The Neurobiology of Anesthetic Emergence

J Neurosurg Anesthesiol. 2016 Jul;28(3):250-5. doi: 10.1097/ANA.0000000000000212.

Abstract

Achieving a smooth and rapid emergence from general anesthesia is of particular importance for neurosurgical patients and is a clinical goal for neuroanesthesiologists. Recent data suggest that the process of emergence is not simply the mirror image of induction, but rather controlled by distinct neural circuits. In this narrative review, we discuss (1) hysteresis, (2) the concept of neural inertia, (3) the asymmetry between the neurobiology of induction and emergence, and (4) recent attempts at actively inducing emergence.

Publication types

  • Review

MeSH terms

  • Anesthesia Recovery Period*
  • Anesthesia, General*
  • Humans
  • Neurobiology*
  • Neurons / drug effects*
  • Neurosurgical Procedures*