Evidence map›Paper›PMID 26174302›Full record

ArticleBritish journal of anaesthesia2015

Ageing delays emergence from general anaesthesia in rats by increasing anaesthetic sensitivity in the brain.

J J Chemali, J D Kenny, O Olutola, N E Taylor, E Y Kimchi, P L Purdon, E N Brown, K Solt

Open access · bronzeAbstract read
In one paragraph

Article in British journal of anaesthesia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Impact of aging on animal models of Parkinson's disease.Frontiers in aging neuroscience · 2022
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  13. Impact of Aging on the 6-OHDA-Induced Rat Model of Parkinson's Disease.International journal of molecular sciences · 2020
    Article
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  16. Observational
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  18. Article
  19. A critical review of the in vitro and in vivo models for the evaluation of anti-infective meshes.Hernia : the journal of hernias and abdominal wall surgery · 2018
    Review
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

J J ChemaliDepartment of Anaesthesia, Critical Care, and Pain Medicine and.
J D KennyDepartment of Anaesthesia, Critical Care, and Pain Medicine and.
O OlutolaDepartment of Anaesthesia, Critical Care, and Pain Medicine and.
N E TaylorDepartment of Anaesthesia, Critical Care, and Pain Medicine and Department of Anaesthesia, Harvard Medical School and.
E Y KimchiDepartment of Neurology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA Department of Neurology, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA.
P L PurdonDepartment of Anaesthesia, Critical Care, and Pain Medicine and Department of Anaesthesia, Harvard Medical School and.
E N BrownDepartment of Anaesthesia, Critical Care, and Pain Medicine and Department of Anaesthesia, Harvard Medical School and Department of Brain and Cognitive Sciences Institute for Medical Engineering and Science, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA.
K SoltDepartment of Anaesthesia, Critical Care, and Pain Medicine and Department of Anaesthesia, Harvard Medical School and ksolt@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · US

Funding

Redesigning General Anesthesia (Admin Supp)R01GM104948 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI BOYDEN, EDWARD S., BROWN, EMERY N · 2012 to 2016
$4.4M
A Systems Neuroscience Approach for the Study of General AnesthesiaDP1OD003646 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 2007 to 2011
$4.4M
Training in Neurostatistics and NeuroepidemiologyT32NS048005 · NINDS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ONNELA, JUKKA-PEKKA · 2004 to 2018
$3.2M
Active Induction of Emergence from General AnesthesiaK08GM094394 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI SOLT, KEN · 2010 to 2013
$469k
NIGMS NIH HHS K08-GM094394NIGMS NIH HHS R01 GM104948NIGMS NIH HHS TR01-GM104948NIH HHS DP1-OD003646NINDS NIH HHS T32 NS048005NINDS NIH HHS T32-NS048005
6 · The paper itself

Abstract

backgroundLittle is known about ageing-related changes in the brain that affect emergence from general anaesthesia. We used young adult and aged Fischer 344 rats to test the hypothesis that ageing delays emergence from general anaesthesia by increasing anaesthetic sensitivity in the brain.

methodsTime to emergence was determined for isoflurane (1.5 vol% for 45 min) and propofol (8 mg kg(-1) i.v.). The dose of isoflurane required to maintain loss of righting (LOR) was established in young adult and aged rats. The efficacy of methylphenidate to reverse LOR from general anaesthesia was tested. Separate young adult and aged rats with implanted electroencephalogram (EEG) electrodes were used to test whether ageing increases sensitivity to anaesthetic-induced burst suppression.

resultsMean time to emergence from isoflurane anaesthesia was 47 s [95% CI 33, 60; young adult) compared with 243 s (95% CI 185, 308; aged). For propofol, mean time to emergence was 13.1 min (95% CI 11.9, 14.0; young adult) compared with 23.1 min (95% CI 18.8, 27.9; aged). These differences were statistically significant. When methylphenidate was administered after propofol, the mean time to emergence decreased to 6.6 min (95% CI 5.9, 7.1; young adult) and 10.2 min (95% CI 7.9, 12.3; aged). These reductions were statistically significant. Methylphenidate restored righting in all rats during continuous isoflurane anaesthesia. Aged rats had lower EEG power and were more sensitive to anaesthetic-induced burst suppression.

conclusionsAgeing delays emergence from general anaesthesia. This is due, at least in part, to increased anaesthetic sensitivity in the brain. Further studies are warranted to establish the underlying causes.

Indexed as

Anesthesia, GeneralAgingAnestheticsAnimalsBrainElectroencephalographyIsofluraneMaleMethylphenidatePropofolRatsRats, Inbred F344AnestheticsIsofluraneMethylphenidatePropofolageingdelayed emergence from anaesthesiaelectroencephalography

Identifiers

PMID26174302
PMCPMC4501916
OpenAlexW2276436851

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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.