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七氟醚麻醉犬过程中听觉中潜伏期诱发电位变化的研究

Investigation of changes in the middle latency auditory evoked potential during anesthesia with sevoflurane in dogs.

作者信息

Murrell Joanna C, de Groot Harry N, Psatha Evdokia, Hellebrekers Ludo J

机构信息

Department of Clinical Sciences of Companion Animals, University Utrecht, Yalelaan 8, NL-3508 TD Utrecht, The Netherlands.

出版信息

Am J Vet Res. 2005 Jul;66(7):1156-61. doi: 10.2460/ajvr.2005.66.1156.

Abstract

OBJECTIVE

To investigate the middle latency auditory evoked potential (MLAEP) in awake dogs and dogs anesthetized with 2 concentrations of sevoflurane.

ANIMALS

10 adult Beagles.

PROCEDURE

The MLAEP was recorded while dogs were awake and anesthetized with sevoflurane (end-tidal concentration, 2.7% or 3.5%). Three needle electrodes were inserted SC, and click stimuli were delivered biaurally. Signal acquisition, averaging, and analysis were performed by use of computer software developed in-house. Signals were recorded for 128 milliseconds, and the responses to 1,024 stimuli were averaged. Waveforms from 10 recordings in each dog were averaged, and latencies of peaks were measured. Data acquired for awake dogs and dogs anesthetized with high and low sevoflurane concentrations were compared statistically.

RESULTS

Sevoflurane anesthesia attenuated the MLAEP so that only peaks P0, Na, and Pa could be identified. The MLAEP changes were maximal at the lower concentration of sevoflurane evaluated. The latencies of these peaks were significantly shorter in awake dogs, compared with values in anesthetized dogs. No difference in the peak latency was detected between the sevoflurane concentrations.

CONCLUSIONS AND CLINICAL RELEVANCE

In terms of CNS responsiveness, the effects of anesthesia with sevoflurane are similar to those of anesthesia with isoflurane. Data suggest that sevoflurane is not the inhalant agent of choice in a research setting where electroencephalographic measurements are to be recorded during anesthesia. The depression of the MLAEP waveform by sevoflurane also suggests that the MLAEP is not a suitable tool with which to monitor anesthetic depth during sevoflurane anesthesia in dogs.

摘要

目的

研究清醒犬和用两种浓度七氟醚麻醉的犬的中潜伏期听觉诱发电位(MLAEP)。

动物

10只成年比格犬。

方法

在犬清醒和用七氟醚麻醉(呼气末浓度为2.7%或3.5%)时记录MLAEP。皮下插入三根针电极,双耳给予短声刺激。使用内部开发的计算机软件进行信号采集、平均和分析。记录信号128毫秒,对1024次刺激的反应进行平均。对每只犬的10次记录的波形进行平均,并测量波峰潜伏期。对清醒犬以及用高、低浓度七氟醚麻醉的犬所获得的数据进行统计学比较。

结果

七氟醚麻醉使MLAEP减弱,以至于只能识别出P0、Na和Pa波峰。在所评估的较低七氟醚浓度下,MLAEP变化最大。与麻醉犬相比,清醒犬这些波峰的潜伏期明显更短。七氟醚浓度之间未检测到波峰潜伏期的差异。

结论及临床意义

就中枢神经系统反应性而言,七氟醚麻醉的效果与异氟醚麻醉相似。数据表明,在麻醉期间要记录脑电图测量值的研究环境中,七氟醚不是吸入麻醉药的首选。七氟醚对MLAEP波形的抑制也表明,MLAEP不是监测犬七氟醚麻醉期间麻醉深度的合适工具。

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