Hudetz Anthony G, Imas Olga A
Department of Anesthesiology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, USA.
Anesthesiology. 2007 Dec;107(6):983-91. doi: 10.1097/01.anes.0000291471.80659.55.
The degree of suppression of sensory functions during general anesthesia is controversial. Here, the authors investigated whether discrete flash stimuli induced cortical field potential responses at an isoflurane concentration producing burst suppression and compared the spatiotemporal properties and frequency spectra of flash-induced burst responses with those occurring spontaneously.
Rats were equipped with multiple epidural and intracortical electrodes to record cortical field potentials in the right hemisphere at several locations along the anterior-posterior axis. At isoflurane concentrations of 1.1, 1.4, and 1.8%, discrete light flashes were delivered to the left eye while cortical field potentials were continuously recorded.
Isoflurane at 1.4-1.8% produced burst suppression. Each flash produced a visual evoked potential in the primary visual cortex followed by secondary bursting activity in more anterior regions. The average latency and duration of these bursts were 220 and 810 ms, respectively. The spontaneous and flash-induced bursts were similar in frequency, duration, and spatial distribution. They had maximum power in the frontal (primary motor) cortex with a dominant frequency of 10 Hz.
The results suggest that discrete flash stimuli activate the motor regions of the cerebral cortex during isoflurane anesthesia and that these activations are analogous with those that occur spontaneously during burst suppression. Electrocortical suppression of the cortex during anesthesia does not prevent its response to visual stimuli.
全身麻醉期间感觉功能的抑制程度存在争议。在此,作者研究了在异氟烷浓度产生爆发抑制时,离散闪光刺激是否能诱发皮质场电位反应,并比较了闪光诱发的爆发反应与自发发生的爆发反应的时空特性和频谱。
给大鼠配备多个硬膜外和皮质内电极,以记录右半球沿前后轴几个位置的皮质场电位。在异氟烷浓度为1.1%、1.4%和1.8%时,向左眼发送离散光闪光,同时连续记录皮质场电位。
1.4%-1.8%的异氟烷产生爆发抑制。每次闪光在初级视觉皮层产生视觉诱发电位,随后在更靠前的区域产生继发性爆发活动。这些爆发的平均潜伏期和持续时间分别为220毫秒和810毫秒。自发和闪光诱发的爆发在频率、持续时间和空间分布上相似。它们在额叶(初级运动)皮层具有最大功率,主导频率为10赫兹。
结果表明,在异氟烷麻醉期间,离散闪光刺激激活大脑皮层的运动区域,并且这些激活与爆发抑制期间自发发生的激活类似。麻醉期间皮层的电皮质抑制并不妨碍其对视觉刺激的反应。