You Ying, Liu Hui, Yang Zhanfei, Chen Yuxuan, Yang Fei, Yu Tian, Zhang Yu
Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Key Laboratory of Anesthesia and Organ Protection (Zunyi Medical University), Ministry of Education, Zunyi Medical University, Zunyi, China.
Front Pharmacol. 2024 Dec 13;15:1474923. doi: 10.3389/fphar.2024.1474923. eCollection 2024.
Mice play a crucial role in studying the mechanisms of general anesthesia. However, identifying reliable EEG markers for different depths of anesthesia induced by multifarious agents remains a significant challenge. Spindle activity, typically observed during NREM sleep, reflects synchronized thalamocortical activity and is characterized by a frequency range of 7-15 Hz and a duration of 0.5-3 s. Similar patterns, referred to as "anesthetic spindles," are also observed in the EEG during general anesthesia. However, the variability of anesthetic spindles across different anesthetic agents and depths is not yet fully understood.
Mice were anesthetized with dexmedetomidine, propofol, ketamine, etomidate, isoflurane, or sevoflurane, and cortical EEG recordings were obtained. EEG signals were bandpass filtered between 0.1 and 60 Hz and analyzed using a custom MATLAB script for spindle detection. Anesthesia depth was assessed based on Guedel's modified stages of anesthesia and the presence of burst suppression in the EEG.
Compared to sleep spindles, anesthetic spindles induced by the different agents exhibited higher amplitudes and longer durations. Isoflurane- and sevoflurane-induced spindles varied with the depth of anesthesia. Spindles associated with etomidate were prominent during induction and light anesthesia, whereas those induced by sevoflurane and isoflurane were more dominant during deep anesthesia and emergence. Post-anesthesia, spindles persisted but ceased more quickly following inhalational anesthesia.
Anesthesia spindle waves reflect distinct changes in anesthesia depth and persist following emergence, serving as objective EEG markers for assessing both anesthesia depth and the recovery process.
小鼠在全身麻醉机制的研究中发挥着关键作用。然而,识别由多种药物诱导的不同麻醉深度的可靠脑电图(EEG)标志物仍然是一项重大挑战。纺锤波活动通常在非快速眼动(NREM)睡眠期间观察到,反映丘脑皮质同步活动,其特征为频率范围7 - 15赫兹,持续时间0.5 - 3秒。在全身麻醉期间的脑电图中也观察到类似模式,称为“麻醉纺锤波”。然而,不同麻醉药物和深度下麻醉纺锤波的变异性尚未完全了解。
用右美托咪定、丙泊酚、氯胺酮、依托咪酯、异氟烷或七氟烷麻醉小鼠,并记录皮质脑电图。脑电图信号在0.1至60赫兹之间进行带通滤波,并使用自定义的MATLAB脚本进行纺锤波检测分析。根据Guedel改良的麻醉分期和脑电图中爆发抑制的存在来评估麻醉深度。
与睡眠纺锤波相比,不同药物诱导的麻醉纺锤波具有更高的振幅和更长的持续时间。异氟烷和七氟烷诱导的纺锤波随麻醉深度而变化。依托咪酯相关的纺锤波在诱导期和浅麻醉期较为突出,而七氟烷和异氟烷诱导的纺锤波在深麻醉期和苏醒期更为占主导。麻醉后,纺锤波持续存在,但吸入麻醉后消失得更快。
麻醉纺锤波反映了麻醉深度的明显变化,且在苏醒后持续存在,可作为评估麻醉深度和恢复过程的客观脑电图标志物。