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| Research article summary (published 30 Jul 2003): |
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Dose-related effect of sevoflurane sedation on higher control of eye movements and decision making.
Full Abstract
BACKGROUND:
Saccadic latency may provide an objective method to assess sedative doses of anaesthetic on cortical oculomotor mechanisms and decision making.
METHODS:
We tested the effects of random doses of 0, 0.1, 0.2 and 0.3 MAC sevoflurane in six subjects, in a double-blind study using two measures of behavioural impairment:
saccadic latency and stop signal reaction time (SSRT) in a countermanding task.
RESULTS:
Saccadic latency and SSRT both increased with increasing doses of sevoflurane. In both measures, reciprocal reaction time was linearly related to dose in each subject:
all but two of the twelve regression coefficients were statistically significant (P<0.05). In one subject, SSRT was significantly more sensitive than simple latency (P<0.05); for the others there was no significant difference.
CONCLUSION:
Measurements of this kind could potentially provide estimates of cortical effects of sevoflurane sedation, and give a clinically useful measure of cognitive fitness.
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Author information
Author/s: Nouraei, S A R (SA); De Pennington, N (N); Jones, J G (JG); Carpenter, R H S (RH);
Affiliation: University Department of Anaesthesia, Level 4, Addenbrooke's Hospital, Cambridge UK.
Journal and publication information
Publication Type: Clinical Trial; Controlled Clinical Trial; Journal Article
Journal: British journal of anaesthesia (Br J Anaesth), published in England. (Language: eng)
Reference: 2003-Aug; vol 91 (issue 2) : pp 175-83
Dates: Created 2003/07/24; Completed 2003/09/09; Revised 2004/11/17;
PMID: 12878614, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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