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Effect of combining anesthetics in neonates on long-term cognitive function

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收录情况: ◇ SCIE

机构: [1]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA; [2]Univ Calif San Francisco, Sch Pharm, San Francisco, CA 94143 USA; [3]Capital Med Univ, Beijing Tiantan Hosp, Dept Anesthesiol, Beijing, Peoples R China; [4]USC, Keck Sch Med, Los Angeles, CA USA; [5]Arizona Coll Osteopath Med, Glendale, AR USA; [6]Univ Arizona, Coll Med, Tucson, AZ 85721 USA; [7]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, Box 0542,Med Sci S261,513 Parnassus Ave, San Francisco, CA 94143 USA
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关键词: Volatile anesthetics Sevoflurane plus / nitrous oxide Memory Neurotoxicity

摘要:
Background: With growing evidence that anesthesia exposure in infancy affects cognitive development, it is important to understand how distinct anesthetic agents and combinations can alter long-term memory. Investigations of neuronal death suggest that combining anesthetic agents increases the extent of neuronal injury. However, it is unclear how the use of simultaneously combined anesthetics affects cognitive outcome relative to the use of a single agent. Methods: Postnatal day 7 (P7) male rats were administered either sevoflurane as a single agent or the combined delivery of sevoflurane with nitrous oxide at 1 Minimum Alveolar Concentration for 4 h. Behavior was assessed in adulthood using the forced alternating T-maze, social recognition, and context-specific object recognition tasks. Results: Animals exposed to either anesthetic were unimpaired in the forced alternating T-maze test and had intact social recognition. Subjects treated with the combined anesthetic displayed a deficit, however, in the object recognition task, while those treated with sevoflurane alone were unaffected. Conclusion: A combined sevoflurane and nitrous oxide anesthetic led to a distinct behavioral outcome compared with sevoflurane alone, suggesting that the simultaneous use of multiple agents may uniquely influence early neural and cognitive development and potentially impacts associative memory. Published by Elsevier Ltd. on behalf of ISDN.

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出版当年[2013]版:
大类 | 3 区 医学
小类 | 4 区 发育生物学 4 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 发育生物学 4 区 神经科学
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出版当年[2012]版:
Q3 DEVELOPMENTAL BIOLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q3 DEVELOPMENTAL BIOLOGY Q4 NEUROSCIENCES

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第一作者机构: [1]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA;
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通讯机构: [1]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA; [7]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, Box 0542,Med Sci S261,513 Parnassus Ave, San Francisco, CA 94143 USA
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