[HTML][HTML] Multimodal general anesthesia: theory and practice

EN Brown, KJ Pavone, M Naranjo - Anesthesia & analgesia, 2018 - journals.lww.com
Balanced general anesthesia, the most common management strategy used in anesthesia
care, entails the administration of different drugs together to create the anesthetic state …

The neural circuits underlying general anesthesia and sleep

OA Moody, ER Zhang, KF Vincent, R Kato… - Anesthesia & …, 2021 - journals.lww.com
General anesthesia is characterized by loss of consciousness, amnesia, analgesia, and
immobility. Important molecular targets of general anesthetics have been identified, but the …

Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery (MINDDS): a single-centre, parallel-arm, randomised …

JZ Qu, A Mueller, TB McKay, MB Westover… - …, 2023 - thelancet.com
Background The delirium-sparing effect of nighttime dexmedetomidine has not been studied
after surgery. We hypothesised that a nighttime dose of dexmedetomidine would reduce the …

Neural oscillations demonstrate that general anesthesia and sedative states are neurophysiologically distinct from sleep

O Akeju, EN Brown - Current opinion in neurobiology, 2017 - Elsevier
Highlights•Neural oscillations provide a framework for comparing general anesthesia and
sleep.•Anesthetic drugs do not induce the physiological neural oscillations of sleep.•Non …

A systematic review and meta-analysis examining the impact of sleep disturbance on postoperative delirium

AB Fadayomi, R Ibala, F Bilotta, MB Westover… - Critical care …, 2018 - journals.lww.com
Objectives: Basic science and clinical studies suggest that sleep disturbance may be a
modifiable risk factor for postoperative delirium. We aimed to assess the association …

Dexmedetomidine promotes biomimetic non-rapid eye movement stage 3 sleep in humans: a pilot study

O Akeju, LE Hobbs, L Gao, SM Burns, KJ Pavone… - Clinical …, 2018 - Elsevier
Objectives Sleep, which comprises of rapid eye movement (REM) and non-REM stages 1–3
(N1–N3), is a natural occurring state of decreased arousal that is crucial for normal …

Dexmedetomidine: what's new for pediatrics? A narrative review

M Mahmoud, E Barbi, KP Mason - Journal of clinical medicine, 2020 - mdpi.com
Over the past few years, despite the lack of approved pediatric labelling, dexmedetomidine's
(DEX) use has become more prevalent in pediatric clinical practice as well as in research …

Dexmedetomidine prevents cognitive decline by enhancing resolution of high mobility group box 1 protein–induced inflammation through a vagomimetic action in …

J Hu, S Vacas, X Feng, D Lutrin, Y Uchida, IK Lai… - …, 2018 - escholarship.org
BACKGROUND: Inflammation initiated by damage-associated molecular patterns has been
implicated for the cognitive decline associated with surgical trauma and serious illness. We …

Dexmedetomidine disrupts the local and global efficiency of large-scale brain networks

JA Hashmi, ML Loggia, S Khan, L Gao, J Kim… - …, 2017 - pmc.ncbi.nlm.nih.gov
Background A clear understanding of the neural basis of consciousness is fundamental to
research in clinical and basic neuroscience disciplines, and anesthesia. Recently …

Pharmacological modulation of noradrenergic arousal circuitry disrupts functional connectivity of the locus ceruleus in humans

AH Song, A Kucyi, V Napadow, EN Brown… - Journal of …, 2017 - Soc Neuroscience
State-dependent activity of locus ceruleus (LC) neurons has long suggested a role for
noradrenergic modulation of arousal. However, in vivo insights into noradrenergic arousal …