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氟烷在犬体内的药代动力学。个体理论与测量值的比较。

Pharmacokinetics of halothane in the dog. Comparison of theory and measurement in individuals.

作者信息

Allott P R, Steward A, Mapleson W W

出版信息

Br J Anaesth. 1976 Apr;48(4):279-95. doi: 10.1093/bja/48.4.279.

Abstract

After surgical preparation under pentobarbitone anaesthesia seven dogs of mean body weight 31 kg were ventilated with 1% halothane for 80 min. At 1, 2, 5, 10, 20, 40 and 80 min after the start of the halothane administration blood samples were taken from the femoral artery and pulmonary artery and from a cerebral, a renal and a femoral vein. At 80 min a biopsy sample of skeletal muscle (psoas) was taken. The halothane tension in all samples was determined by extraction into carbon tetrachloride followed by gas chromatographic analysis using chloroform as an internal standard. The measured tensions were compared with tensions computed from a multi-compartment model of the uptake and distribution of halothane in the body. The model was quantified by measurements, in each individual, of total body mass, the masses of the major organs and the solubility of halothane in the major organs and tissues; by measurements of blood volume and solubility in blood at the start and finish of the halothane administration; and by repeated measurements of alveolar ventilation, cardiac output and body temperature. For the original version of the model, the computed tensions deviated from the measured tensions to an extent greater than could be attributed to experimental error and in a manner which could be attributed to metabolism of halothane and probably to direct diffusion of halothane from well-perfused organs and lean tissues into fat. Direct experimental evidence of diffusion into perirenal fat was obtained in supplementary experiments. With the quantitation of the model distorted to mimic the processes of metabolism and diffusion, measured arterial tensions could be predicted with a mean error of -0.2 mm Hg (SD 0.6 mm Hg). The mean measured arterial tension was 3.5 mm Hg.

摘要

在戊巴比妥麻醉下进行手术准备后,对7只平均体重31千克的狗用1%氟烷通气80分钟。在开始给予氟烷后的1、2、5、10、20、40和80分钟,从股动脉、肺动脉以及脑静脉、肾静脉和股静脉采集血样。在80分钟时,采集骨骼肌(腰大肌)活检样本。所有样本中的氟烷张力通过萃取到四氯化碳中,然后以氯仿作为内标进行气相色谱分析来测定。将测得的张力与根据氟烷在体内摄取和分布的多室模型计算出的张力进行比较。该模型通过测量每个个体的总体重、主要器官的质量以及氟烷在主要器官和组织中的溶解度进行量化;通过在氟烷给药开始和结束时测量血容量和在血液中的溶解度;以及通过重复测量肺泡通气、心输出量和体温来量化。对于模型的原始版本,计算出的张力与测得的张力的偏差程度大于可归因于实验误差的程度,且偏差方式可归因于氟烷的代谢,可能还归因于氟烷从灌注良好的器官和瘦组织直接扩散到脂肪中。在补充实验中获得了氟烷扩散到肾周脂肪的直接实验证据。对模型进行量化以模拟代谢和扩散过程后,预测的动脉张力平均误差为-0.2毫米汞柱(标准差0.6毫米汞柱)。测得的平均动脉张力为3.5毫米汞柱。

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