Since the mid-1800s, doctors have used drugs to induce
general anesthesia(全身麻醉) in patients undergoing surgery. Despite their widespread use, little is known about how these drugs create such a profound loss of consciousness. In a new study that tracked brain activity in human volunteers over a two-hour period as they lost and
regained1 consciousness, researchers from MIT and Massachusetts General Hospital (MGH) have identified
distinctive2 brain patterns associated with different stages of general anesthesia. The findings shed light on how one commonly used anesthesia drug exerts its effects, and could help doctors better monitor patients during surgery and prevent rare cases of patients waking up during operations.
Anesthesiologists now rely on a monitoring system that takes electroencephalogram (EEG) information and combines it into a single number between zero and 100. However, that index actually obscures the information that would be most useful, according to the authors of the new study, which appears in the
Proceedings3 of the National Academy of Sciences the week of March 4.
"When
anesthesiologists(麻醉学者) are taking care of someone in the operating room, they can use the information in this article to make sure that someone is unconscious, and they can have a specific idea of when the person may be
regaining4 consciousness," says senior author Emery Brown, an MIT professor of brain and
cognitive5 sciences and health sciences and technology and an anesthesiologist at MGH.
Lead author of the paper is Patrick Purdon, an
instructor6 of anesthesia at MGH and Harvard Medical School.