Network efficiency and posterior alpha patterns are markers of recovery from general anesthesia: A high-density electroencephalography study in healthy volunteers

Stefanie Blain-Moraes, Vijay Tarnal, Giancarlo Vanini, Tarik Bel-Behar, Ellen Janke, Paul Picton, Goodarz Golmirzaie, Ben J.A. Palanca, Michael S. Avidan, Max B. Kelz, George A. Mashour

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Recent studies have investigated local oscillations, long-range connectivity, and global network patterns to identify neural changes associated with anesthetic-induced unconsciousness. These studies typically employ anesthetic protocols that either just cross the threshold of unconsciousness, or induce deep unconsciousness for a brief period of time—neither of which models general anesthesia for major surgery. To study neural patterns of unconsciousness and recovery in a clinically-relevant context, we used a realistic anesthetic regimen to induce and maintain unconsciousness in eight healthy participants for 3 h. High-density electroencephalogram (EEG) was acquired throughout and for another 3 h after emergence. Seven epochs of 5-min eyes-closed resting states were extracted from the data at baseline as well as 30, 60, 90, 120, 150, and 180-min post-emergence. Additionally, 5-min epochs were extracted during induction, unconsciousness, and immediately prior to recovery of consciousness, for a total of 10 analysis epochs. The EEG data in each epoch were analyzed using source-localized spectral analysis, phase-lag index, and graph theoretical techniques. Posterior alpha power was significantly depressed during unconsciousness, and gradually approached baseline levels over the 3 h recovery period. Phase-lag index did not distinguish between states of consciousness or stages of recovery. Network efficiency was significantly depressed and network clustering coefficient was significantly increased during unconsciousness; these graph theoretical measures returned to baseline during the 3 h recovery period. Posterior alpha power may be a potential biomarker for normal recovery of functional brain networks after general anesthesia.

Original languageEnglish
Article number328
JournalFrontiers in Human Neuroscience
Volume11
DOIs
StatePublished - Jun 28 2017

Keywords

  • Alpha rhythm
  • Cognition
  • Consciousness
  • Electroencephalography
  • General anesthesia
  • Graph theory

Fingerprint Dive into the research topics of 'Network efficiency and posterior alpha patterns are markers of recovery from general anesthesia: A high-density electroencephalography study in healthy volunteers'. Together they form a unique fingerprint.

  • Cite this