Characterizing Canine Frontal Electroencephalographic Patterns and Cardiovascular Correlates at Different Anesthetic Levels of Sevoflurane

不同七氟醚麻醉浓度下犬额叶脑电图模式及心血管相关性的特征分析

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Abstract

This study evaluated electroencephalogram [EEG] and cardiovascular correlation of sevoflurane anesthesia in healthy beagle dogs at varying minimum alveolar concentration (MAC) multiples. Processed EEG indices (Patient State Index [PSI], burst suppression ratio [SR], and Spectral Edge Frequency [SEF95], cardiovascular parameters (mean blood pressure [MBP], heart rate [HR]), and responses to noxious (electrical) stimuli were recorded. Deep anesthesia (2.5x MAC) resulted in the lowest PSI and MBP values (13.5 ± 9.9, 42.2 ± 7.4 mmHg, respectively), the highest SR (52.7 ± 35.4%), and dominant burst suppression. Surgical anesthesia (1.5x MAC) was characterized by alpha/low beta waves and the absence of response to noxious stimuli. At 1x MAC (2.1%), PSI and MBP increased (41.9 ± 12.6, 119.9 ± 17.7, respectively) while SR decreased (7.1 ± 13%). A moderate PSI-MBP correlation (ρ = 0.48, p = 0.002) was observed. Recovery was acceptable or smooth in most dogs. These findings suggest that sevoflurane disrupts cortical communication, inducing anesthesia and antinociception and that real-time EEG monitoring may aid in titrating sevoflurane delivery in conjunction with MBP.

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