INTRAOPERATIVE MONITORING OF motor evoked potentials (MEPs) may become
a valuable test of spinal cord function during surgery. Unfortunately
, MEP responses are affected by most common anesthetics. We studied th
e effect of intravenous propofol on transcranial magnetic MEPs (tcMMEP
s) in the rat. Baseline tcMMEPs were recorded before administration of
the drug. Each rat then received three induction doses of propofol, 1
0, 5, and 5 mg/kg (totaling 10, 15, and 20 mg/kg) and three successive
20-minute infusion doses at rates of 10, 20, and 40 mg/kg/h, respecti
vely. An MEP intensity series was performed after each induction dose,
during: each infusion, and during a 20-minute recovery period. tcMMEP
s recorded during the induction period demonstrated a significant, dos
e-dependent increase in onset latency and a marked decrease in amplitu
de. Infusion tcMMEPs displayed increased onset latencies but demonstra
ted a significant change in amplitudes only after the largest infusion
dose. The MEPs approached baseline levels after discontinuation of th
e propofol. This study demonstrates that tcMMEPs can be successfully r
ecorded from the rat during propofol anesthesia.