Propofol suppresses the cortical somatosensory evoked potential in rats

The dose-response curve for the effect of volatile anesthetics on the somatosensory evoked potential (SEP) is well described, but for propofol, the large dose segment of the curve is undefined. We describe the effect of increasing plasma concentrations of propofol on cortical SEPs in 18 rats. After surgical preparation under ketamine anesthesia, a remifentanil infusion was begun at 2.5, 5, or 10 mug . kg(-1) . min(-1). After 20 min, the propofol infusion was initiated at 20 mg . kg(-1) . h(-1) and was increased to 40, 60, and 80 mg . kg(-1) . h(-1) at 20-min intervals. SEP was recorded before remifentanil infusion, before propofol infusion rate changes, and 30 min after discontinuing propofol infusion. In six additional rats, the plasma concentrations of propofol after each 20-min infusion were measured using gas chromatography. Remifentanil did not have a significant effect, but propofol significantly depressed the SEP amplitude and prolonged the latency at infusion rates of 40 mg . kg(-1) . h(-1) and more. Propofol's effect was dose-dependent, but even at 80 mg . kg(-1) . h(-1) with an estimated plasma concentration of 31.6 +/- 3.4 mug/mL (10.8 50% effective concentration), a measurable response was present in 44.5% of rats. These results suggest that even at large doses, propofol and remifentanil provide adequate conditions for SEP monitoring.