Evidence map›Paper›PMID 29196672›Full record

ArticleScientific reports2017

Network Properties in Transitions of Consciousness during Propofol-induced Sedation.

Minji Lee, Robert D Sanders, Seul-Ki Yeom, Dong-Ok Won, Kwang-Suk Seo, Hyun Jeong Kim, Giulio Tononi, Seong-Whan Lee

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
9.2field-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

44 citing papers in PubMed, 146 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Minji LeeDepartment of Brain and Cognitive Engineering, Korea University, Seoul, 02841, Korea.
Robert D SandersDepartment of Anesthesiology, University of Wisconsin, Madison, Wisconsin, 53792, USA.
Seul-Ki YeomDepartment of Brain and Cognitive Engineering, Korea University, Seoul, 02841, Korea.
Dong-Ok WonDepartment of Brain and Cognitive Engineering, Korea University, Seoul, 02841, Korea.
Kwang-Suk SeoDepartment of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, 03080, Korea.
Hyun Jeong KimDepartment of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, 03080, Korea.
Giulio TononiDepartment of Psychiatry, University of Wisconsin, Madison, Wisconsin, 53719, USA.
Seong-Whan LeeDepartment of Brain and Cognitive Engineering, Korea University, Seoul, 02841, Korea. sw.lee@korea.ac.kr.
Korea University · KRSeoul National University Dental Hospital · KRUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reliable electroencephalography (EEG) signatures of transitions between consciousness and unconsciousness under anaesthesia have not yet been identified. Herein we examined network changes using graph theoretical analysis of high-density EEG during patient-titrated propofol-induced sedation. Responsiveness was used as a surrogate for consciousness. We divided the data into five states: baseline, transition into unresponsiveness, unresponsiveness, transition into responsiveness, and recovery. Power spectral analysis showed that delta power increased from responsiveness to unresponsiveness. In unresponsiveness, delta waves propagated from frontal to parietal regions as a traveling wave. Local increases in delta connectivity were evident in parietal but not frontal regions. Graph theory analysis showed that increased local efficiency could differentiate the levels of responsiveness. Interestingly, during transitions of responsive states, increased beta connectivity was noted relative to consciousness and unconsciousness, again with increased local efficiency. Abrupt network changes are evident in the transitions in responsiveness, with increased beta band power/connectivity marking transitions between responsive states, while the delta power/connectivity changes were consistent with the fading of consciousness using its surrogate responsiveness. These results provide novel insights into the neural correlates of these behavioural transitions and EEG signatures for monitoring the levels of consciousness under sedation.

Indexed as

ConsciousnessElectroencephalographyFemaleFrontal LobeHumansHypnotics and SedativesMaleParietal LobePropofolUnconsciousnessYoung AdultHypnotics and SedativesPropofol

Identifiers

PMID29196672
PMCPMC5711919
OpenAlexW2768202056

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.