Chi O Z, Field C
Department of Anesthesia, University of Medicine and Dentistry, New Jersey-Robert Wood Johnson Medical School, New Brunswick.
Br J Anaesth. 1990 Feb;64(2):163-6. doi: 10.1093/bja/64.2.163.
Effects of enflurane on visual evoked potentials (VEP) were studied in eight healthy female patients. Control VEP were recorded from the occipital electrode (OZ-CZ), and prominent negative (N70) and positive (P100) peaks were observed following flash light stimulation. After induction of anaesthesia with thiopentone, VEP were recorded at expired concentrations of 1.2, 1.8, 2.4 and 2.7% of enflurane in 100% oxygen. The amplitude of the P100 was decreased and the latency of the N70 was increased significantly from the control with all concentrations of enflurane. No significant difference was found between different concentrations of enflurane. The latency of the P100 was increased significantly only at concentrations above MAC and at 2.7% when it was significantly longer than those at 1.2 and 1.8%. We conclude that VEP are altered significantly with enflurane in clinically used concentrations.
对8名健康女性患者研究了安氟醚对视诱发电位(VEP)的影响。从枕骨电极(OZ-CZ)记录对照VEP,在闪光刺激后观察到明显的负向(N70)和正向(P100)波峰。用硫喷妥钠诱导麻醉后,在100%氧气中安氟醚终末浓度为1.2%、1.8%、2.4%和2.7%时记录VEP。所有浓度的安氟醚作用下,P100波幅降低,N70潜伏期较对照显著延长。不同浓度的安氟醚之间未发现显著差异。仅在高于最低肺泡有效浓度(MAC)的浓度以及2.7%浓度时P100潜伏期显著延长,此时其潜伏期显著长于1.2%和1.8%浓度时。我们得出结论,在临床使用浓度下,安氟醚可显著改变VEP。