Evidence map›Paper›PMID 34177731›Full record

ArticleFrontiers in psychology2021

Etiology of Burst Suppression EEG Patterns.

Akshay Shanker, John H Abel, Gabriel Schamberg, Emery N Brown

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
13.2field-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

38 citing papers in PubMed, 71 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

4 authors at 3 institutions in 1 country.

Akshay ShankerDepartment of Anesthesiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States.
John H AbelMassachusetts Institute of Technology, Picower Institute for Learning and Memory, Cambridge, MA, United States.
Gabriel SchambergMassachusetts Institute of Technology, Picower Institute for Learning and Memory, Cambridge, MA, United States.
Emery N BrownMassachusetts Institute of Technology, Picower Institute for Learning and Memory, Cambridge, MA, United States.
Massachusetts General Hospital · USBeth Israel Deaconess Medical Center · USMassachusetts Institute of Technology · US

Funding

Project 4: Mathematical Modeling Studies of Anesthetic ActionP01GM118269 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI KOPELL, NANCY · 2017 to 2021
$9.0M
Automatic Control of Propanidid and Propofol Anesthesia-Induced UnconsciousnessF32AG064886 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI ABEL, JOHN HANS · 2019 to 2020
$132k
NIA NIH HHS F32 AG064886NIGMS NIH HHS P01 GM118269
6 · The paper itself

Abstract

Burst-suppression electroencephalography (EEG) patterns of electrical activity, characterized by intermittent high-power broad-spectrum oscillations alternating with isoelectricity, have long been observed in the human brain during general anesthesia, hypothermia, coma and early infantile encephalopathy. Recently, commonalities between conditions associated with burst-suppression patterns have led to new insights into the origin of burst-suppression EEG patterns, their effects on the brain, and their use as a therapeutic tool for protection against deleterious neural states. These insights have been further supported by advances in mechanistic modeling of burst suppression. In this Perspective, we review the origins of burst-suppression patterns and use recent insights to weigh evidence in the controversy regarding the extent to which burst-suppression patterns observed during profound anesthetic-induced brain inactivation are associated with adverse clinical outcomes. Whether the clinical intent is to avoid or maintain the brain in a state producing burst-suppression patterns, monitoring and controlling neural activity presents a technical challenge. We discuss recent advances that enable monitoring and control of burst suppression.

Indexed as

burstcomaEEGneuroanesthesiasuppression

Identifiers

PMID34177731
PMCPMC8222661
OpenAlexW3169287252

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.