Purpose <p>Ciprofol, a novel intravenous anesthetic with GABAA affinity akin to propofol, lacks characterized electroencephalogram (EEG) oscillation profiles during anesthesia.</p> Methods <p>This prospective observational study included 54 patients undergoing surgery, divided into two groups: 30 adults (18–64&#xa0;years) and 24 elderly (≥ 65&#xa0;years). The EEG monitor recorded frontal region EEG, and we analyzed spectral power, wavelet coherence, and phase–amplitude coupling (PAC) across various states.</p> Results <p>&#xa0;In the awake state, the spectral analysis power, wavelet coherence, and PAC were similar between the patient groups. Under anesthesia, both groups exhibited dominant slow oscillation (SO) and alpha oscillations, but the elderly group showed significantly lower alpha power (adult 4.367 [1.492–6.059] vs. elderly 1.729 [− 2.340–4.096], <i>P</i> &lt; 0.001) and wavelet coherence (adult 0.0375 [0.0092–0.0935] vs. elderly 0.0073 [0.0030–0.0235], <i>P</i> = 0.041) compared to the adult group. During the recovery period, the restoration of beta/gamma activity and the increase in the intensity of the SO–alpha modulation index (MI) indicated a gradual recovery of consciousness. Frontal alpha power showed age dependency under ciprofol-maintained general anesthesia. Alpha-band wavelet coherence and the SO–alpha MI exhibited no significant age dependence, and the PAC pattern weakened with age.</p> Conclusion <p>This study characterizes the EEG neural oscillation dynamics during ciprofol-induced general anesthesia. Despite the physiological decline in spectral power associated with increasing age, wavelet coherence and PAC demonstrate remarkable stability across different age cohorts. These findings support their potential as reliable, age-independent biomarkers for monitoring the depth of anesthesia.</p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Study on EEG neural oscillation characteristics during ciprofol general anesthesia

  • Jiaxi Zhu,
  • Quanxin Zhang,
  • Xingan Zhang,
  • Ying Cao,
  • Shuteng Zhan,
  • Zhenhu Liang,
  • Bo Xu

摘要

Purpose

Ciprofol, a novel intravenous anesthetic with GABAA affinity akin to propofol, lacks characterized electroencephalogram (EEG) oscillation profiles during anesthesia.

Methods

This prospective observational study included 54 patients undergoing surgery, divided into two groups: 30 adults (18–64 years) and 24 elderly (≥ 65 years). The EEG monitor recorded frontal region EEG, and we analyzed spectral power, wavelet coherence, and phase–amplitude coupling (PAC) across various states.

Results

 In the awake state, the spectral analysis power, wavelet coherence, and PAC were similar between the patient groups. Under anesthesia, both groups exhibited dominant slow oscillation (SO) and alpha oscillations, but the elderly group showed significantly lower alpha power (adult 4.367 [1.492–6.059] vs. elderly 1.729 [− 2.340–4.096], P < 0.001) and wavelet coherence (adult 0.0375 [0.0092–0.0935] vs. elderly 0.0073 [0.0030–0.0235], P = 0.041) compared to the adult group. During the recovery period, the restoration of beta/gamma activity and the increase in the intensity of the SO–alpha modulation index (MI) indicated a gradual recovery of consciousness. Frontal alpha power showed age dependency under ciprofol-maintained general anesthesia. Alpha-band wavelet coherence and the SO–alpha MI exhibited no significant age dependence, and the PAC pattern weakened with age.

Conclusion

This study characterizes the EEG neural oscillation dynamics during ciprofol-induced general anesthesia. Despite the physiological decline in spectral power associated with increasing age, wavelet coherence and PAC demonstrate remarkable stability across different age cohorts. These findings support their potential as reliable, age-independent biomarkers for monitoring the depth of anesthesia.