Effects of graded suppression of the EEG with propofol on the neurological outcome following incomplete cerebral ischaemia in rats

Eur J Anaesthesiol. 1999 May;16(5):320-9. doi: 10.1046/j.1365-2346.1999.00478.x.

Abstract

We evaluated the relation between dose and response for the neuroprotective effect of propofol in a rat model with incomplete cerebral ischaemia. For clarification of the mechanism of neuroprotection, plasma catecholamines and tumour necrosis factor-alpha levels were measured. Three doses (low, moderate and high-dose) of propofol were tested. These produced, respectively, a low amplitude, slowing and a burst-suppression pattern of electroencephalographic activity. Incomplete cerebral ischaemia was produced by right carotid artery occlusion combined with haemorrhagic hypotension (35 mmHg) for 30 min. Neurological outcome at 72 h post-ischaemia in the high-dose group was significantly better than that in both low-dose and moderate-dose groups. Propofol exhibited a trend in the dose-related attenuation of the increases in plasma adrenaline and noradrenaline during ischaemia. Tumour necrosis factor-alpha increased during and after ischaemia in all groups with no intergroup differences. The results indicate that a burst-suppression dose of propofol provides neuroprotection. The protective effect can not be completely explained by the attenuating effect on circulating catecholamines.

MeSH terms

  • Anesthetics, Intravenous / administration & dosage*
  • Animals
  • Brain Ischemia / blood
  • Brain Ischemia / physiopathology*
  • Dose-Response Relationship, Drug
  • Electroencephalography / drug effects*
  • Epinephrine / blood
  • Male
  • Motor Activity
  • Norepinephrine / blood
  • Pain Measurement
  • Propofol / administration & dosage*
  • Rats
  • Rats, Wistar
  • Tumor Necrosis Factor-alpha / analysis

Substances

  • Anesthetics, Intravenous
  • Tumor Necrosis Factor-alpha
  • Norepinephrine
  • Propofol
  • Epinephrine