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Effects of desflurane and sevoflurane on somatosensory-evoked and motor-evoked potential monitoring during neurosurgery: a randomized controlled trial

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机构: [1]Chengdu Fifth Peoples Hosp, Dept Anesthesiol, Chengdu 611130, Peoples R China [2]Kunming Med Univ, Dept Anesthesiol, Affiliated Hosp 2, Kunming 650101, Yunnan, Peoples R China [3]Kunming Childrens Hosp, Dept Anesthesiol, Kunming 650101, Yunnan, Peoples R China [4]First Peoples Hosp Yunnan Prov, Dept Anesthesiol, Kunming 650101, Yunnan, Peoples R China [5]Chongqing Med Univ, Dept Anesthesiol, Affiliated Hosp 2, Chongqing 401331, Peoples R China
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关键词: Monitoring Somatosensory-evoked potentials Motor-evoked potentials Desflurane Sevoflurane

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Background Better protection can be provided during neurosurgery due to the establishment of somatosensory-evoked potential (SEP) and motor-evoked potential (MEP) monitoring technologies. However, some studies have showed that inhaled halogenated anesthetics have a significant impact on neurophysiological monitoring. Methods A total of 40 consecutive patients undergoing neurosurgery were randomly assigned to two groups receiving inhaled anesthetics, either desflurane or sevoflurane. Multiples levels (concentrations of 0.3, 0.6 and 0.9) of anesthetics were administered at minimum alveolar concentration (MAC), and then the latencies and amplitudes of SEPs and MEPs were recorded. Results SEP and MEP signals were well preserved in patients who underwent neurosurgery under general anesthesia supplemented with desflurane or sevoflurane at concentrations of 0.3, 0.6 and 0.9 MAC. In each desflurane or sevoflurane group, the amplitudes of SEPs and MEPs decreased and the latencies of SEPs were prolonged significantly as the MAC increased (P < 0.05). The SEP latencies of both the upper and lower limbs in the desflurane group were significantly longer, and the SEP amplitudes were significantly lower than those in the sevoflurane group (P < 0.05). The MEP amplitudes in the desflurane group were significantly lower than those in the sevoflurane group (P < 0.05), only the amplitudes of the upper limbs at 0.3 MAC did not vary significantly. Conclusions SEPs and MEPs were inhibited in a dose-dependent manner by both desflurane and sevoflurane. At the same MAC concentration, desflurane appeared to have a stronger inhibitory effect than sevoflurane. All patients studied had normal neurological examination findings, hence, these results may not be applicable to patients with preexisting deficits.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 麻醉学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 麻醉学
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出版当年[2020]版:
Q4 ANESTHESIOLOGY
最新[2023]版:
Q2 ANESTHESIOLOGY

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第一作者机构: [1]Chengdu Fifth Peoples Hosp, Dept Anesthesiol, Chengdu 611130, Peoples R China
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