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氟烷、异氟烷和甲氧氟烷对马脑电图影响的比较。

Comparison of the effects of halothane, isoflurane and methoxyflurane on the electroencephalogram of the horse.

作者信息

Johnson C B, Taylor P M

机构信息

Department of Clinical Veterinary Science, University of Bristol, Langford.

出版信息

Br J Anaesth. 1998 Nov;81(5):748-53. doi: 10.1093/bja/81.5.748.

DOI:10.1093/bja/81.5.748
PMID:10193288
Abstract

We have investigated in eight ponies the effects of three different end-tidal concentrations of halothane, isoflurane and methoxyflurane on median (F50) and 95% spectral edge (F95) frequencies of the EEG and the second differential (DD) of the middle latency auditory evoked potential (MLAEP). The three concentrations of each agent were chosen to represent approximately the minimum alveolar concentration (MAC), 1.25 MAC and 1.5 MAC for each agent. During halothane anaesthesia, F95 decreased progressively as halothane concentration increased, from mean 13.9 (SD 2.6) at 0.8% to 11.9 (1.1) at 1.2%. DD was lower during anaesthesia with the highest concentration (21 (6.5)) compared with the lowest (27.6 (11.4)). There were no significant changes in F50. During isoflurane anaesthesia, there was a small, but significant increase in F95 between the intermediate and highest concentrations (10.2 (1.5) to 10.8 (1.6)). There were no changes in F50 and DD. Values of F95, F50 and DD at all isoflurane concentrations were similar to those of halothane at the highest concentration. During methoxyflurane anaesthesia, F95 and F50 decreased progressively as methoxyflurane concentration was increased, from 21.3 (0.7) and 6.5 (1), respectively, at 0.26%, to 20.1 (0.6) and 5.6 (0.8), respectively, at 0.39%. DD was lower during anaesthesia with the highest concentration of methoxyflurane (25.7 (7.8)) compared with the lowest (39.7 (20.6)). Values of F95, F50 and DD at all methoxyflurane concentrations were higher than those seen with halothane at the lowest concentration. The different relative positions of the dose-response curves for EEG and MLAEP changes compared with antinociception (MAC) changes suggest differences in the mechanisms of action of these three agents. These differences may explain the incomplete adherence to the Meyer-Overton rule.

摘要

我们在八匹小马身上研究了三种不同呼气末浓度的氟烷、异氟烷和甲氧氟烷对脑电图的中位频率(F50)和95%频谱边缘频率(F95)以及中潜伏期听觉诱发电位(MLAEP)的二阶导数(DD)的影响。每种药物的三种浓度分别选择为大致代表每种药物的最低肺泡浓度(MAC)、1.25 MAC和1.5 MAC。在氟烷麻醉期间,随着氟烷浓度的增加,F95逐渐降低,从0.8%时的平均13.9(标准差2.6)降至1.2%时的11.9(1.1)。与最低浓度相比,最高浓度(21(6.5))麻醉期间的DD较低(27.6(11.4))。F50无显著变化。在异氟烷麻醉期间,中间浓度和最高浓度之间F95有小幅但显著的增加(从10.2(1.5)增至10.8(1.6))。F50和DD无变化。所有异氟烷浓度下的F95、F50和DD值与氟烷最高浓度时的值相似。在甲氧氟烷麻醉期间,随着甲氧氟烷浓度的增加,F95和F50逐渐降低,分别从0.26%时的21.3(0.7)和6.5(1)降至0.39%时的20.1(0.6)和5.6(0.8)。与最低浓度相比,最高浓度甲氧氟烷麻醉期间的DD较低(25.7(7.8))(39.7(20.6))。所有甲氧氟烷浓度下的F95、F50和DD值高于氟烷最低浓度时的值。脑电图和MLAEP变化的剂量反应曲线与抗伤害感受(MAC)变化相比的不同相对位置表明这三种药物的作用机制存在差异。这些差异可能解释了对迈耶-奥弗顿法则的不完全遵循。

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