Ogawa T, Shingu K, Shibata M, Osawa M, Mori K
Department of Anesthesia, Kyoto University Hospital, Japan.
Can J Anaesth. 1992 Oct;39(8):862-72. doi: 10.1007/BF03008298.
The effects of halothane, isoflurane, and enflurane on background neuronal activity and reactive capability in the central nervous system were studied in cats. The background neuronal activity was assessed by midbrain reticular cell firing, which was measured by the method of multi-unit activity, and the EEG in the cortex, amygdala, and hippocampus. The reactive capability was assessed by evoked responses in the visual neuronal pathway. All anaesthetics studied suppressed reticular cell firing in a dose-dependent manner, and the suppression by halothane (43.8 +/- 10.3% of control, mean +/- SD) was less than isoflurane (66.5 +/- 5.8%, P < 0.01) and enflurane (73.1 +/- 8.8%, P < 0.05) at 1 MAC. Spontaneous EEG spikes developed at 4.8% isoflurane and 3.6% enflurane anaesthesia. Phasic activation of reticular cell firing was associated with EEG spikes during isoflurane and enflurane anaesthesia, and the activation during enflurane anaesthesia was greater than during isoflurane anaesthesia (P < 0.01). Photic stimulation provoked EEG spikes and repetitive stimulation induced seizure activity only at 3.6% enflurane anaesthesia. Halothane and isoflurane suppressed stimulation induced responses in the visual neuronal pathway. The amplitudes of N1 in visual cortical evoked responses induced by photic stimulation were suppressed to 70.1 +/- 24.5% of control at 2.4% halothane and 39.3 +/- 27.3% at 4.8% isoflurane. Enflurane, at 3.6%, augmented the evoked response induced by photic stimulation (398.4 +/- 83.0% of control in the amplitude of N1). These results indicate that all the agents studied had suppressive actions on background neuronal activity in the order halothane < isoflurane = enflurane. The effects on reactive capability were divergent among agents, e.g., enflurane enhanced, halothane suppressed, and the actions of isoflurane were intermediate. We conclude that the anaesthetic effects on background activity and on reactive capability are divergent and that suppression of reactive capability is a factor in determining the ease of clinical application of the anaesthetics.
在猫身上研究了氟烷、异氟烷和安氟烷对中枢神经系统背景神经元活动及反应能力的影响。通过中脑网状细胞放电评估背景神经元活动,采用多单位活动记录法进行测量,并记录皮质、杏仁核和海马的脑电图。通过视觉神经元通路的诱发反应评估反应能力。所有研究的麻醉药均以剂量依赖方式抑制网状细胞放电,在1个最低肺泡有效浓度(MAC)时,氟烷的抑制作用(为对照的43.8±10.3%,均值±标准差)小于异氟烷(66.5±5.8%,P<0.01)和安氟烷(73.1±8.8%,P<0.05)。在4.8%异氟烷和3.6%安氟烷麻醉时出现自发脑电图棘波。在异氟烷和安氟烷麻醉期间,网状细胞放电的相位激活与脑电图棘波相关,且安氟烷麻醉期间的激活程度大于异氟烷麻醉期间(P<0.01)。仅在3.6%安氟烷麻醉时,光刺激诱发脑电图棘波,重复刺激诱发癫痫活动。氟烷和异氟烷抑制视觉神经元通路的刺激诱发反应。在2.4%氟烷时,光刺激诱发的视觉皮质诱发反应中N1波幅被抑制至对照的70.1±24.5%,在4.8%异氟烷时为39.3±27.3%。在3.6%时,安氟烷增强光刺激诱发的反应(N1波幅为对照的398.4±83.0%)。这些结果表明,所有研究药物对背景神经元活动均有抑制作用,顺序为氟烷<异氟烷=安氟烷。各药物对反应能力的影响不同,例如,安氟烷增强、氟烷抑制,而异氟烷的作用介于两者之间。我们得出结论,麻醉药对背景活动和反应能力的影响不同,且反应能力的抑制是决定麻醉药临床应用难易程度的一个因素。