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氯胺酮-咪达唑仑麻醉诱导新生大鼠大脑皮质活动完全抑制。

Ketamine-Midazolam Anesthesia Induces Total Inhibition of Cortical Activity in the Brain of Newborn Rats.

作者信息

Lebedeva Yu A, Zakharova A V, Sitdikova G F, Zefirov A L, Khazipov R N

机构信息

Kazan (Volga Region) Federal University, Kazan, Russia.

Mediterranean Institute of Neurobiology (INMED), Marseille, France.

出版信息

Bull Exp Biol Med. 2016 May;161(1):15-9. doi: 10.1007/s10517-016-3334-1. Epub 2016 Jun 6.

DOI:10.1007/s10517-016-3334-1
PMID:27270941
Abstract

The effects of general anesthetics ketamine and midazolam, the drugs that cause neuroapoptosis at the early stages of CNS development, on electrical activity of the somatosensory cortex in newborn rats were studied using extracellular recording of local field potentials and action potentials of cortical neurons. Combined administration of ketamine (40 mg/kg) and midazolam (9 mg/kg) induced surgical coma and almost completely suppressed early oscillatory patterns and neuronal firing. These effects persisted over 3 h after injection of the anesthetics. We concluded that general anesthesia induced by combined administration of ketamine and midazolam profoundly suppressed cortical activity in newborn rats, which can trigger neuroapoptosis in the developing brain.

摘要

使用细胞外记录局部场电位和皮质神经元动作电位的方法,研究了全身麻醉药氯胺酮和咪达唑仑(这两种药物在中枢神经系统发育早期会导致神经细胞凋亡)对新生大鼠体感皮层电活动的影响。氯胺酮(40毫克/千克)和咪达唑仑(9毫克/千克)联合给药会诱导手术昏迷,并几乎完全抑制早期振荡模式和神经元放电。这些效应在注射麻醉药后持续超过3小时。我们得出结论,氯胺酮和咪达唑仑联合给药诱导的全身麻醉会深刻抑制新生大鼠的皮层活动,这可能会触发发育中大脑的神经细胞凋亡。

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Midazolam Attenuates Esketamine-Induced Overactive Behaviors in Mice Before the Sedation, but Not During the Recovery.咪达唑仑在小鼠镇静前可减轻艾司氯胺酮诱导的过度活跃行为,但在恢复过程中则不然。
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Modulation of Neocortical Development by Early Neuronal Activity: Physiology and Pathophysiology.早期神经元活动对新皮质发育的调节:生理学与病理生理学
Front Cell Neurosci. 2017 Nov 29;11:379. doi: 10.3389/fncel.2017.00379. eCollection 2017.
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Midazolam prevents motor neuronal death from oxidative stress attack mediated by JNK-ERK pathway.咪达唑仑通过 JNK-ERK 通路介导的氧化应激反应抑制运动神经元死亡。
Hum Cell. 2018 Jan;31(1):64-71. doi: 10.1007/s13577-017-0184-8. Epub 2017 Oct 11.