Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia

Electroencephalography (EEG) is widely used for monitoring the depth of anesthesia in surgical patients. Distinguishing age-related EEG features under general anesthesia will help to optimize anesthetic depth monitoring during surgery for elderly patients. This retrospective cohort study included 41...

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Main Authors: Xinxin Zhang, Ao Li, Sa Wang, Tingting Wang, Tiantian Liu, Yonghui Wang, Jingwen Fu, Guangchao Zhao, Qianzi Yang, Hailong Dong
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/8/1149
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author Xinxin Zhang
Ao Li
Sa Wang
Tingting Wang
Tiantian Liu
Yonghui Wang
Jingwen Fu
Guangchao Zhao
Qianzi Yang
Hailong Dong
author_facet Xinxin Zhang
Ao Li
Sa Wang
Tingting Wang
Tiantian Liu
Yonghui Wang
Jingwen Fu
Guangchao Zhao
Qianzi Yang
Hailong Dong
author_sort Xinxin Zhang
collection DOAJ
description Electroencephalography (EEG) is widely used for monitoring the depth of anesthesia in surgical patients. Distinguishing age-related EEG features under general anesthesia will help to optimize anesthetic depth monitoring during surgery for elderly patients. This retrospective cohort study included 41 patients aged from 18 to 79 years undergoing noncardiac surgery under general anesthesia. We compared the power spectral signatures and phase–amplitude coupling patterns of the young and elderly groups under baseline and surgical anesthetic depth. General anesthesia by sevoflurane significantly increased the spectral power of delta, theta, alpha, and beta bands and strengthened the cross-frequency coupling both in young and elderly patients. However, the variation in EEG power spectral density and the modulation of alpha amplitudes on delta phases was relatively weaker in elderly patients. In conclusion, the EEG under general anesthesia using sevoflurane exhibited similar dynamic features between young and elderly patients, and the weakened alteration of spectral power and cross-frequency coupling patterns could be utilized to precisely quantify the depth of anesthesia in elderly patients.
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spelling doaj.art-96962f34172948f490cae89a7732fa2b2023-11-19T00:26:24ZengMDPI AGBrain Sciences2076-34252023-07-01138114910.3390/brainsci13081149Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane AnesthesiaXinxin Zhang0Ao Li1Sa Wang2Tingting Wang3Tiantian Liu4Yonghui Wang5Jingwen Fu6Guangchao Zhao7Qianzi Yang8Hailong Dong9Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710000, ChinaElectroencephalography (EEG) is widely used for monitoring the depth of anesthesia in surgical patients. Distinguishing age-related EEG features under general anesthesia will help to optimize anesthetic depth monitoring during surgery for elderly patients. This retrospective cohort study included 41 patients aged from 18 to 79 years undergoing noncardiac surgery under general anesthesia. We compared the power spectral signatures and phase–amplitude coupling patterns of the young and elderly groups under baseline and surgical anesthetic depth. General anesthesia by sevoflurane significantly increased the spectral power of delta, theta, alpha, and beta bands and strengthened the cross-frequency coupling both in young and elderly patients. However, the variation in EEG power spectral density and the modulation of alpha amplitudes on delta phases was relatively weaker in elderly patients. In conclusion, the EEG under general anesthesia using sevoflurane exhibited similar dynamic features between young and elderly patients, and the weakened alteration of spectral power and cross-frequency coupling patterns could be utilized to precisely quantify the depth of anesthesia in elderly patients.https://www.mdpi.com/2076-3425/13/8/1149general anesthesiaEEG monitoringaging brain
spellingShingle Xinxin Zhang
Ao Li
Sa Wang
Tingting Wang
Tiantian Liu
Yonghui Wang
Jingwen Fu
Guangchao Zhao
Qianzi Yang
Hailong Dong
Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia
Brain Sciences
general anesthesia
EEG monitoring
aging brain
title Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia
title_full Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia
title_fullStr Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia
title_full_unstemmed Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia
title_short Differences in the EEG Power Spectrum and Cross-Frequency Coupling Patterns between Young and Elderly Patients during Sevoflurane Anesthesia
title_sort differences in the eeg power spectrum and cross frequency coupling patterns between young and elderly patients during sevoflurane anesthesia
topic general anesthesia
EEG monitoring
aging brain
url https://www.mdpi.com/2076-3425/13/8/1149
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