Koblin D D, Laster M J, Ionescu P, Gong D, Eger E I, Halsey M J, Hudlicky T
Department of Anesthesia, Veteran's Administration Hospital, San Francisco, California, USA.
Anesth Analg. 1999 May;88(5):1161-7. doi: 10.1097/00000539-199905000-00036.
The several potent inhaled anesthetics released for clinical use in the past four decades have been halogenated ethers, and, with one exception, methyl ethyl ethers. In the present report, we detail some structural and physical properties associated with anesthetic potency in 27 polyhalogenated methyl ethyl ethers. We obtained new data for 22 compounds. We used response/nonresponse of rats to electrical stimulation of the tail as the anesthetic end point (i.e., we measured the minimum alveolar anesthetic concentration [MAC]). For compounds that did not produce anesthesia when given alone (they only produced excitation/convulsions), we studied MAC by additivity studies with desflurane. We obtained MAC values for 20 of 22 of the studied ethers, which gave products of MAC x oil/gas partition coefficient ranging from 1.27 to 18.8 atm, compared with a product of 1.82+/-0.56 atm for conventional inhaled anesthetics. Despite solubilities in olive oil and application of partial pressures predicted by the Meyer-Overton hypothesis to provide anesthesia, 2 of 22 ethers (CCIF2OCCIFCF3 and CCIF2OCF2CClF2) had no anesthetic (immobilizing) effect when given alone, did not decrease the anesthetic requirement for desflurane, and had excitatory properties when administered alone. As with other inhaled anesthetics, anesthetic potency seemed to correlate with both polar and nonpolar properties. These ethers, representing structural analogs of currently used clinical volatile anesthetics, may be useful in identifying and understanding the mechanisms by which inhaled anesthetics act.
The several potent, inhaled, polyhalogenated methyl ethyl ether anesthetics released for clinical use in the past four decades seem to have specific useful characteristics that set them apart from other methyl ethyl ethers. Properties of this class of compounds have implications for the future development of anesthetics and the mechanisms by which they act.
在过去四十年中获批用于临床的几种强效吸入麻醉剂均为卤代醚,只有一种除外,即甲乙醚。在本报告中,我们详细阐述了27种多卤代甲乙醚中与麻醉效能相关的一些结构和物理性质。我们获得了22种化合物的新数据。我们将大鼠对尾部电刺激的反应/无反应作为麻醉终点(即,我们测量了最低肺泡麻醉浓度[MAC])。对于单独给药时不产生麻醉作用(仅产生兴奋/惊厥)的化合物,我们通过与地氟烷的相加性研究来研究MAC。我们获得了所研究的22种醚中20种的MAC值,其MAC与油/气分配系数的乘积范围为1.27至18.8个大气压,而传统吸入麻醉剂的该乘积为1.82±0.56个大气压。尽管这些醚在橄榄油中有溶解性,且应用了迈耶-奥弗顿假说预测的分压来提供麻醉,但22种醚中的2种(CCIF2OCCIFCF3和CCIF2OCF2CClF2)单独给药时没有麻醉(使动物不动)作用,不会降低地氟烷的麻醉需求,且单独给药时有兴奋特性。与其他吸入麻醉剂一样,麻醉效能似乎与极性和非极性性质均相关。这些醚作为目前临床使用的挥发性麻醉剂的结构类似物,可能有助于识别和理解吸入麻醉剂的作用机制。
在过去四十年中获批用于临床的几种强效吸入多卤代甲乙醚麻醉剂似乎具有使其有别于其他甲乙醚的特定有用特性。这类化合物的性质对麻醉剂的未来发展及其作用机制具有启示意义。