Effects of a low concentration of isoflurane on contrast sensitivity in volunteers

Dose-related effect of sevoflurane sedation on higher control of eye movements and decision making

BACKGROUND

Saccadic latency may provide an objective method to assess sedative doses of anaesthetic on cortical oculomotor mechanisms and decision making.

METHODS

We tested the effects of random doses of 0, 0.1, 0.2 and 0.3 MAC sevoflurane in six subjects, in a double-blind study using two measures of behavioural impairment: saccadic latency and stop signal reaction time (SSRT) in a countermanding task.

RESULTS

Saccadic latency and SSRT both increased with increasing doses of sevoflurane. In both measures, reciprocal reaction time was linearly related to dose in each subject: all but two of the twelve regression coefficients were statistically significant (P<0.05). In one subject, SSRT was significantly more sensitive than simple latency (P<0.05); for the others there was no significant difference.

CONCLUSION

Measurements of this kind could potentially provide estimates of cortical effects of sevoflurane sedation, and give a clinically useful measure of cognitive fitness.

Preparation for the in vivo recording of neuronal responses in the visual cortex of anaesthetised marmosets (Callithrix jacchus)

The marmoset is becoming an important model for studies of primate vision, due to factors such as its small body size, lissencephalic brain, short gestational period and rapid postnatal development. For many studies of visual physiology (including single-cell recordings), it is a requirement that the animal is maintained under anaesthesia and neuromuscular block in order to ensure ocular stability. However, maintaining such a small animal (290-400 g) in good physiological condition for long periods requires expert attention. This becomes particularly important in the case of recordings from visual association cortex, where neuronal responses are known to be highly sensitive to factors such as the type and dose of anaesthetic, and the animal's physiological balance. The present protocol summarises our laboratory's experience over the last decade in developing a preparation for the study of marmoset visual cortex. It allows excellent recording from extrastriate areas for periods of at least 48 h, including the continuous study of isolated single cells for several hours.

The effect of low dose sevoflurane on saccadic eye movement latency

We investigated the effects of a low concentration of sevoflurane on a saccadic eye movement task that reflects the performance of higher neural decision and control mechanisms. The experiments were performed double-blind in five subjects, using either 0.15% end-tidal sevoflurane in oxygen, or pure oxygen as a placebo. Saccades were recorded and analysed using a computer-based recording system that also controlled the presentation of visual targets. Administration of oxygen produced no significant change in median latency compared with breathing air; but in four of the five subjects, administration of sevoflurane in oxygen caused a significant increase in latency. These results suggest that measurement of median saccadic latency may be a useful functional measurement of impairment of performance during recovery from anaesthesia.

Effects of low-dose isoflurane on saccadic eye movement generation

The effects of 0.15% quasi-steady-state end-tidal isoflurane on two saccadic eye-movement tests were examined in five volunteers using a newly devised computer-based recording system. The tests were saccadic latency and a countermanding task, the latter being an indicator of the highest levels of conscious performance. A moving light-emitting diode target was displayed on a screen and in the saccadic-latency task the latency of eye movement to the target was measured. In all five subjects the latency increased with anaesthetic by an amount which varied from 8 to 45 ms. This result was significantly different (p < 0.05) from subjects without anaesthetic. In the countermanding task, the subject had to voluntarily inhibit movement to the target. Again anaesthetic increased the latency of response, which varied from 6 to 33 ms. This result was significantly different (p < 0.05) from subjects without anaesthetic. In these studies it appeared that two tasks, one a simple latency test and the other, the countermanding task, requiring higher cortical processing were equally impaired at subanaesthetic concentrations of isoflurane.