Roth S H, Smith R A, Paton W D
Br J Anaesth. 1976 Jul;48(7):621-8. doi: 10.1093/bja/48.7.621.
Experiments to investigate pressure-induced antagonism of the effects of general anaesthetics in isolated peripheral nerve from the frog are described. The doses of four gaseous general anaesthetic agents required to reduce electrically evoked action potentials by 50% (mean +/- SEM) were nitrous oxide 490 +/- 40.4 kPa, ethylene 665 +/- 212 kPa, dichlorodifluoromethane 108 +/- 17.2 kPa and cyclopropane 70 +/- 5 kPa. The combination of high pressure and the anaesthetic agent partially or completely restored the action potential amplitudes for the gaseous and some of the volatile agents (chloroform, diethyl ether, helothane). However, reversal of the effects of other volatile agents (ethanol, butanol), sodium pentobarbitone and two local anaesthetic agents (procaine, dibucaine) did not occur. The pressures used to effect a reversal were less than anticipated. This apparent inconsistency with the critical volume hypothesis for anaesthesia is discussed.
本文描述了研究压力诱导对青蛙离体外周神经全身麻醉药作用产生拮抗的实验。使电诱发动作电位降低50%(平均值±标准误)所需的四种气态全身麻醉药剂量分别为:氧化亚氮490±40.4 kPa、乙烯665±212 kPa、二氯二氟甲烷108±17.2 kPa和环丙烷70±5 kPa。高压与麻醉药的联合使用部分或完全恢复了气态及某些挥发性药物(氯仿、乙醚、氟烷)的动作电位幅度。然而,其他挥发性药物(乙醇、丁醇)、戊巴比妥钠和两种局部麻醉药(普鲁卡因、丁卡因)的作用未发生逆转。用于实现逆转的压力低于预期。本文讨论了这一现象与麻醉的临界容积假说明显不一致的情况。