Abstract
AbstractKetamine is a valuable anaesthetic and analgesic that in recent years has gained notoriety as a recreational drug. Recently, ketamine has also been proposed as a novel treatment for depression and post-traumatic stress disorder. Beyond its anaesthetic actions, however, the effects of ketamine on brain activity have rarely been probed. Here we examined the cortical electroencephalography (EEG) response to ketamine of 12 sheep. Following ketamine administration, EEG changes were immediate and widespread, affecting the full extent of the EEG frequency spectrum measured (0–125 Hz). After recovery from sedation during which low frequency activity dominated, the EEG was characterised by short periods (2–3 s) of alternating low (<14 Hz) and high (>35 Hz) frequency oscillation. This alternating EEG rhythm phase is likely to underlie the dissociative actions of ketamine, since it is during this phase that ketamine users report hallucinations. At the highest intravenous dose used (24 mg/kg), in 5/6 sheep we observed a novel effect of ketamine, namely the complete cessation of cortical EEG activity. This persisted for up to several minutes, after which cortical activity resumed. This phenomenon is likely to explain the ‘k-hole’, a state of oblivion likened to a near death experience that is keenly sought by ketamine abusers.
Publisher
Springer Science and Business Media LLC
Reference31 articles.
1. Mazzeffi, M., Johnson, K. & Paciullo, C. Ketamine in adult cardiac surgery and the cardiac surgery intensive care unit: an evidence-based clinical review. Ann. Cardiac Anaesth. 18, 202–209 (2015).
2. Vadivelu, N. et al. Role of ketamine for analgesia in adults in children. J. Anaesthesiol. Clin. Pharmacol. 32, 298–306 (2016).
3. Vuyk, J., Sitsen, E. & Reekers, M. Intravenous anesthetics in Miller’s Anesthesia (ed. Miller, R. D.) 8th edition (Elsevier Saunders, 2015), Philadelphia.
4. Lin, H. C., Passler, T., Wilborn, R. R., Taintor, J. S. & Caldwell, F. J. A review of the general pharmacology of ketamine and its clinical use for injectable anaesthesia in horses. Equine Vet. Educ. 27, 146–155 (2015).
5. Zaremba, S., Chamberlin, N. L. & Eikermann, M. Sleep medicine in Miller’s Anesthesia (ed. Miller, R. D.) 8th edition (Elsevier Saunders, 2015), Philadelphia.
Cited by
18 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献