The Influence of Vasopressor-Induced Arterial Blood Pressure Elevation on Muscle-Recorded Motor Evoked Potentials

Elevation of MAP is associated with significantly higher Tc-mMEP amplitudes, AUCs, and lower voltage threshold. When corrected for BIS, propofol concentration, and use of ephedrine, the associations between increasing MAP and Tc-mMEP characteristics were largely attenuated. BIS values significantly increased by increasing MAP, when corrected for propofol concentration. Thereby, our results imply that increasing MAP increases the cortical excitability.

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Publication Details

Journal
Anesthesia & Analgesia
Published
2025-09-05
DOI
https://doi.org/10.1213/ane.0000000000007701
Primary Topic
Intraoperative Neuromonitoring and Anesthetic Effects
Type
article
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article

The Influence of Vasopressor-Induced Arterial Blood Pressure Elevation on Muscle-Recorded Motor Evoked Potentials

Rob J. M. Groen, Katalin Tamási, Bianca M. Dijkstra, Marko Sahinovic et al.
Anesthesia & Analgesia
Intraoperative Neuromonitoring and Anesthetic Effects
article

The Influence of Vasopressor-Induced Arterial Blood Pressure Elevation on Muscle-Recorded Motor Evoked Potentials

Rob J. M. Groen, Katalin Tamási, Bianca M. Dijkstra, Marko Sahinovic, Sebastiaan E. Dulfer, Gea Drost, Anthony Ray Absalom, Lilian M. Mennink, Fiete Lange, Christopher Faber, Frits Hein Wapstra, Thouraya J. Dil
article en

Abstract

Elevation of MAP is associated with significantly higher Tc-mMEP amplitudes, AUCs, and lower voltage threshold. When corrected for BIS, propofol concentration, and use of ephedrine, the associations between increasing MAP and Tc-mMEP characteristics were largely attenuated. BIS values significantly increased by increasing MAP, when corrected for propofol concentration. Thereby, our results imply that increasing MAP increases the cortical excitability.

Anesthesia & AnalgesiaVol. 142(4)
University Medical Center Groningen (NL), University of Groningen (NL), Universitas Airlangga (ID)
Openalex Percentile: Top 62%
Intraoperative Neuromonitoring and Anesthetic Effects
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