Quantitative relationship between anteriorization of alpha oscillations and level of general anesthesia
A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization—disappearance of occipital alpha oscillations followed by the development of frontal alpha oscillations. Investigating the quantitative relationship between such a specific EEG change and the level of anesth...
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Published in | Journal of clinical monitoring and computing Vol. 37; no. 2; pp. 609 - 618 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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01.04.2023
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Abstract | A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization—disappearance of occipital alpha oscillations followed by the development of frontal alpha oscillations. Investigating the quantitative relationship between such a specific EEG change and the level of anesthesia has academic and clinical importance. We quantified the degree of anteriorization and investigated its detailed relationship with the level of anesthesia. We acquired 21-electrode EEG data and bispectral index (BIS) values of 50 patients undergoing surgery from before anesthesia induction until after patient arousal. For each epoch of a 10.24-s window with 1-s offsets, we calculated frontal alpha power
α
F
, occipital alpha power
α
O
, and their difference
α
F
-
α
O
to quantify anteriorization. We calculated Spearman’s rank correlation coefficients between these values and the BIS value. We used locally weighted regression to estimate
α
F
,
α
O
,
α
F
-
α
O
,
Δ
α
F
/
Δ
BIS
,
Δ
α
O
/
Δ
BIS
, and
Δ
(
α
F
-
α
O
)
/
Δ
BIS
at each BIS value. Thirty-six patients (26 females and 10 males aged 24–85 years) were analyzed. The 95% confidence intervals for the mean of Fisher transformations of Spearman’s rank correlation coefficients between
α
F
,
α
O
, and
α
F
-
α
O
and BIS value were [− 0.68, − 0.26], [0.02, 0.62], and [− 1.11, − 0.91], respectively. The change in
α
F
and
α
O
with BIS value showed different patterns by the type of anesthetic agent, whereas that in
α
F
-
α
O
was more consistent with smaller individual variance. Anteriorization, quantified by the difference between frontal and occipital alpha powers, continuously developed in conjunction with general anesthesia. Quantifying anteriorization may provide an objective indicator of the level of anesthesia. |
---|---|
AbstractList | A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization—disappearance of occipital alpha oscillations followed by the development of frontal alpha oscillations. Investigating the quantitative relationship between such a specific EEG change and the level of anesthesia has academic and clinical importance. We quantified the degree of anteriorization and investigated its detailed relationship with the level of anesthesia. We acquired 21-electrode EEG data and bispectral index (BIS) values of 50 patients undergoing surgery from before anesthesia induction until after patient arousal. For each epoch of a 10.24-s window with 1-s offsets, we calculated frontal alpha power αF, occipital alpha power αO, and their difference αF-αO to quantify anteriorization. We calculated Spearman’s rank correlation coefficients between these values and the BIS value. We used locally weighted regression to estimate αF, αO, αF-αO, ΔαF/ΔBIS, ΔαO/ΔBIS, and Δ(αF-αO)/ΔBIS at each BIS value. Thirty-six patients (26 females and 10 males aged 24–85 years) were analyzed. The 95% confidence intervals for the mean of Fisher transformations of Spearman’s rank correlation coefficients between αF, αO, and αF-αO and BIS value were [− 0.68, − 0.26], [0.02, 0.62], and [− 1.11, − 0.91], respectively. The change in αF and αO with BIS value showed different patterns by the type of anesthetic agent, whereas that in αF-αO was more consistent with smaller individual variance. Anteriorization, quantified by the difference between frontal and occipital alpha powers, continuously developed in conjunction with general anesthesia. Quantifying anteriorization may provide an objective indicator of the level of anesthesia. A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization-disappearance of occipital alpha oscillations followed by the development of frontal alpha oscillations. Investigating the quantitative relationship between such a specific EEG change and the level of anesthesia has academic and clinical importance. We quantified the degree of anteriorization and investigated its detailed relationship with the level of anesthesia. We acquired 21-electrode EEG data and bispectral index (BIS) values of 50 patients undergoing surgery from before anesthesia induction until after patient arousal. For each epoch of a 10.24-s window with 1-s offsets, we calculated frontal alpha power [Formula: see text], occipital alpha power [Formula: see text], and their difference [Formula: see text] to quantify anteriorization. We calculated Spearman's rank correlation coefficients between these values and the BIS value. We used locally weighted regression to estimate [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], [Formula: see text], and [Formula: see text] at each BIS value. Thirty-six patients (26 females and 10 males aged 24-85 years) were analyzed. The 95% confidence intervals for the mean of Fisher transformations of Spearman's rank correlation coefficients between [Formula: see text], [Formula: see text], and [Formula: see text] and BIS value were [- 0.68, - 0.26], [0.02, 0.62], and [- 1.11, - 0.91], respectively. The change in [Formula: see text] and [Formula: see text] with BIS value showed different patterns by the type of anesthetic agent, whereas that in [Formula: see text] was more consistent with smaller individual variance. Anteriorization, quantified by the difference between frontal and occipital alpha powers, continuously developed in conjunction with general anesthesia. Quantifying anteriorization may provide an objective indicator of the level of anesthesia. A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization—disappearance of occipital alpha oscillations followed by the development of frontal alpha oscillations. Investigating the quantitative relationship between such a specific EEG change and the level of anesthesia has academic and clinical importance. We quantified the degree of anteriorization and investigated its detailed relationship with the level of anesthesia. We acquired 21-electrode EEG data and bispectral index (BIS) values of 50 patients undergoing surgery from before anesthesia induction until after patient arousal. For each epoch of a 10.24-s window with 1-s offsets, we calculated frontal alpha power α F , occipital alpha power α O , and their difference α F - α O to quantify anteriorization. We calculated Spearman’s rank correlation coefficients between these values and the BIS value. We used locally weighted regression to estimate α F , α O , α F - α O , Δ α F / Δ BIS , Δ α O / Δ BIS , and Δ ( α F - α O ) / Δ BIS at each BIS value. Thirty-six patients (26 females and 10 males aged 24–85 years) were analyzed. The 95% confidence intervals for the mean of Fisher transformations of Spearman’s rank correlation coefficients between α F , α O , and α F - α O and BIS value were [− 0.68, − 0.26], [0.02, 0.62], and [− 1.11, − 0.91], respectively. The change in α F and α O with BIS value showed different patterns by the type of anesthetic agent, whereas that in α F - α O was more consistent with smaller individual variance. Anteriorization, quantified by the difference between frontal and occipital alpha powers, continuously developed in conjunction with general anesthesia. Quantifying anteriorization may provide an objective indicator of the level of anesthesia. |
Author | Asamoto, Masaaki Yamada, Yoshitsugu Azuma, Seiichi Hattori, Kohshi Uchida, Kanji Otsuji, Mikiya |
Author_xml | – sequence: 1 givenname: Seiichi orcidid: 0000-0002-7140-3320 surname: Azuma fullname: Azuma, Seiichi organization: Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, Graduate School of Medicine, The University of Tokyo – sequence: 2 givenname: Masaaki orcidid: 0000-0002-0770-2860 surname: Asamoto fullname: Asamoto, Masaaki email: masaaki.asamoto@gmail.com organization: Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital – sequence: 3 givenname: Kohshi orcidid: 0000-0001-6415-4082 surname: Hattori fullname: Hattori, Kohshi organization: Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, Department of Anesthesiology, Center Hospital of the National Center for Global Health and Medicine – sequence: 4 givenname: Mikiya surname: Otsuji fullname: Otsuji, Mikiya organization: Department of Anesthesiology, Tokyo Teishin Hospital – sequence: 5 givenname: Kanji orcidid: 0000-0001-9337-1916 surname: Uchida fullname: Uchida, Kanji organization: Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital – sequence: 6 givenname: Yoshitsugu surname: Yamada fullname: Yamada, Yoshitsugu organization: Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, Department of Anesthesiology, International University of Health and Welfare Mita Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36316519$$D View this record in MEDLINE/PubMed |
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Keywords | Anesthesia level Electroencephalogram Alpha oscillations Spectral analysis Anteriorization |
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Snippet | A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization—disappearance of occipital alpha oscillations followed by the... A typical electroencephalogram (EEG) change induced by general anesthesia is anteriorization-disappearance of occipital alpha oscillations followed by the... |
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SubjectTerms | Anesthesia Anesthesia, General Anesthesiology Arousal Confidence intervals Correlation coefficients Critical Care Medicine Data acquisition Electroencephalography Female General anesthesia Health Sciences Humans Intensive Male Mathematical analysis Medicine Medicine & Public Health Original Research Oscillations Statistical analysis Statistics for Life Sciences |
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Title | Quantitative relationship between anteriorization of alpha oscillations and level of general anesthesia |
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