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挥发性麻醉剂在血浆代用品、白蛋白、静脉脂肪乳剂、全氟化合物乳剂和水溶液中的溶解度。

Solubility of volatile anesthetics in plasma substitutes, albumin, intravenous fat emulsions, perfluorochemical emulsion, and aqueous solutions.

作者信息

Shim Jaes Chol, Kaminoh Yoshiroh, Tashiro Chikara, Miyamoto Yoshikazu, Yoo Hee Koo

机构信息

Department of Anesthesiology, College of Medicine, Hanyang University, 17 Hang dang-dong, Sung dong-ku, 133-792, Seoul, Korea.

Department of Anesthesiology, Hyogo College of Medicine, 1-1 Mukogawa-cho, 663, Nishinomiya, Japan.

出版信息

J Anesth. 1996 Dec;10(4):276-281. doi: 10.1007/BF02483395.

Abstract

Using the gas chromatographic headspace sampling technique, we determined the solubility of volatile anesthetics (halothane, enflurane, isoflurane, and sevoflurane) in plasma substitutes, albumin solution, intravenous fat emulsions, perfluorochemical FC-43 emulsion, and aqueous solutions at 37°C. The order of magnitude of λ value (liquid/gas partition coefficients) was halothane >enflurane>isoflurane> sevoflurane in all the parenteral infusion fluids except the perfluorochemical emulsion (FC-43). The FC-43/gas partition coefficients of the volatile anesthetics were almost the same at 5.5. The partition coefficients were affected by the osmolarity of solutions, hydrophobicity, and the structure of solutes. Also, the blood/gas partition coefficients in intravenous fat emulsions and FC-43 were calculated. It is suggested that fluid therapy, especially with intravenous fat emulsions or FC-43, may influence the blood/gas partition coefficients of anesthetics, and affect the induction of anesthesia.

摘要

采用气相色谱顶空进样技术,我们测定了挥发性麻醉剂(氟烷、恩氟烷、异氟烷和七氟烷)在血浆代用品、白蛋白溶液、静脉脂肪乳剂、全氟化合物FC - 43乳剂和水溶液中37°C时的溶解度。除全氟化合物乳剂(FC - 43)外,在所有肠外输液中,λ值(液/气分配系数)的大小顺序为氟烷>恩氟烷>异氟烷>七氟烷。挥发性麻醉剂的FC - 43/气分配系数在5.5时几乎相同。分配系数受溶液的渗透压、疏水性和溶质结构的影响。此外,还计算了静脉脂肪乳剂和FC - 43中的血/气分配系数。提示液体治疗,尤其是使用静脉脂肪乳剂或FC - 43时,可能会影响麻醉剂的血/气分配系数,并影响麻醉诱导。

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