D. Schwender et al., MIDLATENCY AUDITORY-EVOKED POTENTIALS DURING KETAMINE ANESTHESIA IN HUMANS, British Journal of Anaesthesia, 71(5), 1993, pp. 629-632
We studied mid-latency auditory evoked potentials (MLAEP) during induc
tion of general anaesthesia with ketamine 2 mg kg-1. MLAEP were record
ed before, during and after induction of general anaesthesia on the ve
rtex (positive) and mastoid (negative) positions. Latencies of the pea
k V, Na, Pa, Nb, P1 and amplitudes Na/Pa, Pa/Nb and Nb/P1 were measure
d. Fast-Fourier transformation was used to calculate power spectra of
the MLAEP. In the awake state, MLAEP had large peak-to-peak amplitudes
and a periodic waveform. Peak latencies remained within the normal ra
nge. Power spectra indicated high energy in the 30-40 Hz frequency ran
ge. After induction of general anaesthesia with ketamine, there was no
change in latency of peaks V, Na, Pa, Nb, P1 and no apparent reductio
n in amplitudes Na/Pa, Pa/Nb and Nb/P1. In the power spectra, frequenc
ies in the range of 30-40 Hz retained high energy. Amplitudes and late
ncies of MLAEP did not change during induction of general anaesthesia
with ketamine. Primary processing of auditory stimuli in the primary a
uditory cortex seemed to be preserved under ketamine. Suppression of s
ensory (auditory) information processing must take place at a higher c
ortical level in a dissociative manner.