Patterns of hysteresis between induction and emergence of neuroanesthesia are present in spinal and intracranial surgeries
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , |
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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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 |
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1799135090406588416 |