The effect of two low-dose propofol infusions on the relationship between six-pulse transcranial electrical stimulation and the evoked lower extremity muscle response

Acta Anaesthesiologica Scandinavica

Volumn 44, Issue 7, 2000, Pages 799-803

  Van Dongen, E P ^a   Ter Beek, H T ^a   Aarts, L P ^a   Schepens, M A ^a   Morshuis, W J ^a   Benning, F J ^a   De Boer, A ^b   Boezeman, E H J F ^a  

^a ST ANTONIUS HOSPITAL   (Netherlands)

^b NONE

Author keywords

Aortic surgery; Motor evoked potentials; Propofol infusion; Safety; Stimulus intensity; Transcranial electrical stimulation

Indexed keywords

FENTANYL; NITROUS OXIDE; PROPOFOL;

ADULT; AGED; AORTA SURGERY; ARTICLE; BRAIN DEPTH STIMULATION; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DATA ANALYSIS; DOSE RESPONSE; DRUG BLOOD LEVEL; DRUG INFUSION; ELECTROSTIMULATION; EVOKED MUSCLE RESPONSE; FEMALE; HUMAN; INTRAVENOUS ANESTHESIA; MALE; PRIORITY JOURNAL; TIBIALIS ANTERIOR MUSCLE;

ADJUVANTS, ANESTHESIA; ADULT; AGED; ANESTHETICS, INHALATION; ANESTHETICS, INTRAVENOUS; BLOOD PRESSURE; ELECTRIC STIMULATION; FEMALE; FENTANYL; HEART RATE; HUMANS; INFUSIONS, INTRAVENOUS; LEG; MALE; MIDDLE AGED; MOTOR CORTEX; MUSCLE, SKELETAL; NITROUS OXIDE; PROPOFOL;

EID: 0033943093     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1034/j.1399-6576.2000.440705.x     Document Type: Article

References (14)

1. 1. Cox GS, O'Hara PJ, Hertzer NR, Piedmonte MR, Krajewski LP, Beven EG. Thoracoabdominal aneurysm repair: a representative experience. J Vasc Surg 1992: 15: 780-788.
2. 2. De Haan P, Kalkman CJ, De Mol BA, Ubags LH, Veldman DG, Jacobs MJ. Efficacy of transcranial motor-evoked myogenic potentials to detect spinal cord ischemia during operations for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg 1997: 113: 87-100.
3. 3. Kalkman CJ, Drummond JC, Ribberink AA, Patel PM, Sano T, Bickford RG. Effects of propofol, etomidate, midazolam and fentanyl on motor evoked responses to transcranial electrical or magnetic stimulation in humans. Anesthesiology 1992: 76: 502-509.
4. 4. Sloan TB, Erian R. Effect of atracurium induced neuromuscular block on cortical motor evoked potentials. Anesth Analg 1993: 76: 979-984.
5. 5. Pechstein U, Nadstawek J, Zentner J, Schramm J. Isoflurane plus nitrous oxide versus propofol for recording of motor evoked potentials after high frequency repetitive electrical stimulation. Electroenceph Clin Neurophysiol 1998: 108: 175-181.
6. 6. Dongen van EP, Beek ter HT, Schepens MA, Morshuis WJ, Boer de A, Aarts LP et al. Within patient variability of lower extremity muscle responses to transcranial electrical stimulation with pulse trains in aortic surgery. Clin Neurophysiol 1999: 110: 1144-1148.
7. 7. Murray MJ, Bower TC, Oliver WC Jr, Werner E, Gloviczki P. Effects of cerebrospinal fluid drainage in patients undergoing thoracic and thoracoabdominal aortic surgery. J Cardiothorac Vasc Anesth 1993: 7: 266-272.
8. 8. Gray JM, Kenny GNC. Development of the technology for 'Diprifusor' TCI systems. Anaesthesia 1998: 53 (Suppl 1): 22-27.
9. 9. Vuyk J, Mertens MJ, Olofsen E, Burm AGL, Bovill JG. Propofol anesthesia and rational opioid selection. Determination of optimal EC50-EC95 propofol opioid concentration that assures adequate anesthesia and a rapid return of consciousness. Anesthesiology 1997: 87: 1549-1562.
10. 10. Davidson JAH, MacLeod AD, Howie JC, White M, Kenny GNC. Effective concentration 50 for propofol with and without 67% nitrous oxide. Acta Anaesthesiol Scand 1993: 37: 458-464.
11. 11. Ubags LH, Kalkman CJ, Been HD, Drummond JC. Differential effects of nitrous oxide and propofol on myogenic transcranial motor evoked responses during sufentanil anaesthesia. Br J Anaesth 1997: 79: 590-594.
12. 12. Dongen van EP, ter Beek HT, Schepens MA, Morshuis WJ, Langemeijer HJ, Boer de A et al. Within-patient variability of myogenic motor-evoked potentials to multipulse transcranial electrical stimulation during two levels of partial neuromuscular blockade in aortic surgery. Anesth Analg 1999: 88: 22-27.
13. 13. Agnew WF, McCreery DB. Considerations for safety in the use of extracranial stimulation for motor evoked potentials. Neurosurgery 1987: 20: 143-147.
14. 14. Levy WJ, York DG, McCaffrey M, Tanzee F. Motor evoked potentials from transcranial stimulation of the motor cortex in humans. Neurosurgery 1984: 15: 287-302.