Hersh E V, Condouris G A, Havelin D
Department of Pharmacology and Toxicology, University of Medicine and Dentistry, New Jersey Medical School, Newark.
Anesthesiology. 1990 Jun;72(6):1077-82. doi: 10.1097/00000542-199006000-00019.
An in situ electrophysiologic technique was developed to study the effects of intrathecal chloroprocaine and sodium bisulfite on spinal reflex activity in the anesthetized rat. By not surgically invading the subarachnoid space, this procedure allows drugs to be administered remotely through an indwelling catheter while monitoring drug effects on the spinal monosynaptic reflex with noninvasive electrophysiologic methods. In this way the normal pharmacokinetic factors are left intact so that time-action relations can be monitored under conditions that may resemble spinal anesthesia in conscious animals. Using this technique it was established that chloroprocaine with and without 0.2% sodium bisulfite blocks the monosynaptic reflex in a fully reversible manner. The reflex block of a higher concentration of bisulfite (0.6%) was poorly reversible in some preparations. These results correlate well with a previous in vivo behavioral study on the motor and sensory blocking actions of intrathecal chloroprocaine and bisulfite in the same animal species. The authors feel this technique can be used to study the temporal changes in reflex activity caused by other drugs administered via the intrathecal route.
开发了一种原位电生理技术,以研究鞘内注射氯普鲁卡因和亚硫酸氢钠对麻醉大鼠脊髓反射活动的影响。该方法无需通过手术侵入蛛网膜下腔,而是允许通过留置导管远程给药,同时使用非侵入性电生理方法监测药物对脊髓单突触反射的影响。通过这种方式,正常的药代动力学因素得以保留,从而能够在类似于清醒动物脊髓麻醉的条件下监测时间-效应关系。使用该技术确定,含和不含0.2%亚硫酸氢钠的氯普鲁卡因均以完全可逆的方式阻断单突触反射。在一些制剂中,较高浓度(0.6%)亚硫酸氢钠引起的反射阻滞难以逆转。这些结果与之前在同一动物物种中进行的关于鞘内注射氯普鲁卡因和亚硫酸氢钠的运动和感觉阻滞作用的体内行为研究结果高度相关。作者认为,该技术可用于研究通过鞘内途径给药的其他药物引起的反射活动的时间变化。