Barter L S, Ilkiw J E, Steffey E P, Pypendop B H, Imai A
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, USA.
Br J Anaesth. 2004 Feb;92(2):275-7. doi: 10.1093/bja/aeh047.
The minimum alveolar concentration (MAC) of an inhaled anaesthetic describes its potency as a general anaesthetic. Individuals vary in their sensitivity to anaesthetics and we sought to determine whether an individual animal's sensitivity to inhaled anaesthetics would be maintained across different agents.
Six female mongrel cats, age 2 yr (range 1.8-2.3) and mean weight 3.5 (SD 0.3) kg, were studied on three separate occasions over a 12-month period to determine the MAC of isoflurane, sevoflurane and desflurane. Induction of anaesthesia in a chamber was followed by orotracheal intubation and maintenance of anaesthesia with the inhaled agent in oxygen delivered via a non-rebreathing circuit. MAC was determined in triplicate using standard tail-clamp technique.
Mean MAC values for isoflurane, sevoflurane and desflurane were 1.90 (SD 0.18), 3.41 (0.65) and 10.27 (1.06)%, respectively. Body temperature, systolic pressure and Sp(O(2)) recorded at the time of MAC determinations for isoflurane, sevoflurane and desflurane were 38.3 (0.3), 38.6 (0.1) and 38.3 (0.3) degrees C; 71.2 (8.3), 74.6 (15.9) and 88.0 (12.0) mmHg; 99.2 (1.1), 99.1 (1.3) and 99.4 (0.8)%, respectively. Both the anaesthetic agent and the individual cat had significant effects on MAC. Correlation coefficients for comparisons between desflurane and isoflurane, desflurane and sevoflurane, and sevoflurane and isoflurane were 0.90, 0.89 and 0.97, respectively.
These findings show that an individual has a consistent degree of sensitivity to a variety of inhaled anaesthetics, suggesting a genetic basis for sensitivity to inhaled anaesthetic effects.
吸入麻醉药的最低肺泡有效浓度(MAC)描述了其作为全身麻醉药的效能。个体对麻醉药的敏感性存在差异,我们试图确定个体动物对吸入麻醉药的敏感性在不同药物之间是否保持一致。
在12个月的时间里,对6只2岁(年龄范围1.8 - 2.3岁)、平均体重3.5(标准差0.3)kg的雌性杂种猫进行了3次独立研究,以确定异氟烷、七氟烷和地氟烷的MAC。在麻醉箱中诱导麻醉后进行气管插管,并通过无重复吸入回路在氧气中使用吸入药物维持麻醉。使用标准的尾夹技术对MAC进行三次测定。
异氟烷、七氟烷和地氟烷的平均MAC值分别为1.90(标准差0.18)%、3.41(0.65)%和10.27(1.06)%。在测定异氟烷、七氟烷和地氟烷MAC时记录的体温、收缩压和Sp(O₂)分别为38.3(0.3)℃、38.6(0.1)℃和38.3(0.3)℃;71.2(8.3)mmHg、74.6(15.9)mmHg和88.0(12.0)mmHg;99.2(1.1)%、99.1(1.3)%和99.4(0.8)%。麻醉药和个体猫对MAC均有显著影响。地氟烷与异氟烷、地氟烷与七氟烷、七氟烷与异氟烷之间比较的相关系数分别为0.90、0.89和0.97。
这些发现表明个体对多种吸入麻醉药具有一致程度的敏感性,提示对吸入麻醉药作用的敏感性存在遗传基础。