General Anesthetics Effects on Circadian Temporal Structure: An Update |
| |
Authors: | Garance Dispersyn Laure Pain Etienne Challet |
| |
Institution: | 1. Faculté de Médecine Pierre et Marie Curie, Service de Biochimie Médicale et Biologie Moléculaire, INSERM U713, Paris, France;2. INSERM U666 (GRERCA), CRBS, Faculté de Médecine, Université Louis Pasteur, Strasbourg, France;3. Département de Neurobiologie des Rythmes, Institut de Neurosciences Cellulaires et Intégratives, CNRS (UMR7168), Université Louis Pasteur, Strasbourg, France |
| |
Abstract: | Disruptions of circadian and biological rhythms as well as general anesthesia can induce sleep disorders, resulting in an increase in sleepiness and drowsiness and a decrease in vigilance. It has been previously shown that circadian time can influence the pharmacologic sensitivity and the duration of action of general anesthetics. Studies on interactions between general anesthesia and circadian rhythms are few, but all of them suggest an important role of general anesthetics on circadian rhythms. General anesthesia is a particular wake‐sleep state that could potentially alter circadian rhythms on the days following anesthesia. The aim of this review is to discuss the various effects of general anesthesia on animal and human circadian time structure. This topic is highly relevant to clinicians, especially those involved in that field of ambulatory practice responsible for post‐operative patient care, including patient recovery and fatigue. |
| |
Keywords: | Propofol anesthesia Sleep‐wake cycle Cortisol Melatonin Temperature |
|
|