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Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Stages of General Anesthesia01:22

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...

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Recording Brain Electromagnetic Activity During the Administration of the Gaseous Anesthetic Agents Xenon and Nitrous Oxide in Healthy Volunteers
14:52

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Published on: January 13, 2018

Changes in resting neural connectivity during propofol sedation.

Emmanuel A Stamatakis1, Ram M Adapa, Anthony R Absalom

  • 1Division of Anaesthesia, School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom. eas46@cam.ac.uk

Plos One
|December 15, 2010
PubMed
Summary
This summary is machine-generated.

Brain connectivity of the posterior cingulate cortex shifts during sedation. This default mode network exploration reveals altered interactions with motor and sensory areas under propofol.

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Area of Science:

  • Neuroscience
  • Cognitive Neuroscience
  • Brain Imaging

Background:

  • The default mode network (DMN) comprises interconnected brain regions active during rest.
  • The posterior cingulate cortex (PCC) is implicated in consciousness.
  • Previous studies on PCC connectivity during sedation/anesthesia yielded inconsistent findings.

Purpose of the Study:

  • To investigate alterations in posterior cingulate cortex connectivity across varying levels of consciousness.
  • To explore the impact of propofol-induced sedation on brain network interactions.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) using blood-oxygen-level-dependent (BOLD) contrast.
  • Data acquired from healthy volunteers under awake, low, and moderate sedation conditions.
  • Analysis focused on resting-state connectivity of the PCC.

Main Results:

  • Posterior cingulate cortex connectivity significantly changed during sedation.
  • Sedation led to the inclusion of motor/somatosensory cortices and anterior thalamic nuclei in PCC networks.
  • Connectivity patterns involved the reticular activating system, not typically part of the DMN.

Conclusions:

  • The observed neuroanatomical signature during sedation resembles non-REM sleep patterns.
  • This suggests a reduction in discriminable brain states under sedation.
  • Findings indicate a shift towards more stereotypic neural firing patterns during sedation.