Hussain S N, Magder S, Chatillon A, Roussos C
Critical Care Division, Royal Victoria Hospital, Montreal, Quebec, Canada.
J Appl Physiol (1985). 1990 Sep;69(3):1002-11. doi: 10.1152/jappl.1990.69.3.1002.
In supine chloralose-anesthetized and mechanically ventilated dogs, we assessed the effects of group III and IV thin-fiber phrenic afferents on cardiorespiratory control by injecting capsaicin into the phrenic artery of an in situ isolated and innervated left diaphragm. Inspiratory motor drive was assessed by measuring the electromyogram of left and right diaphragm, left parasternal, and mylohyoid muscles in five protocols. 1) Three boluses (2 ml) of capsaicin (1, 10, and 50 micrograms/ml) were injected 30 min apart. Only the 50-micrograms/ml injection elicited a significant increase in arterial pressure, heart rate, and inspiratory motor drive. 2) Repeated doses of capsaicin were tested. The pressor and hyperpneic responses were weakened. 3) High doses of capsaicin (100 and 500 micrograms/ml) were given. Hyperpneic and pressor responses were similar to those elicited by the 50-micrograms/ml dose. 4) When the left phrenic nerve was sectioned, the pressor and hyperpneic responses to the 50-micrograms/ml injection were abolished. 5) Capsaicin (50 micrograms/ml) was infused into the arterial supply of the in situ vascularly isolated and innervated gastrocnemius. Arterial pressure, breathing frequency, and inspiratory motor drive to all inspiratory muscles increased significantly and to a greater degree than in the diaphragm. In conclusion, diaphragmatic thin-fiber afferents have an excitatory effect on the inspiratory motor drive and arterial pressure that is similar to that seen in limb muscles.
在仰卧位用氯醛糖麻醉并机械通气的犬中,我们通过向原位分离并保留神经支配的左膈的膈动脉注射辣椒素来评估Ⅲ类和Ⅳ类细纤维膈传入神经对心肺控制的影响。通过在五个实验方案中测量左右膈、左胸骨旁和颏舌骨肌的肌电图来评估吸气运动驱动。1)每隔30分钟注射3次(每次2毫升)辣椒素(1、10和50微克/毫升)。只有50微克/毫升的注射引起动脉压、心率和吸气运动驱动显著增加。2)测试重复剂量的辣椒素。升压和呼吸增强反应减弱。3)给予高剂量辣椒素(100和500微克/毫升)。呼吸增强和升压反应与50微克/毫升剂量引起的反应相似。4)切断左膈神经后,对50微克/毫升注射的升压和呼吸增强反应消失。5)将辣椒素(50微克/毫升)注入原位血管分离并保留神经支配的腓肠肌的动脉供应中。动脉压、呼吸频率以及对所有吸气肌的吸气运动驱动均显著增加,且增加程度大于膈肌。总之,膈细纤维传入神经对吸气运动驱动和动脉压具有兴奋作用,这与在肢体肌肉中观察到的情况相似。