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在高压条件下麻醉期间对大鼠一氧化二氮最低肺泡有效浓度(MAC)进行直接测量及神经监测。

Direct measurement of nitrous oxide MAC and neurologic monitoring in rats during anesthesia under hyperbaric conditions.

作者信息

Russell G B, Graybeal J M

机构信息

Department of Anesthesia, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey 17033.

出版信息

Anesth Analg. 1992 Dec;75(6):995-9. doi: 10.1213/00000539-199212000-00020.

DOI:10.1213/00000539-199212000-00020
PMID:1443718
Abstract

The minimum alveolar concentration (MAC) of nitrous oxide necessary to prevent purposeful movement in rats has not been directly measured; rather, it has been extrapolated because the required partial pressure exceeds 760 mm Hg, or 1 atm absolute pressure (ATA). Values reported have ranged from 1.36 to 2.20 ATA (136-220 vol%, or 1034-1672 mm Hg). By maintaining general anesthesia at 2.25 ATA (1710 mm Hg), we directly measured the nitrous oxide MAC in 17 Long-Evans rats during mechanical ventilation and monitoring of two-channel electroencephalogram, compressed spectral array and cortical evoked potentials, electrocardiograph, and respiratory and anesthetic gases by mass spectrometry. After a minimal stabilization period of 30 min during ventilation by 1.8 ATA nitrous oxide and 0.45 ATA oxygen, MAC measurements were begun. Each rat was given up to three noxious electrical stimulations of 50 V by 10-ms-duration pulses at 50/s for 45 s. The partial pressure of nitrous oxide was decreased by approximately 10% after each negative response. The MAC was taken as the nitrous oxide concentration midway between that at which there was no response and that at which the rat moved purposefully. The nitrous oxide MAC in Long-Evans rats was determined to be 1.55 +/- 0.16 ATA (mean +/- SD). Hyperbaric nitrous oxide decreased electroencephalogram wave frequency to a predominantly theta rhythm of increased amplitude. Cortical evoked potentials had decreased wave amplitudes and increased latencies with increasing partial pressures > 0.75 ATA.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

尚未直接测量出防止大鼠出现有目的运动所需的氧化亚氮最低肺泡浓度(MAC);相反,由于所需分压超过760毫米汞柱或1个绝对大气压(ATA),所以是通过外推法得出的。报告的数值范围为1.36至2.20 ATA(136 - 220体积%,即1034 - 1672毫米汞柱)。通过将全身麻醉维持在2.25 ATA(1710毫米汞柱),我们在机械通气期间并通过双通道脑电图、压缩谱阵和皮质诱发电位、心电图以及通过质谱法监测呼吸和麻醉气体的情况下,直接测量了17只Long - Evans大鼠的氧化亚氮MAC。在通过1.8 ATA氧化亚氮和0.45 ATA氧气进行通气的30分钟最短稳定期后,开始进行MAC测量。每只大鼠接受高达三次50伏、持续时间10毫秒、频率50次/秒、持续45秒的有害电刺激。每次阴性反应后,氧化亚氮的分压降低约10%。MAC被视为无反应时和大鼠有目的运动时氧化亚氮浓度的中间值。Long - Evans大鼠的氧化亚氮MAC测定为1.55 +/- 0.16 ATA(平均值 +/- 标准差)。高压氧化亚氮使脑电图波频率降低至主要为振幅增加的θ节律。随着分压> 0.75 ATA增加,皮质诱发电位的波幅降低且潜伏期延长。(摘要截断于250字)

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