Whereas numerous studies have investigated hypnotic analgesia, few have investigated hypnotic anaesthesia. Using magnetoencephalography (MEG) we investigated and localized brain responses (event-related fields and oscillatory activity) during sensory processing under hypnotic anaesthesia. Nineteen right handed neurotypical individuals with moderate-to-high hypnotizability received 100 vibrotactile stimuli to right and left index fingers in a random sequence. Thereafter a hypnotic state was induced, in which anaesthetic suggestion was applied to the left hand only. Once anaesthetic suggestion was achieved, a second, identical, session of vibrotactile stimuli was commenced. We found greater brain activity in response to the stimuli delivered to the left (attenuated) hand before hypnotic anaesthesia, than under hypnotic anaesthesia, in both the beta and alpha bands. In the beta band, the reduction of activity under hypnotic anaesthesia was found around 214-413ms post-stimuli and was located mainly in the right insula. In the alpha band, it was found around 253-500ms post-stimuli and was located mainly in the left inferior frontal gyrus. In a second experiment, attention modulation per se was ruled out as the underlying cause of the effects found. These findings may suggest that the brain mechanism underlying hypnotic anaesthesia involves top-down somatosensory inhibition and, therefore, a reduction of somatosensory awareness. The result of this mechanism is a mental state in which individuals lose bodily sensation.
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http://dx.doi.org/10.1016/j.neuropsychologia.2016.05.020 | DOI Listing |
BMC Anesthesiol
January 2025
Department of Anesthesiology and Reanimation, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey.
Background: Patient safety is important in daily anesthesia practices, and providing deep anesthesia is difficult. Current debates on the optimal anesthetic agents highlight the need for safer alternatives. This study was justified by the need for safer and more effective anesthetic protocols for outpatient hysteroscopic procedures, particularly those conducted outside the operating room.
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January 2025
Department of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, People's Republic of China.
Purpose: Living kidney transplantation is a common treatment for end-stage renal disease. The impact of anaesthetics on postoperative biomarkers of renal injury in living kidney transplant donors is not well understood.
Patients And Methods: 70 transplant donors who underwent kidney extraction were randomly assigned to following two groups: sevoflurane (S group) and propofol (P group).
BMC Anesthesiol
January 2025
Department of Anesthesiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, China.
Background: Ciprofol, a novel intravenous anesthetic, which has primarily been used for the induction and maintenance of general anesthesia in adults, is characterized by rapid onset, short duration of action, and quick and smooth recovery. However, the pharmacokinetic characteristics of continuous infusions and the correlation between the plasma concentration and the bispectral index (BIS) in elderly patients are still unknown.
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BJA Open
March 2025
Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK.
Background: Literature on prehospital anaesthesia predominantly focuses on preparation and induction, while there is limited guidance on anaesthesia maintenance. The hypothesis of this study was that for prehospital trauma patients, protocols and practice for anaesthesia maintenance may vary considerably between services. Hence, we sought to describe the practice of prehospital anaesthesia maintenance for trauma patients in Australia, New Zealand, and the UK.
View Article and Find Full Text PDFAnn Card Anaesth
January 2025
Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
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