Neonatal Exposure to Sevoflurane in Mice Causes Deficits in Maternal Behavior Later in Adulthood

2014 ◽  
Vol 120 (2) ◽  
pp. 403-415 ◽  
Author(s):  
Yumiko Takaenoki ◽  
Yasushi Satoh ◽  
Yoshiyuki Araki ◽  
Mitsuyoshi Kodama ◽  
Ryuji Yonamine ◽  
...  

Abstract Background: In animal models, exposure to general anesthetics induces widespread increases in neuronal apoptosis in the developing brain. Subsequently, abnormalities in brain functioning are found in adulthood, long after the anesthetic exposure. These abnormalities include not only reduced learning abilities but also impaired social behaviors, suggesting pervasive deficits in brain functioning. But the underlying features of these deficits are still largely unknown. Methods: Six-day-old C57BL/6 female mice were exposed to 3% sevoflurane for 6 h with or without hydrogen (1.3%) as part of the carrier gas mixture. At 7–9 weeks of age, they were mated with healthy males. The first day after parturition, the maternal behaviors of dams were evaluated. The survival rate of newborn pups was recorded for 6 days after birth. Results: Female mice that received neonatal exposure to sevoflurane could mate normally and deliver healthy pups similar to controls. But these dams often left the pups scattered in the cage and nurtured them very little, so that about half of the pups died within a couple of days. Yet, these dams did not show any deficits in olfactory or exploratory behaviors. Notably, pups born to sevoflurane-treated dams were successfully fostered when nursed by control dams. Mice coadministered of hydrogen gas with sevoflurane did not exhibit the deficits of maternal behaviors. Conclusion: In an animal model, sevoflurane exposure in the developing brain caused serious impairment of maternal behaviors when fostering their pups, suggesting pervasive impairment of brain functions including innate behavior essential to species survival.

2014 ◽  
Vol 27 (3) ◽  
pp. 383
Author(s):  
Dora Catré ◽  
Maria Francelina Lopes ◽  
António Silvério Cabrita ◽  
Joaquim Silva Viana

<strong>Introduction:</strong> Several experimental and clinical studies suggest that drugs used in pediatric anesthesia may exert undesirable effects on the developing central nervous system. The objective of this review was to assess the results and conclusions of published studies on long lasting neurodevelopment disorders following exposure to anesthetics in children in a phase of brain immaturity.<br /><strong>Material and Methods:</strong> We performed a literature search in several sources (PubMed, SciELO and Cochrane Library) using the terms ‘Pediatric anesthesia OR Pediatric anesthetic OR Developing brain anesthetic OR Developing brain anesthesia AND behavior disorders’. We selected human studies, referring to long lasting neurodevelopment effects after exposure to anesthetics in the first four years of life.<br /><strong>Results:</strong> Ten retrospective studies met the inclusion criteria. Of these, seven suggest risk of neurobehavioral disorders after exposure of small children to anesthetics, as opposed to the results obtained by the other three.<br /><strong>Discussion:</strong> Although mostly using large databases, the studies found are retrospective, vary in test groups, include sometimes avoidable confounders and some present inaccuracies in the choice of the test and control populations that can compromise the reliability of the results.<br /><strong>Conclusion:</strong> Because of the numerous limitations of the few studies available, the reported results are still deemed insufficient to change current clinical practice. However, although it is undisputable that anesthesia should be provided when needed, regardless of age, the warnings found in literature are worrisome, therefore whenever surgery is unavoidable in small children, alternatives that may help reduce the risks of anesthetic exposure should be sought.<br /><strong>Keywords:</strong> Anesthesia; Anesthetics; Child; Infant; Brain/growth &amp; development; Developmental Disabilities; Cognition Disorders;<br />Review Literature as Topic.


2019 ◽  
Vol 98 (4) ◽  
pp. 279-289
Author(s):  
Paulo J. C. Suen ◽  
Andre R. Brunoni

Noninvasive brain stimulation therapies are a promising field for the development of new protocols for the treatment of neuropsychiatric disorders. They are based on the stimulation of neural networks with the intent of modeling their synaptic activity to adequate levels. For this, it is necessary to precisely determine which networks are related to which brain functions, and the normal activation level of each of these networks, so that it is possible to direct the stimulation to the affected networks in order to induce the desired effects. These relationships are under intense investigation by the scientific community, and will contribute to the advancement of treatments by neurostimulation, with the emergence of increasingly accurate and effective protocols for different disorders. Currently, the most used techniques are Transcranial Direct Current Stimulation and Transcranial Magnetic Stimulation, with the most common applications being for treating Major Depressive Disorder. The advancement of research in this field may determine new target networks for stimulation in the treatment of other disorders, extending the application of these techniques and also our knowledge about brain functioning.


2018 ◽  
Vol 16 (2) ◽  
pp. 201-212
Author(s):  
Bożydar L.J. Kaczmarek ◽  
Katarzyna Markiewicz

The present paper argues that the development of a new methodology in studying the brain has resulted in a change of our views on the way it works, has seen the emergence of new ideas, and a considerable modification of traditionally accepted theories. The most significant are neuroplasticity, negative activity network (NAT), the nature of aphasic disorders, and the approach to the localization of brain functions. New brain imaging techniques have confirmed also the ability to change the neuronal circuits by mental force. Moreover, new techniques have brought about a rise in new methods for both the diagnosis and rehabilitation of individuals with various brain disorders. Most valuable in this respect has proved to be neurofeedback. We have concentrated on the most important contributions of Prof. Pąchalska in the implementation and development of these new ideas on brain functioning. We also emphasize the fact that her theoretical considerations are firmly based upon her extensive (forty years) work with brain damaged patients.


2016 ◽  
Vol 24 (9) ◽  
pp. 1293-1303 ◽  
Author(s):  
Rahmatollah Parandin ◽  
Morteza Behnam-Rassouli ◽  
Nasser Mahdavi-Shahri

1998 ◽  
Vol 12 (6) ◽  
pp. 565-573 ◽  
Author(s):  
William J. Swartz ◽  
Victor P. Eroschenko

2018 ◽  
Vol 10 (8) ◽  
pp. 2
Author(s):  
Helena Benito Naverac

La anestesia neuroaxial es la técnica de elección para el parto por cesárea, de esta forma se evita la instrumentación de la vía aérea, la exposición fetal a los efectos tóxicos de los anestésicos generales sobre el cerebro en desarrollo  y el efecto relajante de los agentes inhalados sobre el útero. ABSTRACT Neuraxial anesthesia is the standard technique for a cesarean delivery; this way airway implementation, fetal exposure to toxic effects of general anesthetics on the developing brain and relaxing effect of inhalant agents in utero are avoided.


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