The relationship between anesthesia and melatonin: a review

Introduction: This comprehensive review delves into the intricate and multifaceted relationship between anesthesia and melatonin, aiming to provide essential insights for perioperative clinical anesthesiologists and stimulate interest in related research. Anesthesia and surgery have the potential to...

Full description

Bibliographic Details
Main Authors: Rui Guo, Junming Ye, Baozhen Liao, Xin Luo, Panguo Rao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1255752/full
_version_ 1797680761008029696
author Rui Guo
Rui Guo
Junming Ye
Baozhen Liao
Xin Luo
Panguo Rao
author_facet Rui Guo
Rui Guo
Junming Ye
Baozhen Liao
Xin Luo
Panguo Rao
author_sort Rui Guo
collection DOAJ
description Introduction: This comprehensive review delves into the intricate and multifaceted relationship between anesthesia and melatonin, aiming to provide essential insights for perioperative clinical anesthesiologists and stimulate interest in related research. Anesthesia and surgery have the potential to disrupt melatonin secretion, leading to sleep disorders, postoperative neurocognitive dysfunction and other symptoms. In comparison to previous reviews, this review provides a comprehensive summary of the various aspects linking melatonin and anesthesia, going beyond isolated perspectives. It explores the potential benefits of administering melatonin during the perioperative period, including alleviating anxiety, reducing pain, enhancing perioperative sleep quality, as well as demonstrating immunomodulatory and anti-tumor effects, potentially offering significant advantages for cancer surgery patients.Recent Findings: Anesthesia and surgery have a significant impact on melatonin secretion, the hormone crucial for maintaining circadian rhythms. These procedures disrupt the normal secretion of melatonin, leading to various adverse effects such as sleep disturbances, pain, and postoperative neurocognitive dysfunction. However, the administration of exogenous melatonin during the perioperative period has yielded promising results. It has been observed that perioperative melatonin supplementation can effectively reduce anxiety levels, improve pain management, enhance the quality of perioperative sleep, and potentially decrease the occurrence of postoperative delirium. In recent years, studies have found that melatonin has the potential to improve immune function and exhibit anti-cancer effects, further underscoring its potential advantages for patients undergoing cancer surgery.Summary: In summary, melatonin can serve as an adjuvant drug for anesthesia during the perioperative period. Its administration has demonstrated numerous positive effects, including anti-anxiety properties, sedation, analgesia, improved postoperative sleep, and the potential to reduce the incidence of postoperative delirium. Furthermore, its immune-modulating and anti-tumor effects make it particularly valuable for cancer surgery patients. However, further studies are required to determine the optimal dosage, long-term safety, and potential adverse reactions associated with melatonin administration.
first_indexed 2024-03-11T23:34:47Z
format Article
id doaj.art-6376ddb8c1af4c97909c378b218c9761
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-03-11T23:34:47Z
publishDate 2023-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-6376ddb8c1af4c97909c378b218c97612023-09-20T04:32:52ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-09-011410.3389/fphar.2023.12557521255752The relationship between anesthesia and melatonin: a reviewRui Guo0Rui Guo1Junming Ye2Baozhen Liao3Xin Luo4Panguo Rao5Department of Anesthesiology, First Affiliated Hospital of Gannan Medical College, Ganzhou, Jiangxi, ChinaSuzhou Medical College of Soochow University, Suzhou, ChinaGannan Medical University, Ganzhou, Jiangxi, ChinaGannan Medical University, Ganzhou, Jiangxi, ChinaGannan Medical University, Ganzhou, Jiangxi, ChinaGannan Medical University, Ganzhou, Jiangxi, ChinaIntroduction: This comprehensive review delves into the intricate and multifaceted relationship between anesthesia and melatonin, aiming to provide essential insights for perioperative clinical anesthesiologists and stimulate interest in related research. Anesthesia and surgery have the potential to disrupt melatonin secretion, leading to sleep disorders, postoperative neurocognitive dysfunction and other symptoms. In comparison to previous reviews, this review provides a comprehensive summary of the various aspects linking melatonin and anesthesia, going beyond isolated perspectives. It explores the potential benefits of administering melatonin during the perioperative period, including alleviating anxiety, reducing pain, enhancing perioperative sleep quality, as well as demonstrating immunomodulatory and anti-tumor effects, potentially offering significant advantages for cancer surgery patients.Recent Findings: Anesthesia and surgery have a significant impact on melatonin secretion, the hormone crucial for maintaining circadian rhythms. These procedures disrupt the normal secretion of melatonin, leading to various adverse effects such as sleep disturbances, pain, and postoperative neurocognitive dysfunction. However, the administration of exogenous melatonin during the perioperative period has yielded promising results. It has been observed that perioperative melatonin supplementation can effectively reduce anxiety levels, improve pain management, enhance the quality of perioperative sleep, and potentially decrease the occurrence of postoperative delirium. In recent years, studies have found that melatonin has the potential to improve immune function and exhibit anti-cancer effects, further underscoring its potential advantages for patients undergoing cancer surgery.Summary: In summary, melatonin can serve as an adjuvant drug for anesthesia during the perioperative period. Its administration has demonstrated numerous positive effects, including anti-anxiety properties, sedation, analgesia, improved postoperative sleep, and the potential to reduce the incidence of postoperative delirium. Furthermore, its immune-modulating and anti-tumor effects make it particularly valuable for cancer surgery patients. However, further studies are required to determine the optimal dosage, long-term safety, and potential adverse reactions associated with melatonin administration.https://www.frontiersin.org/articles/10.3389/fphar.2023.1255752/fullmelatoninanesthesiaperioperative administrationperioperative sleep disturbancesperioperative anti-anxiety
spellingShingle Rui Guo
Rui Guo
Junming Ye
Baozhen Liao
Xin Luo
Panguo Rao
The relationship between anesthesia and melatonin: a review
Frontiers in Pharmacology
melatonin
anesthesia
perioperative administration
perioperative sleep disturbances
perioperative anti-anxiety
title The relationship between anesthesia and melatonin: a review
title_full The relationship between anesthesia and melatonin: a review
title_fullStr The relationship between anesthesia and melatonin: a review
title_full_unstemmed The relationship between anesthesia and melatonin: a review
title_short The relationship between anesthesia and melatonin: a review
title_sort relationship between anesthesia and melatonin a review
topic melatonin
anesthesia
perioperative administration
perioperative sleep disturbances
perioperative anti-anxiety
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1255752/full
work_keys_str_mv AT ruiguo therelationshipbetweenanesthesiaandmelatoninareview
AT ruiguo therelationshipbetweenanesthesiaandmelatoninareview
AT junmingye therelationshipbetweenanesthesiaandmelatoninareview
AT baozhenliao therelationshipbetweenanesthesiaandmelatoninareview
AT xinluo therelationshipbetweenanesthesiaandmelatoninareview
AT panguorao therelationshipbetweenanesthesiaandmelatoninareview
AT ruiguo relationshipbetweenanesthesiaandmelatoninareview
AT ruiguo relationshipbetweenanesthesiaandmelatoninareview
AT junmingye relationshipbetweenanesthesiaandmelatoninareview
AT baozhenliao relationshipbetweenanesthesiaandmelatoninareview
AT xinluo relationshipbetweenanesthesiaandmelatoninareview
AT panguorao relationshipbetweenanesthesiaandmelatoninareview