Evidence map›Paper›PMID 26275092›Full record

ReviewAnesthesiology2015

Clinical Electroencephalography for Anesthesiologists: Part I: Background and Basic Signatures.

Patrick L Purdon, Aaron Sampson, Kara J Pavone, Emery N Brown

19 registry-linked trialsAbstract readReview
In one paragraph

Review in Anesthesiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 19 registered trials, which are not on this map. Cited by 380 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
380citing papers in PubMed, 4 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.

NCT03442179 unknown statusnot on this mapstarted 2019, after this paper: background citation

Cognitive Outcomes and Neuroimages Associated With Anesthesia-Related EEG Signatures

TypeobservationalSponsorMassachusetts General HospitalRan2019 to 2024Enrolled24ConditionsElderly, General Anesthesia
NCT03629743 completednot on this mapstarted 2019, after this paper: background citation

Correlate of Surface Electroencephalogram (EEG) With Implanted EEG Recordings (ECOG)

TypeobservationalSponsorStanford UniversityRan2019 to 2026Enrolled20ConditionsAnesthesiaArmsEEG, ECOG
NCT04016740 early_phase1completednot on this mapstarted 2019, after this paper: background citation

Perioperative Multimodal General Anesthesia Focusing on Specific CNS Targets in Patients Undergoing Cardiac Surgeries

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2019 to 2020Enrolled22ConditionsCoronary Artery Disease, DeliriumArmsRopivacaine, Ketamine, Remifentanil, Dexmedetomidine, Rocuronium
NCT04529304 nacompletednot on this mapstarted 2021, after this paper: background citation

EEG-based Depth of Anesthesia-monitoring During General Anesthesia - Effects on Time to Wake-up and Post-operative Cognition

TypeinterventionalSponsorOslo University HospitalRan2021 to 2026Enrolled100ConditionsPostoperative Complications, Delayed Emergence From Anesthesia, Cognitive DysfunctionArmsBilateral Bispectral Index and EEG
NCT04595591 nacompletednot on this mapstarted 2020, after this paper: background citation

Effects of Propofol Titration at Different Speeds on Hemodynamics and Stress During General Anesthesia Induction

TypeinterventionalSponsorSanQing JinRan2020 to 2021Enrolled276ConditionsAnesthesia, General, HemodynamicsArms2mg/kg/min, 1mg/kg/min, 0.5mg/kg/min
NCT04713644 completednot on this mapstarted 2021, after this paper: background citation

Study of the Association Between Burst Suppression During Anesthetic Induction With Propofol in Cardiac Surgery in Patients Over 65 Years of Age With Postoperative Delirium

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2021 to 2024Enrolled78ConditionsPostoperative DeliriumArmsStandardized Propofol Administration
NCT04783662 completednot on this mapstarted 2021, after this paper: background citation

Study of an Intraoperative Frontal Electroencephalographic Marker of Preoperative Frailty in Patients Over 65 Years of Age for Elective Non-cardiac Surgery.

TypeobservationalSponsorPontificia Universidad Catolica de ChileRan2021 to 2022Enrolled60ConditionsFrailtyArmsIntraoperative frontal electroencephalogram
NCT05051982 nacompletednot on this mapstarted 2021, after this paper: background citation

SedLine EEG-Guided Depth of Anesthesia: Effect of Anesthetic Dosage

TypeinterventionalSponsorIndiana UniversityRan2021 to 2022Enrolled110ConditionsAnesthesia, SurgeryArmsSedline EEG in View
NCT05217251 unknown statusnot on this mapstarted 2022, after this paper: background citation

The Values of Electroencephalography (EEG) Alterations of Uterine Contractions in the First Stage of Labor Predicting Postpartum Depression: a Prospective Cohort Study

TypeobservationalSponsorZhujiang HospitalRan2022 to 2024Enrolled330ConditionsPostpartum DepressionArmsfrontal alpha asymmetry in EEG
NCT05701748 nacompletednot on this mapstarted 2023, after this paper: background citation

EEG to Monitor Propofol Anesthetic Depth in Infants and Toddlers

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2023 to 2025Enrolled100ConditionsElectroencephalography Spectral Edge Frequency, Anesthetic DepthArmsStimuli
NCT05790720 narecruitingnot on this mapstarted 2024, after this paper: background citation

Development of a Pharmacodynamic Model for Propofol in Older Adults (Development phaRmacodynamic mOdel Propofol oLdEr adulTs: DROPLET)

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2024 to 2026Enrolled36ConditionsAgedArmsPropofol
NCT05906225 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Impact of Electroencephalogram (EEG) - Guided Inhalational Anesthetic Control on the Occurrence of EEG Discontinuity in Infants: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorSeoul National University HospitalRan2023 to 2025Enrolled78ConditionsAnesthesia, General, Electroencephalography, Infant, Anesthesia, InhalationArmsEEG guided anesthesia, Conventional anesthesia
NCT06394778 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Electroencephalogram Characteristics of Surgical Anesthetized Patients and Their Correlation With Postoperative Delirium

Typeobservational_patient_registrySponsorFirst Affiliated Hospital of Zhejiang UniversityRan2024 to 2027Enrolled375ConditionsElectroencephalogram, Postoperative Delirium (POD)ArmsDelirium test scale:3D-CAM
NCT06667869 recruitingnot on this mapstarted 2025, after this paper: background citation

Sistema de monitorización multiparámetros Para sedación de Pacientes críticos en UCI (ROMANTIC: multipaRameter mOnitoring systeM for sedAtion iNThe ICu)

Typeobservational_patient_registrySponsorPontificia Universidad Catolica de ChileRan2025 to 2026Enrolled80ConditionsSedation ComplicationArmsSedative
NCT06844279 narecruitingnot on this mapstarted 2025, after this paper: background citation

Geriatrik Hasta Grubunda Anestezi Derinliği Monitörizasyonlarının Postoperatif Derlenme ve Bilişsel Fonksiyonlara Etkileri

TypeinterventionalSponsorAslıhan GüleçRan2025 to 2025Enrolled75ConditionsGeriatric Patient Care Improvement, Postoperative Delirium (POD), Burst SuppressionArmsControl Group: Standard Hemodynamic Monitoring, Processed Electroencephalogram (BIS Index), Processed Electroencephalogram (DSA Mode)
NCT07075302 completednot on this mapstarted 2022, after this paper: background citation

Comparison of Postoperative Morphine Requirements Between an Opioid-Based and an Opioid-Free Anesthesia Technique in Morbidly Obese Patients Undergoing Bariatric Surgery

TypeobservationalSponsorHospital HM Nou DelfosRan2022 to 2024Enrolled70ConditionsObesity, Postoperative Pain, Bariatric Surgery, Opioid-free Anesthesia
NCT07339618 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Non-pharmacological Auditory and Somatosensory Stimulation on the Efficiency and Quality of Emergence From General Anesthesia

TypeinterventionalSponsorWest China HospitalRan2025 to 2027Enrolled205ConditionsGeneral Anesthetic, ElectroencephalographicArmsVerbal Stimulation, Shoulder Tapping, Shoulder Shaking
NCT07571473 narecruitingnot on this mapstarted 2025, after this paper: background citation

CoreSys Monitoring for Intraoperative Stress Management in Abdominal Hysterectomy: A Randomized Controlled Trial

TypeinterventionalSponsorHospital Provincial de RosarioRan2025 to 2026Enrolled30ConditionsSurgical Stress Response, Inflammation, Anesthesia, Perioperative CareArmspropofol, CoreSys Monitor, Remifentanil (Target-Controlled Infusion)
NCT07644260 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Observational Analysis of the Transition From Inhalational Anesthesia to Total Intravenous Anesthesia Guided by Bispectral Index and the Eleveld Model in Pediatric Patients

Typeobservational_patient_registrySponsorHospital de Clinicas José de San MartínRan2026 to 2027Enrolled50ConditionsAnesthesia, Pediatric Anesthesia, Total Intravenous Anesthesia
3 · Its place in the literature

Who cites it

380 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Review
  19. Observational
  20. Article

320 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

4 authors.

Patrick L PurdonFrom the Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, and Department of Anesthesia, Harvard Medical School, Boston, Massachusetts (P.L.P.); Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts (A.S., K.J.P.); and Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts; Department of Anesthesia, Harvard Medical School, Boston, Massachusetts; Institute for Medical Engineering and Science and Harvard-Massachusetts Institute of Technology, Health Sciences and Technology Program; and Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts (E.N.B.).
Aaron Sampson
Kara J Pavone
Emery N Brown

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
A Neural Systems Approach to Monitoring and Drug-Delivery for General AnesthesiaDP2OD006454 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI PURDON, PATRICK L. · 2009 to 2009
$2.7M
NIGMS NIH HHS R01 GM104948NIGMS NIH HHS TR01-GM104948NIH HHS DP1 OD003646NIH HHS DP1-OD003646NIH HHS DP2 OD006454NIH HHS DP2-OD006454
6 · The paper itself

Abstract

The widely used electroencephalogram-based indices for depth-of-anesthesia monitoring assume that the same index value defines the same level of unconsciousness for all anesthetics. In contrast, we show that different anesthetics act at different molecular targets and neural circuits to produce distinct brain states that are readily visible in the electroencephalogram. We present a two-part review to educate anesthesiologists on use of the unprocessed electroencephalogram and its spectrogram to track the brain states of patients receiving anesthesia care. Here in part I, we review the biophysics of the electroencephalogram and the neurophysiology of the electroencephalogram signatures of three intravenous anesthetics: propofol, dexmedetomidine, and ketamine, and four inhaled anesthetics: sevoflurane, isoflurane, desflurane, and nitrous oxide. Later in part II, we discuss patient management using these electroencephalogram signatures. Use of these electroencephalogram signatures suggests a neurophysiologically based paradigm for brain state monitoring of patients receiving anesthesia care.

Indexed as

AnesthesiaAnestheticsBrainElectroencephalographyHumansUnconsciousnessAnesthetics

Identifiers

PMID26275092
PMCPMC4573341

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 13 more above

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.