Evidence map›Paper›PMID 23722106›Full record

ArticleBritish journal of anaesthesia2013

Anaesthetic neurotoxicity and neuroplasticity: an expert group report and statement based on the BJA Salzburg Seminar.

V Jevtovic-Todorovic, A R Absalom, K Blomgren, A Brambrink, G Crosby, D J Culley, G Fiskum, R G Giffard, K F Herold, A W Loepke and 9 more

3 registry-linked trialsAbstract readConsensus Statement
In one paragraph

Article in British journal of anaesthesia, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 114 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02810899 phase4completednot on this mapstarted 2015, after this paper: background citation

The Effect of Dexmedetomidine as an Adjuvant to General Anesthesia on Intelligence Development in Pediatric Patients Undergoing Craniotomy: a Randomized, Double-blind and Placebo-controlled Pilot Trial

TypeinterventionalSponsorPeking University First HospitalRan2015 to 2016Enrolled60ConditionsBrain NeoplasmsArmsdexmedetomidine, normal saline
NCT03882541 nacompletednot on this mapstarted 2017, after this paper: background citation

Could Music be an Alternative to Sedation in Patients Treated Total Knee Arthroplasty With Regional Anesthesia?: A Randomized Clinical Trial

TypeinterventionalSponsorConsorci Sanitari de l'AnoiaRan2017 to 2018Enrolled85ConditionsAnxiety, Surgery, Drug Toxicity, AnesthesiaArmsMusic therapy, Sedation with midazolam
NCT04125121 nacompletednot on this mapstarted 2019, after this paper: background citation

Neuroplasticity Induced by General Anaesthesia

TypeinterventionalSponsorSigne Sloth MadsenRan2019 to 2021Enrolled20ConditionsHealthy Volunteers, General Anaesthesia, NeuroplasticityArmsSevoflurane-propofol
3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

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

19 authors.

V Jevtovic-TodorovicDepartment of Anesthesiology, University of Virginia, Charlottesville, VA, USA. vj3w@hscmail.mcc.virginia.edu
A R Absalom
K Blomgren
A Brambrink
G Crosby
D J Culley
G Fiskum
R G Giffard
K F Herold
A W Loepke
D Ma
B A Orser
E Planel
W Slikker
S G Soriano
G Stratmann
L Vutskits
Z Xie
H C Hemmings

Funding

SPECTRIN-DEPENDENT MEMBRANE DOMAINS IN THE DEVELOPING CNSP01HD016596 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI MCKENNA, MARY C · 1985 to 2013
$12.8M
SYNAPTIC MECHANISMS OF GENERAL ANESTHETIC ACTIONR01GM058055 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI HEMMINGS, HUGH C · 1998 to 2023
$10.1M
Pathogenesis of Postoperative Cognitive DysfunctionR01AG041274 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Zhongcong Xie, Guang Yang · 2012 to 2026
$6.7M
ANESTHETICS AND STRESS PROTEINS IN BRAIN CELL INJURYR01GM049831 · NIGMS · STANFORD UNIVERSITY · PI GIFFARD, RONA G · 1993 to 2011
$4.1M
Astrocytes and Ischemic Brain InjuryR01NS053898 · NINDS · STANFORD UNIVERSITY · PI GIFFARD, RONA G · 2007 to 2016
$3.8M
General Anesthesia and Alzheimer's Disease NeuropathogenesisR01GM088801 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI XIE, ZHONGCONG · 2009 to 2017
$3.1M
Anesthesia-induced developmental neurodegenerationR01HD044517 · NICHD · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI JEVTOVIC-TODOROVIC, VESNA · 2005 to 2014
$3.0M
Role of Protein Phosphatase-1 in Cerebral Ischemia and Cell DeathR01NS056315 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI HEMMINGS, HUGH C · 2009 to 2013
$1.8M
Crosby_Gregory_Mechanisms of Post-Anesthetic CNS Dysfunction in AgingR01GM088817 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CROSBY, GREGORY · 2009 to 2012
$1.5M
Cellular Mechanisms of General Anesthetic Mediated NeurotoxicityK08GM077057 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CULLEY, DEBORAH J · 2006 to 2010
$724k
The Role of Alzheimer's-associated Abeta in POD and POCDR21AG038994 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI XIE, ZHONGCONG · 2011 to 2012
$412k
The role of neurotrophins in anesthesia-induced developmental neuroapoptosisR03TW007423 · FIC · UNIVERSITY OF VIRGINIA · PI JEVTOVIC-TODOROVIC, VESNA · 2006 to 2008
$116k
CIHR MOP-106423CIHR PCN-102993FIC NIH HHS TW007423-128322Medical Research CouncilNIA NIH HHS R01 AG041274NIA NIH HHS R21AG038994NICHD NIH HHS 2P01 1HD16596-26NICHD NIH HHS HD 44517NICHD NIH HHS HD 44517SNICHD NIH HHS R01 HD044517NIGMS NIH HHS GM49831NIGMS NIH HHS GM58055NIGMS NIH HHS K08 GM077057NIGMS NIH HHS R01 GM058055NIGMS NIH HHS R01 GM088801NIGMS NIH HHS R01 GM088817NINDS NIH HHS NS053898NINDS NIH HHS NS56315
6 · The paper itself

Abstract

Although previously considered entirely reversible, general anaesthesia is now being viewed as a potentially significant risk to cognitive performance at both extremes of age. A large body of preclinical as well as some retrospective clinical evidence suggest that exposure to general anaesthesia could be detrimental to cognitive development in young subjects, and might also contribute to accelerated cognitive decline in the elderly. A group of experts in anaesthetic neuropharmacology and neurotoxicity convened in Salzburg, Austria for the BJA Salzburg Seminar on Anaesthetic Neurotoxicity and Neuroplasticity. This focused workshop was sponsored by the British Journal of Anaesthesia to review and critically assess currently available evidence from animal and human studies, and to consider the direction of future research. It was concluded that mounting evidence from preclinical studies reveals general anaesthetics to be powerful modulators of neuronal development and function, which could contribute to detrimental behavioural outcomes. However, definitive clinical data remain elusive. Since general anaesthesia often cannot be avoided regardless of patient age, it is important to understand the complex mechanisms and effects involved in anaesthesia-induced neurotoxicity, and to develop strategies for avoiding or limiting potential brain injury through evidence-based approaches.

Indexed as

Periodicals as TopicAgedAged, 80 and overAnesthesia, GeneralAnesthetics, GeneralAnimalsAustriaBrainCognition DisordersHumansInfantNeuronal PlasticityNeurotoxicity SyndromesUnited KingdomAnesthetics, Generalanaesthesia, generalanaestheticscognitive disorderneurotoxicity syndromespostoperative complications

Identifiers

PMID23722106
PMCPMC3711392

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.