decreased dramatically at loss of consciousness, whereas there was little change in ESCoG values. Quantitative parameters derived from EEG but not from ESCoG were able to predict consciousness versus unconsciousness. Conversely, quantitative parameters derived from ESCoG but not from EEG were able to predict movement in response to laryngoscopy.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These data suggest that in humans, unconsciousness mainly involves the cortical brain, but that suppression of movement in response to noxious stimuli is mediated through the effect of anesthetic agents on subcortical structures.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Velly</LastName><ForeName>Lionel J</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Centre Hospitalier Universitaire Timone, Université de la Méditerranée, Marseille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rey</LastName><ForeName>Marc F</ForeName><Initials>MF</Initials></Author><Author ValidYN="Y"><LastName>Bruder</LastName><ForeName>Nicolas J</ForeName><Initials>NJ</Initials></Author><Author ValidYN="Y"><LastName>Gouvitsos</LastName><ForeName>François A</ForeName><Initials>FA</Initials></Author><Author ValidYN="Y"><LastName>Witjas</LastName><ForeName>Tatiana</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Regis</LastName><ForeName>Jean Marie</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Peragut</LastName><ForeName>Jean Claude</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Gouin</LastName><ForeName>François M</ForeName><Initials>FM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Anesthesiology</MedlineTA><NlmUniqueID>1300217</NlmUniqueID><ISSNLinking>0003-3022</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000777">Anesthetics</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D008738">Methyl Ethers</NameOfSubstance></Chemical><Chemical><RegistryNumber>38LVP0K73A</RegistryNumber><NameOfSubstance UI="C009250">sevoflurane</NameOfSubstance></Chemical><Chemical><RegistryNumber>YI7VU623SF</RegistryNumber><NameOfSubstance UI="D015742">Propofol</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Anesthesiology. 2007 Aug;107(2):195-8</RefSource><PMID Version="1">17667560</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Anesthesiology. 2008 May;108(5):963-4; author reply 964-5</RefSource><PMID Version="1">18431134</PMID></CommentsCorrections><CommentsCorrections RefType="ErratumIn"><RefSource>Anesthesiology. 2008 Jan;108(1):175</RefSource></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000758" MajorTopicYN="N">Anesthesia</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000777" MajorTopicYN="N">Anesthetics</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="Y">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002540" MajorTopicYN="N">Cerebral Cortex</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="Y">drug effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003243" MajorTopicYN="N">Consciousness</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="N">drug effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D046690" MajorTopicYN="N">Deep Brain Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004305" MajorTopicYN="N">Dose-Response Relationship, Drug</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004567" MajorTopicYN="N">Electrodes, Implanted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004569" MajorTopicYN="N">Electroencephalography</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="Y">drug effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007828" MajorTopicYN="N">Laryngoscopy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008738" MajorTopicYN="N">Methyl Ethers</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="N">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016343" MajorTopicYN="N">Monitoring, Intraoperative</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009068" MajorTopicYN="N">Movement</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="N">drug effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015742" MajorTopicYN="N">Propofol</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="N">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012372" MajorTopicYN="N">ROC Curve</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020531" MajorTopicYN="N">Subthalamic Nucleus</DescriptorName><QualifierName UI="Q000187" MajorTopicYN="Y">drug effects</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>8</Month><Day>2</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>9</Month><Day>22</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>8</Month><Day>2</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17667563</ArticleId><ArticleId IdType="doi">10.1097/01.anes.0000270734.99298.b4</ArticleId><ArticleId IdType="pii">00000542-200708000-00006</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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