Evidence map›Paper›PMID 29121295›Full record

ArticleBritish journal of anaesthesia2017

Disruption of cortical network activity by the general anaesthetic isoflurane.

H Hentschke, A Raz, B M Krause, C A Murphy, M I Banks

Open access · bronzeAbstract read
In one paragraph

Article in British journal of anaesthesia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.9field-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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Neuronal Dynamics During Isoflurane Induction inbioRxiv : the preprint server for biology · 2026
    Article
  4. The Administration of Ketamine Is Associated with Dose-Dependent Stabilization of Cortical Dynamics in Humans.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 3 countries.

H HentschkeDepartment of Anesthesiology, Experimental Anesthesiology Section, University Hospital of Tübingen, Tübingen, Germany.
A RazDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
B M KrauseDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
C A MurphyDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
M I BanksDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
University of Wisconsin–Madison · USUniversity Children's Hospital Tübingen · DE

Funding

Cortico-thalamic mechanisms of anesthetic unconsciousnessR01GM116916 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI BANKS, MATTHEW I, TONONI, GIULIO · 2016 to 2019
$1.8M
NIGMS NIH HHS R01 GM116916
6 · The paper itself

Abstract

backgroundActions of general anaesthetics on activity in the cortico-thalamic network likely contribute to loss of consciousness and disconnection from the environment. Previously, we showed that the general anaesthetic isoflurane preferentially suppresses cortically evoked synaptic responses compared with thalamically evoked synaptic responses, but how this differential sensitivity translates into changes in network activity is unclear.

methodsWe investigated isoflurane disruption of spontaneous and stimulus-induced cortical network activity using multichannel recordings in murine auditory thalamo-cortical brain slices.

resultsUnder control conditions, afferent stimulation elicited short latency, presumably monosynaptically driven, spiking responses, as well as long latency network bursts that propagated horizontally through the cortex. Isoflurane (0.05-0.6 mM) suppressed spiking activity overall, but had a far greater effect on network bursts than on early spiking responses. At isoflurane concentrations >0.3 mM, network bursts were almost entirely blocked, even with increased stimulation intensity and in response to paired (thalamo-cortical + cortical layer 1) stimulation, while early spiking responses were <50% blocked. Isoflurane increased the threshold for eliciting bursts, decreased their propagation speed and prevented layer 1 afferents from facilitating burst induction by thalamo-cortical afferents.

conclusionsDisruption of horizontal activity spread and of layer 1 facilitation of thalamo-cortical responses likely contribute to the mechanism by which suppression of cortical feedback connections disrupts sensory awareness under anaesthesia.

Indexed as

Anesthetics, GeneralAnesthetics, InhalationAnimalsCerebral CortexConsciousnessElectrodiagnosisFemaleIsofluraneMaleModels, AnimalThalamusAnesthetics, GeneralAnesthetics, InhalationIsofluraneanaesthesiaanaestheticsanimalsconsciousnessgeneralisofluranemiceneocortexthalamusunconsciousness

Identifiers

PMID29121295
PMCPMC6172964
OpenAlexW2764215565

What OpenQuestion holds

Textmetadata
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.