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Peer-reviewed journal article

Propofol anesthesia destabilizes neural dynamics across cortex

Adam J. EiseniD, Leo KozachkoviD, André M. BastosiD, Jacob DonoghueiD, Meredith K. MahnkeiD, Scott L. BrincatiD, Sarthak ChandraiD, John TauberiD, Emery N. BrowniD, Ila FieteiD, Earl K. MilleriD

Abstract

Every day, hundreds of thousands of people undergo general anesthesia. One hypothesis is that anesthesia disrupts dynamic stability, the ability of the brain to balance excitability with the need to be stable and thus controllable. We tested this hypothesis using a new method for quantifying population-level dynamic stability in complex systems, Delayed Linear Analysis for Stability Estimation (DeLASE). Propofol was used to transition animals between the awake state and anesthetized unconsciousness. DeLASE was applied to macaque cortex local field potentials (LFPs). We found that neural dynamics were more unstable in unconsciousness compared to the awake state. Cortical trajectories mirrored predictions from destabilized linear systems. We mimicked the effect of propofol in simulated neural networks by increasing inhibitory tone. Paradoxically, increased inhibition also destabilized the networks. Our results suggest that anesthesia disrupts dynamical stability that is required for consciousness.

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