Pediatric anesthesia & critical care

Electroencephalographic delta and alpha oscillations reveal phase-amplitude coupling in paediatric patients undergoing sevoflurane-based general anaesthesia

Br J AnaesthPublished Retrospective observational study

Main finding · Strength of delta-alpha phase-amplitude coupling (mean amplitude vector)Result — go to the resultWilcoxon paired signed-rank test Z=3.107

Authors' conclusion

Sevoflurane-based anaesthesia is associated with delta-alpha phase-amplitude coupling in paediatric patients.

Study context

Population
Paediatric patients aged 10 months to 3 yr undergoing elective surgery with sevoflurane-based anaesthesiaretrospective EEG data
Participants
31 patients
Exposure
Maintenance of sevoflurane-based GA vs emergence
Outcome
Delta-alpha phase-amplitude coupling (EEG)
Methodological detailspaired comparison (anaesthesia vs emergence)
  • Paired comparison (anaesthesia vs emergence)

Main finding

As reported in the abstract

Strength of delta-alpha phase-amplitude coupling (mean amplitude vector)

Wilcoxon paired signed-rank test

Z=3.107

P = 0.002

Observational data: associations, not effects.

Further findings

OutcomeGeneral anaesthesiaEmergence
Distribution of frontal alpha amplitude across delta phases (omnibus circular uniformity)mean phase 114º (99% CI 90º-139º)mean phase 181º (99% CI 110º-253º)
Omnibus PP<0.001P=0.35

Distribution of frontal alpha amplitude across delta phases (omnibus circular uniformity)

During GA, alpha power restricted to the positive phase of the delta wave

Original publication

Electroencephalographic delta and alpha oscillations reveal phase-amplitude coupling in paediatric patients undergoing sevoflurane-based general anaesthesia. Br J Anaesth. Published 13 March 2023. doi:10.1016/j.bja.2023.01.025

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