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Publication - Dr Hemmen Sabir

    Xenon depresses aEEG background voltage activity whilst maintaining cardiovascular stability in sedated healthy newborn pigs

    Citation

    Sabir, H, Wood, TR, Gill, H, Liu, X, Dingley, J & Thoresen, M, 2016, ‘Xenon depresses aEEG background voltage activity whilst maintaining cardiovascular stability in sedated healthy newborn pigs’. Journal of the Neurological Sciences, vol 363., pp. 140-144

    Abstract

    BACKGROUND: Changes in electroencephalography (EEG) voltage range are used to monitor the depth of anaesthesia, as well as predict outcome after hypoxia-ischaemia in neonates. Xenon is being investigated as a potential neuroprotectant after hypoxic-ischaemic brain injury, but the effect of Xenon on EEG parameters in children or neonates is not known. This study aimed to examine the effect of 50% inhaled Xenon on background amplitude-integrated EEG (aEEG) activity in sedated healthy newborn pigs.

    METHODS: Five healthy newborn pigs, receiving intravenous fentanyl sedation, were ventilated for 24h with 50%Xenon, 30%O2 and 20%N2 at normothermia. The upper and lower voltage-range of the aEEG was continuously monitored together with cardiovascular parameters throughout a 1h baseline period with fentanyl sedation only, followed by 24h of Xenon administration.

    RESULTS: The median (IQR) upper and lower aEEG voltage during 1h baseline was 48.0μV (46.0-50.0) and 25.0μV (23.0-26.0), respectively. The median (IQR) aEEG upper and lower voltage ranges were significantly depressed to 21.5μV (20.0-26.5) and 12.0μV (12.0-16.5) from 10min after the onset of 50% Xenon administration (p=0.002). After the initial Xenon induced depression in background aEEG voltage, no further aEEG changes were seen over the following 24h of ventilation with 50% xenon under fentanyl sedation. Mean arterial blood pressure and heart rate remained stable.

    CONCLUSION: Mean arterial blood pressure and heart rate were not significantly influenced by 24h Xenon ventilation. 50% Xenon rapidly depresses background aEEG voltage to a steady ~50% lower level in sedated healthy newborn pigs. Therefore, care must be taken when interpreting the background voltage in neonates also receiving Xenon.

    Full details in the University publications repository