Koskela T, Wahlström G
Department of Ophtalmology, Umeå University Hospital, Sweden.
Pharmacol Toxicol. 1989 Mar;64(3):308-13. doi: 10.1111/j.1600-0773.1989.tb00653.x.
Due to the exceptionally long duration of action of thiobutbarbital the anaesthetic properties of this barbiturate was reinvestigated with an intravenous threshold technique using butabarbital and hexobarbital as references. Adult male rats were used. The criterion of anaesthesia was a burst suppression in the EEG of 1 sec. or more (the "silent second" = SS). The dose which induced the criterion was used as a threshold. The barbiturates were infused with different rates to obtain dose rate curves. After induction of the threshold criterion the animals were either killed and different tissue concentrations were analyzed with a HPLC method or allowed to survive and duration of SS and duration of loss of righting reflex were recorded. With hexobarbital, duration of SS and of loss of righting reflex increased significantly with increasing dose rate. With increasing rates of thiobutabarbital and butabarbital there was in both cases a stepwise increase in duration of SS. At sacrifice, after induction of SS with slow rates brain concentrations of both thiobutabarbital and butabarbital were lower than values recorded after higher rates. The change between the two concentrations was abrupt and occurred at a rate of 20 mg/kg/min. with thiobutabarbital and at the rate of 1.25 mg/kg/min. with butabarbital. This phenomenon was the reverse of acute tolerance which was recorded with hexobarbital and can thus be denoted acute supersensitivity. A kinetic analysis of serum, muscle and fat indicated considerable differences between the barbiturates. As indicated by mortality figures the induction of acute supersensitivity could be potentially dangerous.
由于硫喷妥巴比妥的作用持续时间极长,因此以丁巴比妥和己巴比妥为对照,采用静脉阈值技术对该巴比妥类药物的麻醉特性进行了重新研究。使用成年雄性大鼠。麻醉标准为脑电图出现持续1秒或更长时间的爆发抑制(“沉默秒”=SS)。诱导出该标准的剂量用作阈值。以不同速率输注巴比妥类药物以获得剂量-速率曲线。达到阈值标准后,处死动物,用高效液相色谱法分析不同组织中的浓度,或者让动物存活并记录SS持续时间和翻正反射消失持续时间。对于己巴比妥,SS持续时间和翻正反射消失持续时间随剂量速率增加而显著增加。对于硫喷妥巴比妥和丁巴比妥,随着输注速率增加,两种药物的SS持续时间均呈逐步增加。在缓慢输注诱导出SS后处死动物时,硫喷妥巴比妥和丁巴比妥的脑浓度均低于较高输注速率时记录的值。两种浓度之间的变化是突然的,硫喷妥巴比妥在20mg/kg/min的速率时出现,丁巴比妥在1.25mg/kg/min的速率时出现。这种现象与己巴比妥所记录的急性耐受性相反,因此可称为急性超敏反应。对血清、肌肉和脂肪的动力学分析表明,巴比妥类药物之间存在相当大的差异。从死亡率数据来看,急性超敏反应的诱导可能具有潜在危险性。