Letter to Editor

Sleep and Anesthesia: Two Different Analogous

Abstract

"In its simplest and most positive terms, sleep is a desired state of unconsciousness". Anesthesia in the contrary is another type of “desired unconsciousness”. However, they are actually like the two unequal twins sharing some features but different in others. Sleep and anesthesia are different in several aspects making them unique neu-rophysiologic states with complex mechanisms of action. Here, we aimed to compare these two states concisely, that may be a source of more interesting scientific pearls for whom working in this field especially sleep medicine specialists.

1. American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events. Darien, IL: AASM; 2007.
2. Eikermann M, Zaremba S. Sleep medicine. In:Gropper MA, Miller RD, editors. Miller's anesthesia; 9th ed. Philadelphia, PA: Elsevier; 2020. p. 267-93.
3. Saper CB, Fuller PM, Pedersen NP, et al. Sleep stateswitching. Neuron 2010; 68: 1023-42.
4. Moore JT, Chen J, Han B, et al. Direct activation of sleep-promoting VLPO neurons by volatile anesthetics contributes to anesthetic hypnosis. Curr Biol 2012; 22:2008-16.
5. Eikermann M, Vetrivelan R, Grosse-Sundrup M, et al. The ventrolateral preoptic nucleus is not required for isoflurane general anesthesia. Brain Res 2011;1426: 30-7.
6. Tung A, Szafran MJ, Bluhm B, et al. Sleep deprivation potentiates the onset and duration of loss of righting reflex induced by propofol and isoflurane. Anesthesiology 2002; 97: 906-11.
7. Pal D, Lipinski WJ, Walker AJ, et al. State-specific effects of sevoflurane anesthesia on sleep homeostasis: Selective recovery of slow wave but not rapid eye movement sleep. Anesthesiology 2011; 114: 302-10.
8. Nelson LE, Guo TZ, Lu J, et al. The sedative component of anesthesia is mediated by GABA(A) receptors in an endogenous sleep pathway. Nat Neurosci 2002; 5: 979-84.
9. Brown EN, Lydic R, Schiff ND. General anesthesia, sleep, and coma. N Engl J Med 2010; 363: 2638-50.
10. Leung LS, Luo T, Ma J, et al. Brain areas that influence general anesthesia. Prog Neurobiol 2014; 122: 24-44.
11. Kochs E, Bischoff P, Pichlmeier U, et al. Surgical stimulation induces changes in brain electrical activity during isoflurane/nitrous oxide anesthesia. A topographic electroencephalographic analysis. Anesthesiology 1994; 80: 1026-34.
12. Alkire MT, Hudetz AG, Tononi G. Consciousness and anesthesia. Science 2008; 322: 876-80.
13. Lu J, Nelson LE, Franks N, et al. Role of endogenous sleep-wake and analgesic systems in anesthesia. J
Comp Neurol 2008; 508: 648-62.
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IssueVol 4 No 3-4 (2019): Summer-Autumn QRcode
SectionLetter to Editor
Keywords
Sleep Anesthesia Sleep Medicine

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How to Cite
1.
Samadi S, Najafi A. Sleep and Anesthesia: Two Different Analogous. J Sleep Sci. 2020;4(3-4):91-92.