Ew. Jensen et al., On-line analysis of middle latency auditory evoked potentials (MLAEP) for monitoring depth of anaesthesia in laboratory rats, MED ENG PHY, 20(10), 1998, pp. 722-728
In laboratory animals as well as in human beings a depth of anaesthesia, wh
ere the subject has no pain or recall of events from the surgery, should be
provided. Haemodynamic parameters such as heart rate and blood pressure ar
e not a guarantee for an optimal depth of anaesthesia, especially when usin
g neuromuscular blocking agents (NMBA). A number of studies suggest that th
e Middle Latency Auditory Evoked Potentials (MLAEP) contain information abo
ut the state of consciousness in humans. The purpose of this study was to e
xamine whether the AEP could serve as an indicator of depth of ansesthesia
in rats. The AEP was elicited with a click stimulus and monitored in an XO
ms window synchronised to thp stimulus. The AEP was extracted applying an A
uto Regressive Model with Exogenous Input (ARX-model) from which a Depth of
Anaesthesia Index (DAI) was calculated. DAI was normalised to 100 while aw
ake and decreasing gradually to a level between 50 and 20 as the rat was an
aesthetised. Nine rats were anaesthetised and included in the study. Four d
oses of Hypnorm vet.(R) and Dormicum(R) were given as a total, each with 5
minutes interval. Clinical signs of the level of anaesthesia were observed
simultaneously with the AEP. The results showed that in four rats DAI decre
ased to a lever below 30 while anaesthetised. In the remaining five rats th
e AEP was only decreased to a level below 45. The results indicated that a
simple dosing regimen based on weight was unable to give the same depth of
anaesthesia in individual rats. The decrease in the DAI correlated well wit
h the loss of stimulus response. in conclusion, MLAEP could be used as an i
ndicator of depth of anaesthesia in rats during Hypnorm vet.(R) and Dormicu
m(R) administration, However studies applying other anaesthetic drugs shoul
d be carried out, before a conclusion of the general utility of the method
can be made. (C) 1999 IPEM. Published by Elsevier Science Ltd. All rights r
eserved.