Evidence map›Paper›PMID 33970101›Full record

ArticleeLife2021

Recovery of consciousness and cognition after general anesthesia in humans.

George A Mashour, Ben JA Palanca, Mathias Basner, Duan Li, Wei Wang, Stefanie Blain-Moraes, Nan Lin, Kaitlyn Maier, Maxwell Muench, Vijay Tarnal and 12 more

2 registry-linked trialsOpen access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
17.3field-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.

NCT01911195 nacompletednot on this map

Reconstructing Consciousness and Cognition

TypeinterventionalSponsorUniversity of MichiganRan2013 to 2015Enrolled60ConditionsPostoperative Cognitive DysfunctionArmsISOFLURANE- Experimental Arm, Control Group: Cognitive Testing
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
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

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4 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

22 authors at 3 institutions in 1 country.

George A MashourCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.ORCID 0000-0001-5457-5932
Ben JA PalancaDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, United States.
Mathias BasnerDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.
Duan LiCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
Wei WangDepartment of Mathematics and Statistics, Washington University, St. Louis, United States.
Stefanie Blain-MoraesCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
Nan LinDepartment of Mathematics and Statistics, Washington University, St. Louis, United States.
Kaitlyn MaierDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.
Maxwell MuenchDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, United States.
Vijay TarnalCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
Giancarlo VaniniCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
E Andrew OchrochDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.
Rosemary HoggDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.
Marlon SchwartzDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.
Hannah MaybrierDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, United States.
Randall HardieDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.
Ellen JankeCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
Goodarz GolmirzaieCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
Paul PictonCenter for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, United States.
Andrew R McKinstry-WuDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.ORCID 0000-0001-7078-4603
Michael S Avidan *Department of Anesthesiology, Washington University School of Medicine, St. Louis, United States.
Max B Kelz *Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, United States.ORCID 0000-0002-2803-6078
University of Michigan · USUniversity of Pennsylvania · USWashington University in St. Louis · US

Funding

Physician Postdoctoral Research Training in Perioperative Medicine (PPRTPM)T32GM112596 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Roderic G Eckenhoff, Max Kelz · 2015 to 2026
$3.4M
NIGMS NIH HHS T32 GM112596
6 · The paper itself

Abstract

Understanding how the brain recovers from unconsciousness can inform neurobiological theories of consciousness and guide clinical investigation. To address this question, we conducted a multicenter study of 60 healthy humans, half of whom received general anesthesia for 3 hr and half of whom served as awake controls. We administered a battery of neurocognitive tests and recorded electroencephalography to assess cortical dynamics. We hypothesized that recovery of consciousness and cognition is an extended process, with differential recovery of cognitive functions that would commence with return of responsiveness and end with return of executive function, mediated by prefrontal cortex. We found that, just prior to the recovery of consciousness, frontal-parietal dynamics returned to baseline. Consistent with our hypothesis, cognitive reconstitution after anesthesia evolved over time. Contrary to our hypothesis, executive function returned first. Early engagement of prefrontal cortex in recovery of consciousness and cognition is consistent with global neuronal workspace theory.

Indexed as

Anesthesia, GeneralAdultAnesthesia Recovery PeriodBrainCognitionConsciousnessElectroencephalographyFemaleHumansIsofluraneMaleUnconsciousnessIsofluraneanesthesiacognitionconsciousnessfrontal cortexhumanmedicineneuroscience

Identifiers

PMID33970101
PMCPMC8163502
OpenAlexW3160412742

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.