Abstract

There is evidence from neuropsychological and psychophysical measurements that conscious sensory information is processed in discrete time segments. The segmentation process may be described as neuronal activity at a frequency of 40 Hz. Stimulus-induced neuronal activities of this frequency are found in the middle latency range of the auditory evoked potential . First, we have studied the effects of different general anesthetics on MLAEP and auditory evoked 40-Hz activity. Second, we investigated MLAEP and explicit and implicit memory for information presented during cardiac anesthesia. In the awake patients peak latencies of the MLAEP were in the normal range. An auditory evoked 40-Hz activity was present 20–100 ms poststimulus. Under nonspecific anesthetics MLAEP and the 40-Hz activity were suppressed, and under receptor-specific agents MLAEP and the 40-Hz activity were partly preserved. None of the cardiac patients had conscious explicit recall of the intraoperative events, whereas some patients showed unconscious implicit memory for an intraoperative tape message. The implicit memory could be related to midlatency auditory evoked potentials. No implicit memory was detectable when MLAEP and the primary cortical processing of the auditory stimuli and 40-Hz activity were blocked. Implicit memory could be detected in more than 50% of the cases when MLAEP, a 30-Hz activity, and the primary cortical stimulus processing were preserved. In conclusion, our observations support the view that a high frequency oscillatory mechanisms, recorded as a grouped neuronal activity in the MLAEP, may be part of a basic neuronal program for conscious sensory information processing