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Updated: Aug 7, 2026

Assessing Changes in Volatile General Anesthetic Sensitivity of Mice after Local or Systemic Pharmacological Intervention
Published on: October 16, 2013
Age, minimum alveolar anesthetic concentration, and minimum alveolar anesthetic concentration-awake
1Department of Anesthesia and Perioperative Care, University of California, San Francisco, California 94143-0464, USA. egere@anesthesia.ucsf.edu
Unlabelled:
Two defining effects of inhaled anesthetics (immobility in the face of noxious stimulation, and absence of memory) correlate with the end-tidal concentrations of the anesthetics. Such defining effects are characterized as MAC (the concentration producing immobility in 50% of patients subjected to a noxious stimulus) and MAC-Awake (the concentration suppressing appropriate response to command in 50% of patients; memory is usually lost at MAC-Awake). If the concentrations are monitored and corrected for the effects of age and temperature, the concentrations may be displayed as multiples of MAC for a standard age, usually 40 yr. This article provides an algorithm that might be used to produce such a display, including provision of an estimate of the effect of nitrous oxide.
Implications:
Two defining effects of inhaled anesthetics (immobility in the face of noxious stimulation, and absence of memory) correlate with the end-tidal concentrations of the anesthetics. Thus, these defining effects may be monitored and the results displayed if the concentrations are known and corrected for the effects of age and temperature.
Insights
Inhaled anesthetic effects like immobility and memory loss correlate with end-tidal concentrations. Monitoring these concentrations, adjusted for age and temperature, allows for display as multiples of Minimum Alveolar Concentration (MAC).
Area of Science:
- Anesthesiology
- Pharmacology
Background:
- Inhaled anesthetics produce key effects like immobility and amnesia.
- These effects correlate with anesthetic end-tidal concentrations.
Purpose of the Study:
- To present an algorithm for displaying anesthetic concentrations.
- The display normalizes concentrations to Minimum Alveolar Concentration (MAC) multiples.
- To estimate the impact of nitrous oxide.
Main Methods:
- Monitoring end-tidal anesthetic concentrations.
- Correcting concentrations for patient age and temperature.
- Calculating concentrations as multiples of MAC for a standard age (40 years).
Main Results:
- An algorithm is provided for displaying anesthetic concentrations as MAC multiples.
- The algorithm accounts for age and temperature.
- It includes an estimation for nitrous oxide's effect.
Conclusions:
- Key anesthetic effects (immobility, amnesia) correlate with end-tidal concentrations.
- Monitoring and displaying these concentrations, adjusted for patient factors, is feasible.
- This facilitates standardized assessment of anesthetic depth.
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