Evidence map›Paper›PMID 22593076›Full record

Trial reportThe Journal of neuroscience : the official journal of the Society for Neuroscience2012

Connectivity changes underlying spectral EEG changes during propofol-induced loss of consciousness.

Mélanie Boly, Rosalyn Moran, Michael Murphy, Pierre Boveroux, Marie-Aurélie Bruno, Quentin Noirhomme, Didier Ledoux, Vincent Bonhomme, Jean-François Brichant, Giulio Tononi and 2 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 164 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 1 pooled it
33.6field-weighted citation impact, top 1% 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

164 citing papers in PubMed, 1 synthesis or guideline pooled it, 314 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Electroencephalogram signatures of loss and recovery of consciousness from propofol.Proceedings of the National Academy of Sciences of the United States of America · 2013
    Trial
  7. Article
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  11. Article
  12. Review
  13. Article
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  17. Review
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  19. Article
  20. Propofol-mediated loss of consciousness disrupts predictive routing and local field phase modulation of neural activity.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article

104 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Mélanie BolyComa Science Group, Cyclotron Research Centre and Neurology Department, University of Liège and Sart Tilman Hospital, 4000 Liège, Belgium. mboly@ulg.ac.be
Rosalyn Moran
Michael Murphy
Pierre Boveroux
Marie-Aurélie Bruno
Quentin Noirhomme
Didier Ledoux
Vincent Bonhomme
Jean-François Brichant
Giulio Tononi
Steven Laureys
Karl Friston
University of Liège · BECentre Hospitalier Universitaire de Liège · BEUniversity of Wisconsin–Madison · USWellcome Centre for Human Neuroimaging · GB

Funding

NIH Director's Pioneer Award (RMI)DP1OD000579 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI TONONI, GIULIO · 2005 to 2009
$3.6M
Fostering Research Mentorship & Training during Psychiatry Residency SupplementR25MH094612 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FAVA, MAURIZIO, GREENFIELD, SHELLY F. · 2011 to 2022
$2.3M
NIH HHS DP1 OD000579NIMH NIH HHS R25 MH094612Wellcome Trust 056750Wellcome Trust 088130
6 · The paper itself

Abstract

The mechanisms underlying anesthesia-induced loss of consciousness remain a matter of debate. Recent electrophysiological reports suggest that while initial propofol infusion provokes an increase in fast rhythms (from beta to gamma range), slow activity (from delta to alpha range) rises selectively during loss of consciousness. Dynamic causal modeling was used to investigate the neural mechanisms mediating these changes in spectral power in humans. We analyzed source-reconstructed data from frontal and parietal cortices during normal wakefulness, propofol-induced mild sedation, and loss of consciousness. Bayesian model selection revealed that the best model for explaining spectral changes across the three states involved changes in corticothalamic interactions. Compared with wakefulness, mild sedation was accounted for by an increase in thalamic excitability, which did not further increase during loss of consciousness. In contrast, loss of consciousness per se was accompanied by a decrease in backward corticocortical connectivity from frontal to parietal cortices, while thalamocortical connectivity remained unchanged. These results emphasize the importance of recurrent corticocortical communication in the maintenance of consciousness and suggest a direct effect of propofol on cortical dynamics.

Indexed as

Procedural SedationAdultAnesthetics, IntravenousBayes TheoremBrain WavesElectroencephalographyFemaleFrontal LobeHumansHypnotics and SedativesMaleModels, NeurologicalNeural PathwaysParietal LobePropofolThalamusAnesthetics, IntravenousHypnotics and SedativesPropofol

Identifiers

PMID22593076
PMCPMC3366913
OpenAlexW1983192672

What OpenQuestion holds

Textmetadata
LicenceTDM
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.