Investigation of the modulation between EEG alpha waves and slow/fast delta waves in children in different depths of Desflurane anesthesia

Abstract

NUMÉRO SPÉCIAL CIC-ITInternational audienceObjectives: Investigation of the amplitude modulation of alpha-band EEG oscillations (i.e., grouping of alpha-band activities) by delta-band EEG activities in various depths of anesthesia (DOA). Methods: This modulation, which is a sort of phase dependent amplitude modulation, is studied in 10 children in various depths of Desflurane anesthesia. Two parameters are defined to quantify the modulation: strength of modulation (SOM) and phase of modulation (POM). SOM indicates to what extent delta and alpha activities are related to each other, and POM is the delta phase in which the alpha amplitude is maximal. These parameters are analyzed in different DOA for various formations of delta sub-bands. Results: The ability of POM and SOM were explored to characterize mechanisms contributing to delta activities and their correlation with the level of anesthesia. These parameters are influenced by DOA and frequency intervals of delta sub-bands. SOM takes higher values around certain frequency ranges of delta band. According to this, delta band comprises three main sub-bands in various unconsciousness levels. Although boundaries of these sub-bands change with DOA, they are almost in [0.1–0.5] Hz (very slow delta), [0.7–1.7] Hz (slow delta) and [2–4] Hz (fast delta) intervals. POMs relating to slow and fast delta bands increase with consciousness level. This is an indication that delta waves differently modulate alpha EEG activities (in terms of phase lag) in different DOA. In deep anesthesia, POM relating to fast delta correlates with DOA better than POM relating to slow delta does. In light anesthesia this correlation is inversed. Investigation regarding to different formations of delta sub-bands shows that POM relating to [1.8–4] Hz is a proper choice for distinguishing deep, moderate and light anesthesia. Conclusion: SOM allows separating mechanisms underlying delta band activities, and POM can be seen as a complementary neurophysiologic-based parameter for quantifying DOA

Neurophysiological Correlates of Sevoflurane-induced Unconsciousness

“…This trough-max and peak-max relationship had been previously demonstrated in a study of desflurane, but at higher relative doses than those used in the current study. 23 …”

Cross-frequency coupling during isoflurane anaesthesia as revealed by electroencephalographic harmonic wavelet bicoherence

“…However, it is unresolved as to whether the modulation of higher-frequency brain activities by slow oscillations is correlated with the level of unconsciousness when induced by general anaesthesia. 11 Molaee-Ardekani and colleagues investigated the amplitude modulation of the a oscillation by the d oscillation in children during desflurane anaesthesia. They found that the POM (phase of modulation, i.e.…”

“…the d phase at which the a amplitude is maximal) in the high d band (1.8-4 Hz) showed promise in distinguishing different depths of anaesthesia. 11 Bicoherence analysis is an alternative way of quantifying the degree of quadratic phase coupling (QPC) among different frequency components of a signal, and is largely independent of the amplitude of the signal. 12 It has been successfully used in a variety of EEG studies, 13 -19 including anaesthesia.…”

A Wavelet Transform Based Method to Determine Depth of Anesthesia to Prevent Awareness during General Anesthesia

“…P stands for power spectrum and B stands for bispectrum. To derive these parameters, it is required that EEG is analyzed in time, frequency, and bispectral domains, respectively [ 9 ].…”