Table 2. Effect of different anesthetic agents on EEG

Anesthetic agents Frequency Amplitude Burst suppression
Volatile agents
 Anesthetic dose Frontal θ-β activity Yes, >1.5 MAC
 Increasing dose >1.5MAC Diffuse θ-δ→burst suppression→silence ↑→ 0
Nitrous oxide (alone) Frontal fast oscillatory activity (>30 Hz) ↑, especially with inspired concentration >50% No
Propofol
 Moderate dose Frontal δ, waxing-waning α Yes,
 Increasing high dose Diffuse δ→burst suppression→silence ↑↑→ 0 with high doses
Barbiturates
 Moderate dose Frontal α frequency spindles Yes,
 Increasing high dose Diffuse δ→burst suppression→silence ↑↑↑→ 0 with high doses
Benzodiazepines
 Low dose Loss of α, increased frontal β activity No
 High dose Frontally dominant δ and θ
Ketamine
 Moderate dose Frontal rhythmic θ No
 High dose Polymorphic δ, some β ↑↑ (β is low amplitude)
Etomidate
 Moderate dose Frontal α frequency Yes,
 Increasing high dose Diffuse δ→burst suppression→silence ↑↑→ 0 with high doses
Opioids
 Moderate dose Diffuse θ, some δ No
 High dose δ, often synchronized ↑↑
EEG: electroencephalogram; MAC: minimal alveolar concentration.