Evidence map›Paper›PMID 30115259›Full record

ArticleBritish journal of anaesthesia2018

Altered stimulus representation in rat auditory cortex is not causal for loss of consciousness under general anaesthesia.

M I Banks, N S Moran, B M Krause, S M Grady, D J Uhlrich, K A Manning

Abstract read
In one paragraph

Article in British journal of anaesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

M I BanksDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA. Electronic address: mibanks@wisc.edu.
N S MoranNeuroscience Training Program, University of Wisconsin, Madison, WI, USA.
B M KrauseDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
S M GradyDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA.
D J UhlrichDepartment of Neuroscience, University of Wisconsin, Madison, WI, USA.
K A ManningDepartment of Neuroscience, University of Wisconsin, Madison, WI, USA.

Funding

Thalamic and cortical mechanisms of anesthetic-induced unconsciousnessR01GM109086 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Matthew I Banks, Kirill V Nourski · 2014 to 2026
$5.7M
NIGMS NIH HHS R01 GM109086
6 · The paper itself

Abstract

backgroundCurrent concepts suggest that impaired representation of information in cortical networks contributes to loss of consciousness under anaesthesia. We tested this idea in rat auditory cortex using information theory analysis of multiunit responses recorded under three anaesthetic agents with different molecular targets: isoflurane, propofol, and dexmedetomidine. We reasoned that if changes in the representation of sensory stimuli are causal for loss of consciousness, they should occur regardless of the specific anaesthetic agent.

methodsSpiking responses were recorded with chronically implanted microwire arrays in response to acoustic stimuli incorporating varied temporal and spectral dynamics. Experiments consisted of four drug conditions: awake (pre-drug), sedation (i.e. intact righting reflex), loss of consciousness (a dose just sufficient to cause loss of righting reflex), and recovery. Measures of firing rate, spike timing, and mutual information were analysed as a function of drug condition.

resultsAll three drugs decreased spontaneous and evoked spiking activity and modulated spike timing. However, changes in mutual information were inconsistent with altered stimulus representation being causal for loss of consciousness. First, direction of change in mutual information was agent-specific, increasing under dexmedetomidine and decreasing under isoflurane and propofol. Second, mutual information did not decrease at the transition between sedation and LOC for any agent. Changes in mutual information under anaesthesia correlated strongly with changes in precision and reliability of spike timing, consistent with the importance of temporal stimulus features in driving auditory cortical activity.

conclusionsThe primary sensory cortex is not the locus for changes in representation of information causal for loss of consciousness under anaesthesia.

Indexed as

Acoustic StimulationAnesthesia, GeneralAnesthetics, GeneralAnesthetics, InhalationAnesthetics, IntravenousAnimalsAuditory CortexConsciousnessDexmedetomidineElectroencephalographyFemaleHypnotics and SedativesIsofluranePropofolRats, Inbred ACIReaction TimeAnesthetics, GeneralAnesthetics, InhalationAnesthetics, IntravenousDexmedetomidineHypnotics and SedativesIsofluranePropofolconsciousnessdexmedetomidineisofluraneneocortexpropofol

Identifiers

PMID30115259
PMCPMC6617964

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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.