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Anesth Analg 2006;102:1333-1340
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000202464.06660.66


CARDIOVASCULAR ANESTHESIA

The Measurement of Neurovegetative Activity During Anesthesia and Surgery in Swine: An Evaluation of Different Techniques

María F. Martín Cancho, PD, PhD, María S. Carrasco-Jiménez, MD, PhD, Juan R. Lima, DVM, Laura Luis, DVM, PhD, Verónica Crisóstomo, DVM, PhD, and Jesús Usón-Gargallo, DVM, PhD

Minimally Invasive Surgery Centre, Avda/ Universidad s/n, Cáceres, Spain; the Department of Anesthesiology, Medical School, Hospital Universitario de Puerto Real, Cádiz University, Cadiz, Spain

Address correspondence to Dr. Martín Cancho, Minimally Invasive Surgery Centre, Avda/ Universidad s/n, 10071 Cáceres, Spain. Address e-mail to mmartinc{at}ccmi.es.

In this study we evaluated, in 10 sevoflurane-anesthetized pigs undergoing abdominal surgery, different techniques for measuring autonomic nervous system (ANS) activity: ANSiscopeTM index, spectral analysis of heart-rate variability, hemodynamic variables, and plasma catecholamines and cortisol levels. Animals underwent a 120-min anesthesia during which unilateral ovariectomy was performed. Cardiovascular and respiratory responses were monitored. ANSiscopeTM indices (ANSindexTM sympathetic, ANSindexTM parasympathetic and balANSindexTM) were used to monitor ANS activity. Spectral analysis was performed using an autoregressive model with a parametric method. The low frequency (LF) and high frequency (HF) components were used to interpret the power spectral density of short-term electrocardiograms (ECGs). The relationship LF/(LF+HF) reflects sympathetic activity, HF/(LF+HF) indicates parasympathetic activity, and the LF/HF ratio gives the predominance of the system. Plasma concentrations of adrenaline, noradrenaline, and cortisol were determined at different times. Correlation (P < 0.01) was found between the balANSindexTM and adrenaline levels and between LF/HF ratio and plasma adrenaline concentrations. Moreover, a significant (P < 0.01) correlation was found between the balANSindexTM and LF/HF ratio. However, no correlation was seen between the registered ANSiscope indices and hemodynamic variables. The correlation seen in this study suggests that the balANSindexTM could be a useful tool to monitor ANS activity during anesthesia and surgery.




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G Schoffmann, P Winter, R Palme, A Pollak, G Trittenwein, and J Golej
Haemodynamic changes and stress responses of piglets to surgery during total intravenous anaesthesia with propofol and fentanyl
Lab Anim, July 1, 2009; 43(3): 243 - 248.
[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.