Evidence map›Paper›PMID 38890405›Full record

ArticleScientific reports2024

Isoflurane anesthesia and sleep deprivation trigger delayed and selective sleep alterations.

Leesa Joyce, Clara Carrillo Mas, Veronica Meedt, Matthias Kreuzer, Gerhard Schneider, Thomas Fenzl

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leesa JoyceDepartment of Anesthesiology & Intensive Care, School of Medicine, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Clara Carrillo MasDepartment of Anesthesiology & Intensive Care, School of Medicine, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Veronica MeedtDepartment of Anesthesiology & Intensive Care, School of Medicine, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Matthias KreuzerDepartment of Anesthesiology & Intensive Care, School of Medicine, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Gerhard SchneiderDepartment of Anesthesiology & Intensive Care, School of Medicine, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany.
Thomas FenzlDepartment of Anesthesiology & Intensive Care, School of Medicine, Technical University of Munich, Ismaninger Strasse 22, 81675, Munich, Germany. thomas.fenzl@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Isoflurane anesthesia (IA) partially compensates NREM sleep (NREMS) and not REM sleep (REMS) requirement, eliciting post-anesthetic REMS rebound. Sleep deprivation triggers compensatory NREMS rebounds and REMS rebounds during recovery sleep as a result of the body's homeostatic mechanisms. A combination of sleep deprivation and isoflurane anesthesia is common in clinical settings, especially prior to surgeries. This study investigates the effects of pre-anesthetic sleep deprivation on post-anesthetic sleep-wake architecture. The effects of isoflurane exposure (90 min) alone were compared with the effects of isoflurane exposure preceded by experimental sleep deprivation (6 h, gentle handling) on recovery sleep in adult mice by studying the architecture of post-anesthetic sleep for 3 consecutive post-anesthetic days. Effects of isoflurane anesthesia on recovery sleep developed only during the first dark period after anesthesia, the active phase in mice. During this time, mice irrespective of preceding sleep pressure, showed NREMS and REMS rebound and decreased wakefulness during recovery sleep. Additionally, sleep deprivation prior to isoflurane treatment caused a persistent reduction of theta power during post-anesthetic REMS at least for 3 post-anesthetic days. We showed that isoflurane causes NREMS rebound during recovery sleep which suggests that isoflurane may not fully compensate for natural NREMS. The study also reveals that isoflurane exposure preceded by sleep deprivation caused a persistent disruption of REMS quality. We suggest that preoperative sleep deprivation may impair postoperative recovery through lasting disruption in sleep quality.

Indexed as

Anesthetics, InhalationIsofluraneSleep DeprivationSleep, REMWakefulnessAnesthesiaAnimalsElectroencephalographyMaleMiceMice, Inbred C57BLSleepAnesthetics, InhalationIsoflurane

Identifiers

PMID38890405
PMCPMC11189473

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.