Sleep, pain, and cognition: modifiable targets for optimal perioperative brain health

BP O'Gara, L Gao, ER Marcantonio… - Anesthesiology, 2021 - pubs.asahq.org
The prevention of perioperative neurocognitive disorders is a priority for patients, families,
clinicians, and researchers. Given the multiple risk factors present throughout the …

The inescapable drive to sleep: Overlapping mechanisms of sleep and sedation

NP Franks, W Wisden - Science, 2021 - science.org
Common human experience is that a long period without sleep is unsustainable, and it is
also detrimental to health and behavior. The powerful and primal urge to sleep after sleep …

Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery (MINDDS): a single-centre, parallel-arm, randomised …

JZ Qu, A Mueller, TB McKay, MB Westover… - …, 2023 - thelancet.com
Background The delirium-sparing effect of nighttime dexmedetomidine has not been studied
after surgery. We hypothesised that a nighttime dose of dexmedetomidine would reduce the …

Perioperative brain health in the older adult: a patient safety imperative

S Vacas, C Canales, SG Deiner… - Anesthesia & Analgesia, 2022 - journals.lww.com
While people 65 years of age and older represent 16% of the population in the United
States, they account for> 40% of surgical procedures performed each year. Maintaining …

Recent advances in the clinical value and potential of dexmedetomidine

X Liu, Y Li, L Kang, Q Wang - Journal of Inflammation Research, 2021 - Taylor & Francis
Dexmedetomidine, a highly selective α2-adrenoceptor agonist, has sedative, anxiolytic,
analgesic, sympatholytic, and opioid-sparing properties and induces a unique sedative …

Effect of dexmedetomidine on postoperative sleep quality: a systematic review

X Huang, D Lin, Y Sun, A Wu, C Wei - Drug design, development …, 2021 - Taylor & Francis
In this article, we conduct a systematic review of the literature to explore the specific role of
dexmedetomidine (DEX) on postoperative sleep and its associated mechanisms at present …

Entorhinal cortical delta oscillations drive memory consolidation

J Haam, S Gunin, L Wilson, S Fry, B Bernstein… - Cell reports, 2023 - cell.com
Long-term memories are formed by creating stable memory representations via memory
consolidation, which mainly occurs during sleep following the encoding of labile memories …

NMDA receptors in the lateral preoptic hypothalamus are essential for sustaining NREM and REM sleep

G Miracca, B Anuncibay-Soto, K Tossell… - Journal of …, 2022 - Soc Neuroscience
The lateral preoptic (LPO) hypothalamus is a center for NREM and REM sleep induction and
NREM sleep homeostasis. Although LPO is needed for NREM sleep, we found that calcium …

mPFC spindle cycles organize sparse thalamic activation and recently active CA1 cells during non-REM sleep

C Varela, MA Wilson - Elife, 2020 - elifesciences.org
Sleep oscillations in the neocortex and hippocampus are critical for the integration of new
memories into stable generalized representations in neocortex. However, the role of the …

Application of opioid-free general anesthesia for gynecological laparoscopic surgery under ERAS protocol: a non-inferiority randomized controlled trial

L Chen, W He, X Liu, F Lv, Y Li - BMC anesthesiology, 2023 - Springer
Background Enhanced recovery after surgery (ERAS) is now widely used in various surgical
fields including gynecological laparoscopic surgery, but the advantages of opioid-free …