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氟烷麻醉犬对肺充气和动脉血二氧化碳的通气反应。

Ventilatory responses to lung inflation and arterial CO2 in halothane-anesthetized dogs.

作者信息

Mitchell G S, Selby B D

机构信息

Department of Comparative Biosciences, University of Wisconsin, Madison 53706.

出版信息

J Appl Physiol (1985). 1988 Apr;64(4):1433-8. doi: 10.1152/jappl.1988.64.4.1433.

Abstract

Hypercapnia attenuates the effects of static airway pressure (Paw) on phrenic burst frequency (f) and the expiratory duration (TE) in chloralose-urethan-anesthetized dogs. Surgical removal of the carotid bodies abolishes this interaction. Since halothane anesthesia in hyperoxia greatly impairs peripheral chemoreflexes, experiments were conducted to determine whether hypercapnia would attenuate the effects of Paw on f and TE in halothane-anesthetized dogs (approximately 1.5 minimum alveolar concentration). Integrated activity of the phrenic nerve was monitored as a function of Paw (2-12 cmH2O) in a vascularly isolated left lung at varied levels of arterial PCO2 (PaCO2; 38-80 Torr) controlled by inspired gas concentrations ventilating the denervated but perfused right lung. Halothane was administered only to the right lung. The results were as follows: 1) integrated phrenic amplitude increased with PaCO2 but was unaffected by Paw; 2) f decreased as Paw increased but was not affected by PaCO2; 3) the inspiratory duration (TI) increased as PaCO2 increased but was unaffected by Paw; 4) TE increased as Paw increased but was unaffected by PaCO2; and 5) there was no phrenic response to intravenous sodium cyanide (50-100 micrograms/kg). Thus, unlike chloralose-urethan-anesthetized dogs, hypercapnia does not attenuate the effect of lung inflation on f or TE in halothane-anesthetized dogs. Furthermore, hypercapnia increases TI during halothane anesthesia, an effect found after carotid denervation but not found in intact chloralose-urethan-anesthetized dogs. It is suggested that these differences between chloralose-urethan- and halothane-anesthetized dogs may be due to functional carotid chemoreceptor denervation by halothane.

摘要

在氯醛糖-乌拉坦麻醉的犬中,高碳酸血症会减弱静态气道压力(Paw)对膈神经放电频率(f)和呼气持续时间(TE)的影响。手术切除颈动脉体可消除这种相互作用。由于在高氧环境下氟烷麻醉会极大地损害外周化学反射,因此进行了实验以确定高碳酸血症是否会减弱Paw对氟烷麻醉犬(约1.5倍最低肺泡浓度)的f和TE的影响。在通过通气无神经支配但仍有灌注的右肺的吸入气体浓度控制的不同动脉血二氧化碳分压(PaCO2;38 - 80托)水平下,监测血管分离的左肺中膈神经的综合活动随Paw(2 - 12厘米水柱)的变化。仅对右肺给予氟烷。结果如下:1)膈神经综合振幅随PaCO2升高而增加,但不受Paw影响;2)f随Paw升高而降低,但不受PaCO2影响;3)吸气持续时间(TI)随PaCO2升高而增加,但不受Paw影响;4)TE随Paw升高而增加,但不受PaCO2影响;5)膈神经对静脉注射氰化钠(50 - 100微克/千克)无反应。因此,与氯醛糖-乌拉坦麻醉的犬不同,高碳酸血症不会减弱氟烷麻醉犬中肺膨胀对f或TE的影响。此外,高碳酸血症会增加氟烷麻醉期间的TI,这种效应在颈动脉去神经后出现,但在完整的氯醛糖-乌拉坦麻醉犬中未发现。提示氯醛糖-乌拉坦麻醉犬和氟烷麻醉犬之间的这些差异可能是由于氟烷导致功能性颈动脉化学感受器去神经所致。

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