Evidence map›Paper›PMID 21804378›Full record

ArticleAnesthesiology2011

Norepinephrine infusion into nucleus basalis elicits microarousal in desflurane-anesthetized rats.

Siveshigan Pillay, Jeannette A Vizuete, J Bruce McCallum, Anthony G Hudetz

Open access · greenAbstract read
In one paragraph

Article in Anesthesiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 51 citations in OpenAlex.

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  4. VCP controls KCC2 degradation through FAF1 recruitment and accelerates emergence from anesthesia.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  17. Optogenetic activation of dopamine neurons in the ventral tegmental area induces reanimation from general anesthesia.Proceedings of the National Academy of Sciences of the United States of America · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Siveshigan PillayDepartment of Biophysics, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
Jeannette A Vizuete
J Bruce McCallum
Anthony G Hudetz
Medical College of Wisconsin · USMarquette University · US

Funding

VOLATILE ANESTHETICS AND CEREBRAL BLOOD FLOW REGULATIONR01GM056398 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUDETZ, ANTHONY GEORGE · 1997 to 2024
$6.9M
NIGMS NIH HHS R01 GM056398NIGMS NIH HHS R01 GM-56398
6 · The paper itself

Abstract

backgroundThe nucleus basalis of Meynert of the basal forebrain has been implicated in the regulation of the state of consciousness across normal sleep-wake cycles. Its role in the modulation of general anesthesia was investigated.

methodsRats were chronically implanted with bilateral infusion cannulae in the nucleus basalis of Meynert and epidural electrodes to record the electroencephalogram in frontal and visual cortices. Animals were anesthetized with desflurane at a concentration required for the loss of righting reflex (4.6 ± 0.5%). Norepinephrine (17.8 nmol) or artificial cerebrospinal fluid was infused at 0.2 μl/min (1 μl total). Behavioral response to infusion was measured by scoring the orofacial, limb, and head movements, and postural changes.

resultsBehavioral responses were higher after norepinephrine (2.1 ± 1) than artificial cerebrospinal fluid (0.63 ± 0.8) infusion (P < 0.01, Student t test). Responses were brief (1-2 min), repetitive, and more frequent after norepinephrine infusion (P < 0.0001, chi-square test). Electroencephalogram delta power decreased after norepinephrine in frontal (70 ± 7%) but not in visual cortex (P < 0.05, Student t test). Simultaneously, electroencephalogram cross-approximate entropy between frontal and visual cortices increased from 3.17 ± 0.56 to 3.85 ± 0.29 after norepinephrine infusion (P < 0.01, Student t test). Behavioral activation was predictable by the decrease in frontal delta power (logistic regression, P < 0.05).

conclusionsNorepinephrine infusion into the nucleus basalis of Meynert can modulate anesthetic depth presumably by ascending activation of the cortex. The transient nature of the responses suggests a similarity with microarousals normally observed during natural sleep, and may imply a mechanism for transient awareness under light anesthesia.

Indexed as

Adrenergic alpha-AgonistsAnesthesia, InhalationAnesthetics, InhalationAnimalsArousalBasal Nucleus of MeynertBehavior, AnimalConsciousnessData Interpretation, StatisticalDesfluraneElectroencephalographyEntropyInjectionsIsofluraneMaleMotor ActivityAdrenergic alpha-AgonistsAnesthetics, InhalationDesfluraneIsofluraneNorepinephrine

Identifiers

PMID21804378
PMCPMC3179566
OpenAlexW2004135476

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.