Global field synchrony during general anaesthesia

Slides:



Advertisements
Similar presentations
2015 Alzheimer's disease facts and figures Alzheimer's & Dementia: The Journal of the Alzheimer's Association Volume 11, Issue 3, Pages (March.
Advertisements

P.A. Bothma, C.J. Schlimp  British Journal of Anaesthesia 
Human factors in anaesthesia: lessons from aviation
Sevoflurane therapy for life-threatening asthma in children
Presynaptic inhibition of the release of multiple major central nervous system neurotransmitter types by the inhaled anaesthetic isoflurane  R.I. Westphalen,
Why is the surgical high-risk patient still at risk?
Supplemental oxygen and surgical site infection: getting to the truth
Evaluation of a novel closed-loop total intravenous anaesthesia drug delivery system: a randomized controlled trial  T.M. Hemmerling, E. Arbeid, M. Wehbe,
Characteristics of pain in hospitalized medical patients, surgical patients, and outpatients attending a pain management centre  M.P. Rockett, G. Simpson,
Fluid responsiveness: an evolution of our understanding
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
Effect of adductor canal block on pain in patients with severe pain after total knee arthroplasty: a randomized study with individual patient analysis 
N.M. Gibbs, S.V. Gibbs  British Journal of Anaesthesia 
Proof of concept evaluation of the electroencephalophone as a discriminator between wakefulness and general anaesthesia  J Glen, B Porr, R Hamilton, L.
Injuries associated with anaesthesia. A global perspective
Efficacy of intraoperative dexmedetomidine infusion on emergence agitation and quality of recovery after nasal surgery  S.Y. Kim, J.M. Kim, J.H. Lee,
Differential effects of serum from patients administered distinct anaesthetic techniques on apoptosis in breast cancer cells in vitro: a pilot study 
A different use of visual analytic techniques in anaesthetics
Postoperative pulmonary complications
S.J. Howell, J.J. Pandit, D.J. Rowbotham 
Bilateral bispectral index monitoring during and after electroconvulsive therapy compared with magnetic seizure therapy for treatment-resistant depression 
Evaluation of surgical conditions during laparoscopic surgery in patients with moderate vs deep neuromuscular block  C.H. Martini, M. Boon, R.F. Bevers,
Prediction of volatile anaesthetic solubility in blood and priming fluids for extracorporeal circulation  R.-G. Yu, J.-X. Zhou, J Liu  British Journal.
Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries    British Journal of Anaesthesia 
Inflating LMA with normal saline: 14 yr after
Attenuation of high-frequency (30–200 Hz) thalamocortical EEG rhythms as correlate of anaesthetic action: evidence from dexmedetomidine  G. Plourde, F.
T Emerick, D Metro, R Patel, T Sakai  British Journal of Anaesthesia 
Complete heart block during central venous catheter placement in a patient with pre- existing left bundle branch block  D Unnikrishnan, N Idris, N Varshneya 
Sugammadex administration results in arousal from intravenous anaesthesia: a clinical and electroencephalographic observation  T. Chazot, G. Dumont, M.
Effect of patient sex on general anaesthesia and recovery
H. J. Kim, H. -C. Lee, Y. S. Jung, J. Lee, J. J. Min, D. -M. Hong, E
Anaesthesia for awake craniotomy—evolution of a technique that facilitates awake neurological testing  A. Sarang, J. Dinsmore  British Journal of Anaesthesia 
FastrachTM tubes: modifying the design for use with the LMA CTrachTM?
Distraction and interruption in anaesthetic practice
Β2-Adrenoceptor gene variants affect vasopressor requirements in patients after thoracic epidural anaesthesia  U.H. Frey, J. Karlik, F. Herbstreit, J.
Takotsubo cardiomyopathy and anaesthesia
Anaesthetic staff cannot identify extremely high tracheal tube cuff pressures by palpation of the pilot balloon  S.A. Michlig  British Journal of Anaesthesia 
The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia  P.L. Purdon, K.J. Pavone, O.
Limits of agreement between measures obtained from standard laboratory and the point-of-care device Hemochron Signature Elite® during acute haemorrhage 
Effect of phenylephrine on the haemodynamic state and cerebral oxygen saturation during anaesthesia in the upright position  P.F. Soeding, S Hoy, G Hoy,
Does anaesthesia with nitrous oxide affect mortality or cardiovascular morbidity? A systematic review with meta-analysis and trial sequential analysis 
C. Price, J. Lee, A.M. Taylor, A.P. Baranowski 
K. Nielsen, H. J. Scheffer, J. M. Vieveen, A. A. J. M. van Tilborg, S
General anaesthesia with laryngeal mask airway may cause recurrence of pneumocephalus in a patient with head injury  I Gurajala, M Azharuddin, R Gopinath 
Z Mokini, C Buccino, G Vitale, T Mauri, R Fumagalli, A Pesenti 
Efficacy of dexmedetomidine compared with midazolam for sedation in adult intensive care patients: a systematic review  R. Adams, G.T. Brown, M. Davidson,
Bone cement embolism attached to central venous catheter
Propofol for adult procedural sedation in a UK emergency department: safety profile in 1008 cases  B Newstead, S Bradburn, A Appelboam, A Reuben, A Harris,
Teamwork, communication, and anaesthetic assistance in Scotland
J Lee, S Gupta, C Price, A.P. Baranowski 
Chronic widespread pain, including fibromyalgia: a pathway for care developed by the British Pain Society  J. Lee, B. Ellis, C. Price, A.P. Baranowski 
Does hyperbaric oxygen have positive effect on neurological recovery in spinal–epidural haematoma?: a case report  Z. Wajima, S. Aida  British Journal.
A. J. Byrne, M Oliver, O Bodger, W. A
T. Kerforne, M. Chaillan, L. Geraud, O. Mimoz 
Anaesthesia and intensive care management of face transplantation
Postoperative analgesic effect of intravenous (i. v
R Hofmeyr, A Myburgh  British Journal of Anaesthesia 
Management of the heartbeating brain-dead organ donor
High-fidelity patient simulation: validation of performance checklists
Elective use of supraglottic airway devices for primary airway management in children with difficult airways†  N. Jagannathan, L. Sequera-Ramos, L. Sohn,
Pharmacological perioperative brain neuroprotection: a qualitative review of randomized clinical trials  F. Bilotta, A.W. Gelb, E. Stazi, L. Titi, F.P.
A huffing manoeuvre, immediately before induction of anaesthesia, prevents fentanyl- induced coughing: a prospective, randomized, and controlled study 
IV. History of anaesthesia in Colombia: periods of development
Influence of head and neck position on ventilation using the air-Q® SP airway in anaesthetized paralysed patients: a prospective randomized crossover.
Voltage changes in the lithium dilution cardiac output sensor after exposure to blood from horses given xylazine  T.D. Ambrisko, Y. Moens  British Journal.
C.M. Chalmers, A.M. Bal  British Journal of Anaesthesia 
E. C. Hessian, B. E. Evans, J. A. Woods, D. J. Taylor, E Kinkel, A. R
Effect of concentration of local anaesthetic solution on the ED50 of bupivacaine for supraclavicular brachial plexus block†   P.K. Gupta, P.M. Hopkins 
R.L. Johnson, E.K. Cannon, C.B. Mantilla, D.A. Cook 
R. Parke, S. McGuinness, R. Dixon, A. Jull 
Presentation transcript:

Global field synchrony during general anaesthesia N. Nicolaou, J. Georgiou  British Journal of Anaesthesia  Volume 112, Issue 3, Pages 529-539 (March 2014) DOI: 10.1093/bja/aet350 Copyright © 2014 The Author(s) Terms and Conditions

Fig 1 International 10/20 electrode placement system and the five aggregate brain areas defined. F, frontal; LT, left temporal; RT, right temporal; P, posterior; and C, central. Electrode layout was drawn using the EEGLab software.21 British Journal of Anaesthesia 2014 112, 529-539DOI: (10.1093/bja/aet350) Copyright © 2014 The Author(s) Terms and Conditions

Fig 2 Mean widespread GFS values for wakefulness and anaesthesia estimated at each frequency range for each patient. British Journal of Anaesthesia 2014 112, 529-539DOI: (10.1093/bja/aet350) Copyright © 2014 The Author(s) Terms and Conditions

Fig 3 Localized GFS trends. Corresponding brain areas: C, central; F, frontal; LT, left temporal; RT, right temporal; P, posterior. (a) δ (1.5–3.5 Hz); (b) θ (3.5–7.5 Hz); (c) α1 (8–10 Hz); (d) α2 (10.5–12 Hz); (e) β1 (12.5–18 Hz); (f) β2 (18.5–21 Hz); (g) β3 (21.5–30 Hz); (h) γ1 (30.5–40 Hz); and (i) γ2 (60–80 Hz). Line thickness corresponds to the ratio: (number of patients with an increase/decrease in the mean GFS)/(total number of patients). British Journal of Anaesthesia 2014 112, 529-539DOI: (10.1093/bja/aet350) Copyright © 2014 The Author(s) Terms and Conditions

Fig 4 GFS measure estimated over the central–right temporal areas at the γ2 (60–80 Hz) frequency range, for a randomly selected patient. Vertical lines indicate important anaesthetic markers. The segments contained within the markers for ‘induction’ and ‘recovery’ correspond to anaesthesia, and the remaining segments to wakefulness. Artifact values caused by diathermy contamination are also indicated in the figure. The 50 segments (100 s) immediately after induction were not included in the analysis (marked as ‘excluded segments’). British Journal of Anaesthesia 2014 112, 529-539DOI: (10.1093/bja/aet350) Copyright © 2014 The Author(s) Terms and Conditions