Influence of nitrous oxide on posterior tibial nerve cortical somatosensory evoked potentials
The suppressive effect of the halogenated inhalation anesthesia on cortical somatosensory evoked potentials (cSSEPs) has been well documented. Less studied and appreciated is the effect of nitrous oxide often with a narcotic as an alternative to a potent agent for spinal cord monitoring. This study...
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| Veröffentlicht in: | Journal of spinal disorders 1997-02, Vol.10 (1), p.80-86 |
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| container_title | Journal of spinal disorders |
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| creator | SCHWARTZ, D. M SCHWARTZ, J. A PRATT, R. E WIERZBOWSKI, L. R SESTOKAS, A. K |
| description | The suppressive effect of the halogenated inhalation anesthesia on cortical somatosensory evoked potentials (cSSEPs) has been well documented. Less studied and appreciated is the effect of nitrous oxide often with a narcotic as an alternative to a potent agent for spinal cord monitoring. This study sought to define more clearly the influence of nitrous oxide on cSSEPs elicited to posterior tibial nerve stimulation. A secondary purpose was to demonstrate the advantage of a total intravenous propofol anesthesia in facilitating uncompromised large-amplitude cSSEPs. Fifty adult patients undergoing anterior cervical discectomy served as the study sample. Brainstem and cortical posterior tibial nerve SSEPs were recorded under two independent anesthesia conditions, namely, nitrous oxide and propofol. Results demonstrated a significant amplitude reduction and latency prolongation with the nitrous oxide versus propofol protocol. cSSEP amplitude with propofol was, on the average, approximately two times larger than that with nitrous oxide. Based on these findings, the use of nitrous-oxide anesthesia is not recommended when limited to monitoring cSSEPs that are already amplitude compromised secondary to existing spinal cord disease. |
| doi_str_mv | 10.1097/00002517-199702000-00010 |
| format | Article |
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Brainstem and cortical posterior tibial nerve SSEPs were recorded under two independent anesthesia conditions, namely, nitrous oxide and propofol. Results demonstrated a significant amplitude reduction and latency prolongation with the nitrous oxide versus propofol protocol. cSSEP amplitude with propofol was, on the average, approximately two times larger than that with nitrous oxide. Based on these findings, the use of nitrous-oxide anesthesia is not recommended when limited to monitoring cSSEPs that are already amplitude compromised secondary to existing spinal cord disease.</description><identifier>ISSN: 0895-0385</identifier><identifier>EISSN: 1531-2305</identifier><identifier>DOI: 10.1097/00002517-199702000-00010</identifier><identifier>PMID: 9041499</identifier><identifier>CODEN: JSDIEW</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams and Wilkins</publisher><subject>Adult ; Anesthetics, Intravenous ; Anesthetics. Neuromuscular blocking agents ; Biological and medical sciences ; Cerebral Cortex - physiology ; Cervical Vertebrae - surgery ; Diskectomy ; Electric Stimulation ; Evoked Potentials, Somatosensory - drug effects ; Female ; Humans ; Intervertebral Disc - surgery ; Male ; Medical sciences ; Middle Aged ; Neuropharmacology ; Nitrous Oxide - pharmacology ; Pharmacology. 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A</creatorcontrib><creatorcontrib>PRATT, R. E</creatorcontrib><creatorcontrib>WIERZBOWSKI, L. R</creatorcontrib><creatorcontrib>SESTOKAS, A. K</creatorcontrib><title>Influence of nitrous oxide on posterior tibial nerve cortical somatosensory evoked potentials</title><title>Journal of spinal disorders</title><addtitle>J Spinal Disord</addtitle><description>The suppressive effect of the halogenated inhalation anesthesia on cortical somatosensory evoked potentials (cSSEPs) has been well documented. Less studied and appreciated is the effect of nitrous oxide often with a narcotic as an alternative to a potent agent for spinal cord monitoring. This study sought to define more clearly the influence of nitrous oxide on cSSEPs elicited to posterior tibial nerve stimulation. A secondary purpose was to demonstrate the advantage of a total intravenous propofol anesthesia in facilitating uncompromised large-amplitude cSSEPs. Fifty adult patients undergoing anterior cervical discectomy served as the study sample. Brainstem and cortical posterior tibial nerve SSEPs were recorded under two independent anesthesia conditions, namely, nitrous oxide and propofol. Results demonstrated a significant amplitude reduction and latency prolongation with the nitrous oxide versus propofol protocol. cSSEP amplitude with propofol was, on the average, approximately two times larger than that with nitrous oxide. Based on these findings, the use of nitrous-oxide anesthesia is not recommended when limited to monitoring cSSEPs that are already amplitude compromised secondary to existing spinal cord disease.</description><subject>Adult</subject><subject>Anesthetics, Intravenous</subject><subject>Anesthetics. Neuromuscular blocking agents</subject><subject>Biological and medical sciences</subject><subject>Cerebral Cortex - physiology</subject><subject>Cervical Vertebrae - surgery</subject><subject>Diskectomy</subject><subject>Electric Stimulation</subject><subject>Evoked Potentials, Somatosensory - drug effects</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuropharmacology</subject><subject>Nitrous Oxide - pharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>Propofol - pharmacology</subject><subject>Reaction Time - drug effects</subject><subject>Tibial Nerve - physiology</subject><issn>0895-0385</issn><issn>1531-2305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF1LBCEUhiWK2j5-QuBFdDflxzjqZSx9wUI3dRmDo2fA2tVNnaX-fVbbCnI4nvdRfBDClFxRouU1qYsJKhuqtSSsdk3dlOyhGRWcNowTsY9mRGnREK7EETrO-a0ytBX8EB1q0tJW6xl6fQzjcoJgAccRB19SnDKOn97Vg4DXMRdIPiZc_ODNEgdIG8A2puJtbXNcmRIzhBzTF4ZNfAdXoQKh1HQ-RQdjLXC2rSfo5e72ef7QLJ7uH-c3i8a2RJSGGU3UAA4G6yRYaQaqpXNdp6xgrFVMtkzLTrtRdB0n1AKRljLXWmU4MSM_QZd_965T_Jggl37ls4Xl0gSo_-mlUrySXQ2qv6BNMecEY79OfmXSV09J_2O2_zfb78z2v2Yrer59YxpW4HbgVmWdX2znJlc1YzLB-ryLMaFUSzT_BonSglc</recordid><startdate>19970201</startdate><enddate>19970201</enddate><creator>SCHWARTZ, D. M</creator><creator>SCHWARTZ, J. A</creator><creator>PRATT, R. E</creator><creator>WIERZBOWSKI, L. 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Neuromuscular blocking agents</topic><topic>Biological and medical sciences</topic><topic>Cerebral Cortex - physiology</topic><topic>Cervical Vertebrae - surgery</topic><topic>Diskectomy</topic><topic>Electric Stimulation</topic><topic>Evoked Potentials, Somatosensory - drug effects</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuropharmacology</topic><topic>Nitrous Oxide - pharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Propofol - pharmacology</topic><topic>Reaction Time - drug effects</topic><topic>Tibial Nerve - physiology</topic><toplevel>online_resources</toplevel><creatorcontrib>SCHWARTZ, D. M</creatorcontrib><creatorcontrib>SCHWARTZ, J. A</creatorcontrib><creatorcontrib>PRATT, R. E</creatorcontrib><creatorcontrib>WIERZBOWSKI, L. R</creatorcontrib><creatorcontrib>SESTOKAS, A. 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K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of nitrous oxide on posterior tibial nerve cortical somatosensory evoked potentials</atitle><jtitle>Journal of spinal disorders</jtitle><addtitle>J Spinal Disord</addtitle><date>1997-02-01</date><risdate>1997</risdate><volume>10</volume><issue>1</issue><spage>80</spage><epage>86</epage><pages>80-86</pages><issn>0895-0385</issn><eissn>1531-2305</eissn><coden>JSDIEW</coden><abstract>The suppressive effect of the halogenated inhalation anesthesia on cortical somatosensory evoked potentials (cSSEPs) has been well documented. Less studied and appreciated is the effect of nitrous oxide often with a narcotic as an alternative to a potent agent for spinal cord monitoring. This study sought to define more clearly the influence of nitrous oxide on cSSEPs elicited to posterior tibial nerve stimulation. A secondary purpose was to demonstrate the advantage of a total intravenous propofol anesthesia in facilitating uncompromised large-amplitude cSSEPs. Fifty adult patients undergoing anterior cervical discectomy served as the study sample. Brainstem and cortical posterior tibial nerve SSEPs were recorded under two independent anesthesia conditions, namely, nitrous oxide and propofol. Results demonstrated a significant amplitude reduction and latency prolongation with the nitrous oxide versus propofol protocol. cSSEP amplitude with propofol was, on the average, approximately two times larger than that with nitrous oxide. 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| ispartof | Journal of spinal disorders, 1997-02, Vol.10 (1), p.80-86 |
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| language | eng |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Adult Anesthetics, Intravenous Anesthetics. Neuromuscular blocking agents Biological and medical sciences Cerebral Cortex - physiology Cervical Vertebrae - surgery Diskectomy Electric Stimulation Evoked Potentials, Somatosensory - drug effects Female Humans Intervertebral Disc - surgery Male Medical sciences Middle Aged Neuropharmacology Nitrous Oxide - pharmacology Pharmacology. Drug treatments Propofol - pharmacology Reaction Time - drug effects Tibial Nerve - physiology |
| title | Influence of nitrous oxide on posterior tibial nerve cortical somatosensory evoked potentials |
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