Department of Anesthesiology, Toride Kyodo General Hospital, 5901-1 Terada, 302, Toride City, Ibaraki, Japan.
J Anesth. 1994 Sep;8(3):253-5. doi: 10.1007/BF02514644. Epub 2006 Dec 31.
The purpose of this study was to elucidate the respiratory depressant effects of isoflurane (0%-1.0%) using airway occlusion pressure (P0.1), a known index of the output of the respiratory centers, in ten anesthetized patients. P0.1 was measured as the pressure change obtained after the first 0.1 sec of spontaneous inspiration against the occluded airway. A significant decrease in minute volume ([Formula: see text]) and a significant increase in PaCO 2 were not observed during the periods of isoflurane 1.0% at the end-tidal concentration compared with those of control period (0% isoflurane) (P<0.05), whereas a significant decrease in P0.1 was observed during the period of isoflurane 0.5%. Our results suggested that P0.1 was a more sensitive indicator of respiratory depression than PaCO 2 or[Formula: see text], and the respiratory center was depressed with a considerably lower concentration (0.5%) of isoflurane.
本研究旨在使用气道阻断压(P0.1)阐明异氟醚(0%-1.0%)对呼吸的抑制作用,气道阻断压(P0.1)是呼吸中枢输出的已知指标,在十名麻醉患者中进行测量。P0.1 是在自主吸气的最初 0.1 秒期间测量到的气道阻断时的压力变化。与对照期(0%异氟醚)相比,在呼气末浓度为 1.0%异氟醚的时期未观察到分钟通气量 ([Formula: see text]) 和 PaCO 2 的显著降低(P<0.05),而在 0.5%异氟醚的时期观察到 P0.1 的显著降低。我们的结果表明,P0.1 是比 PaCO 2 或 [Formula: see text] 更敏感的呼吸抑制指标,并且呼吸中枢在异氟醚浓度(0.5%)较低时就受到抑制。