Comparing the effects of stimulation and propofol infusion rate on implicit and explicit memory formation.

Doubt remains about the conditions under which learning persists despite anaesthesia. This study investigated the relative importance of dose of anaesthetic and stimulation for learning during propofol infusion before surgery. Thirty-six patients were randomly assigned to three groups. Group 1 recei...

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Publicado en:BJA: The British Journal of Anaesthesia Vol. 86; no. 2; pp. 189 - 196
Autores principales: Andrade, J, Englert, L, Harper, C, Edwards, N D
Formato: clinical trial research Journal Article
Publicado: Elsevier B.V. Feb2001
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2001
      vid: 86
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      pub: Elsevier B.V.
      place: New York, New York
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        atl: Comparing the effects of stimulation and propofol infusion rate on implicit and explicit memory formation.
      aug:
        au:
          Andrade, J
          Englert, L
          Harper, C
          Edwards, N D
        affil: Department of Psychology, University of Sheffield, UK.
      sug:
        subj:
          Anesthetics, Intravenous Pharmacodynamics
          Memory Drug Effects
          Propofol Pharmacodynamics
          Anesthetics, Intravenous Administration and Dosage
          Anesthetics, Intravenous Blood
          Drug Administration Schedule
          Electroencephalography
          Female
          Human
          Infusions, Intravenous
          Intubation, Intratracheal
          Learning Drug Effects
          Pilot Studies
          Postoperative Period
          Propofol Administration and Dosage
          Propofol Blood
          Psychological Tests
          Clinical Trials
          Female
      ab: Doubt remains about the conditions under which learning persists despite anaesthesia. This study investigated the relative importance of dose of anaesthetic and stimulation for learning during propofol infusion before surgery. Thirty-six patients were randomly assigned to three groups. Group 1 received two word lists (category examples and nonsense words) during infusion of propofol to a target concentration of 2 microg ml(-1). Groups 2 and 3 received the word lists during infusion of propofol 5 microg ml(-1). Group 2 received nonsense words before tracheal intubation and category examples during intubation; Group 3 heard category examples before and nonsense words during intubation. Bispectral index was recorded as a measure of depth of sedation/anaesthesia. We assessed explicit memory on recovery using a structured interview and a recognition test. We assessed implicit memory using a category generation test and a preference rating task. To establish baseline, a control group of 12 patients completed the category generation test without receiving the category examples during anaesthesia. Overall, there was no evidence for learning during propofol infusion, though the category generation task showed a trend towards more implicit memory for words presented during intubation than during anaesthesia. We conclude that learning does not occur during anaesthesia without surgery.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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