Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries

Detalhes bibliográficos
Autor(a) principal: Ferreira, Ana Isabel Leitão
Data de Publicação: 2020
Outros Autores: Correia, Rui, Vide, Sérgio, Ferreira, Ana Dias, Kelz, Max B., Mendes, Joaquim, Nunes, Catarina S., Amorim, Pedro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.2/11447
Resumo: Recovery of consciousness is usually seen as a passive process, with emergence from anesthesia depicted as the inverse process of induction resulting from the elimination of anesthetic drugs from their central nervous system sites of action. However, that need not be the case. Recently it has been argued that we might encounter hysteresis to changes in the state of consciousness, known as neural inertia. This phenomenon has been debated in neuroanesthesia, as manipulation of the brain might further influence recovery of consciousness. The present study is aimed at assessing hysteresis between induction and emergence under propofol-opioid neuroanesthesia in humans using estimated propofol concentrations in both spinal and intracranial surgeries.
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spelling Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeriesAdultAged80 and overAnalgesicsAnesthesia recovery periodAnesthesiaIntravenousCraniotomyEndpoint determinationFemaleHumansMaleMiddle agedNervous system diseasesPropofolSkullSpineUnconsciousnessOpioidRecovery of consciousness is usually seen as a passive process, with emergence from anesthesia depicted as the inverse process of induction resulting from the elimination of anesthetic drugs from their central nervous system sites of action. However, that need not be the case. Recently it has been argued that we might encounter hysteresis to changes in the state of consciousness, known as neural inertia. This phenomenon has been debated in neuroanesthesia, as manipulation of the brain might further influence recovery of consciousness. The present study is aimed at assessing hysteresis between induction and emergence under propofol-opioid neuroanesthesia in humans using estimated propofol concentrations in both spinal and intracranial surgeries.Wolters Kluwer HealthRepositório AbertoFerreira, Ana Isabel LeitãoCorreia, RuiVide, SérgioFerreira, Ana DiasKelz, Max B.Mendes, JoaquimNunes, Catarina S.Amorim, Pedro20202024-12-31T00:00:00Z2020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.2/11447engFerreira A L, Correia R, Vide S, Ferreira A D, Kelz M B, Mendes J G, Nunes C S, Amorim P. (2020) Patterns of Hysteresis Between Induction and Emergence of Neuroanesthesia Are Present in Spinal and Intracranial Surgeries. Journal of Neurosurgical Anesthesiology 32(1):82-89.0898-492110.1097/ANA.00000000000005591537-1921info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-16T15:36:40Zoai:repositorioaberto.uab.pt:10400.2/11447Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:50:15.401556Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
title Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
spellingShingle Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
Ferreira, Ana Isabel Leitão
Adult
Aged
80 and over
Analgesics
Anesthesia recovery period
Anesthesia
Intravenous
Craniotomy
Endpoint determination
Female
Humans
Male
Middle aged
Nervous system diseases
Propofol
Skull
Spine
Unconsciousness
Opioid
title_short Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
title_full Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
title_fullStr Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
title_full_unstemmed Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
title_sort Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
author Ferreira, Ana Isabel Leitão
author_facet Ferreira, Ana Isabel Leitão
Correia, Rui
Vide, Sérgio
Ferreira, Ana Dias
Kelz, Max B.
Mendes, Joaquim
Nunes, Catarina S.
Amorim, Pedro
author_role author
author2 Correia, Rui
Vide, Sérgio
Ferreira, Ana Dias
Kelz, Max B.
Mendes, Joaquim
Nunes, Catarina S.
Amorim, Pedro
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Aberto
dc.contributor.author.fl_str_mv Ferreira, Ana Isabel Leitão
Correia, Rui
Vide, Sérgio
Ferreira, Ana Dias
Kelz, Max B.
Mendes, Joaquim
Nunes, Catarina S.
Amorim, Pedro
dc.subject.por.fl_str_mv Adult
Aged
80 and over
Analgesics
Anesthesia recovery period
Anesthesia
Intravenous
Craniotomy
Endpoint determination
Female
Humans
Male
Middle aged
Nervous system diseases
Propofol
Skull
Spine
Unconsciousness
Opioid
topic Adult
Aged
80 and over
Analgesics
Anesthesia recovery period
Anesthesia
Intravenous
Craniotomy
Endpoint determination
Female
Humans
Male
Middle aged
Nervous system diseases
Propofol
Skull
Spine
Unconsciousness
Opioid
description Recovery of consciousness is usually seen as a passive process, with emergence from anesthesia depicted as the inverse process of induction resulting from the elimination of anesthetic drugs from their central nervous system sites of action. However, that need not be the case. Recently it has been argued that we might encounter hysteresis to changes in the state of consciousness, known as neural inertia. This phenomenon has been debated in neuroanesthesia, as manipulation of the brain might further influence recovery of consciousness. The present study is aimed at assessing hysteresis between induction and emergence under propofol-opioid neuroanesthesia in humans using estimated propofol concentrations in both spinal and intracranial surgeries.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01T00:00:00Z
2024-12-31T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.2/11447
url http://hdl.handle.net/10400.2/11447
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Ferreira A L, Correia R, Vide S, Ferreira A D, Kelz M B, Mendes J G, Nunes C S, Amorim P. (2020) Patterns of Hysteresis Between Induction and Emergence of Neuroanesthesia Are Present in Spinal and Intracranial Surgeries. Journal of Neurosurgical Anesthesiology 32(1):82-89.
0898-4921
10.1097/ANA.0000000000000559
1537-1921
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wolters Kluwer Health
publisher.none.fl_str_mv Wolters Kluwer Health
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799135090406588416

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