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Medicinas Complementares
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1.
Br J Anaesth ; 121(3): 605-615, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30115259

RESUMO

BACKGROUND: Current concepts suggest that impaired representation of information in cortical networks contributes to loss of consciousness under anaesthesia. We tested this idea in rat auditory cortex using information theory analysis of multiunit responses recorded under three anaesthetic agents with different molecular targets: isoflurane, propofol, and dexmedetomidine. We reasoned that if changes in the representation of sensory stimuli are causal for loss of consciousness, they should occur regardless of the specific anaesthetic agent. METHODS: Spiking responses were recorded with chronically implanted microwire arrays in response to acoustic stimuli incorporating varied temporal and spectral dynamics. Experiments consisted of four drug conditions: awake (pre-drug), sedation (i.e. intact righting reflex), loss of consciousness (a dose just sufficient to cause loss of righting reflex), and recovery. Measures of firing rate, spike timing, and mutual information were analysed as a function of drug condition. RESULTS: All three drugs decreased spontaneous and evoked spiking activity and modulated spike timing. However, changes in mutual information were inconsistent with altered stimulus representation being causal for loss of consciousness. First, direction of change in mutual information was agent-specific, increasing under dexmedetomidine and decreasing under isoflurane and propofol. Second, mutual information did not decrease at the transition between sedation and LOC for any agent. Changes in mutual information under anaesthesia correlated strongly with changes in precision and reliability of spike timing, consistent with the importance of temporal stimulus features in driving auditory cortical activity. CONCLUSIONS: The primary sensory cortex is not the locus for changes in representation of information causal for loss of consciousness under anaesthesia.


Assuntos
Anestesia Geral/métodos , Anestésicos Gerais/farmacologia , Córtex Auditivo/efeitos dos fármacos , Estado de Consciência/efeitos dos fármacos , Estimulação Acústica/métodos , Anestésicos Inalatórios/farmacologia , Anestésicos Intravenosos/farmacologia , Animais , Córtex Auditivo/fisiologia , Estado de Consciência/fisiologia , Dexmedetomidina/farmacologia , Eletroencefalografia/efeitos dos fármacos , Feminino , Hipnóticos e Sedativos/farmacologia , Isoflurano/farmacologia , Propofol/farmacologia , Ratos Endogâmicos ACI , Tempo de Reação/efeitos dos fármacos , Reflexo de Endireitamento/efeitos dos fármacos , Reflexo de Endireitamento/fisiologia
2.
Br J Anaesth ; 119(4): 685-696, 2017 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-29121295

RESUMO

BACKGROUND: Actions of general anaesthetics on activity in the cortico-thalamic network likely contribute to loss of consciousness and disconnection from the environment. Previously, we showed that the general anaesthetic isoflurane preferentially suppresses cortically evoked synaptic responses compared with thalamically evoked synaptic responses, but how this differential sensitivity translates into changes in network activity is unclear. METHODS: We investigated isoflurane disruption of spontaneous and stimulus-induced cortical network activity using multichannel recordings in murine auditory thalamo-cortical brain slices. RESULTS: Under control conditions, afferent stimulation elicited short latency, presumably monosynaptically driven, spiking responses, as well as long latency network bursts that propagated horizontally through the cortex. Isoflurane (0.05-0.6 mM) suppressed spiking activity overall, but had a far greater effect on network bursts than on early spiking responses. At isoflurane concentrations >0.3 mM, network bursts were almost entirely blocked, even with increased stimulation intensity and in response to paired (thalamo-cortical + cortical layer 1) stimulation, while early spiking responses were <50% blocked. Isoflurane increased the threshold for eliciting bursts, decreased their propagation speed and prevented layer 1 afferents from facilitating burst induction by thalamo-cortical afferents. CONCLUSIONS: Disruption of horizontal activity spread and of layer 1 facilitation of thalamo-cortical responses likely contribute to the mechanism by which suppression of cortical feedback connections disrupts sensory awareness under anaesthesia.


Assuntos
Anestésicos Gerais/farmacologia , Anestésicos Inalatórios/farmacologia , Córtex Cerebral/efeitos dos fármacos , Eletrodiagnóstico/métodos , Isoflurano/farmacologia , Tálamo/efeitos dos fármacos , Animais , Córtex Cerebral/fisiologia , Estado de Consciência/efeitos dos fármacos , Feminino , Masculino , Modelos Animais , Tálamo/fisiologia
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