Department of Anesthesiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.
PLoS One. 2020 Feb 24;15(2):e0223700. doi: 10.1371/journal.pone.0223700. eCollection 2020.
Emulsified volatile anesthetic can be directly injected into the circulation and eliminated from blood through lungs. Taking advantage of the unique pharmacokinetics of the emulsified volatile anesthetics, we aimed to develop a less traumatic method to differentially deliver them to the spinal cord of rabbit. Sixteen New Zealand White rabbits were randomly assigned to the isoflurane or sevoflurane group. A catheter was placed into the descending aorta, and emulsified isoflurane (8mg/kg/h) or sevoflurane (12mg/kg/h) was given respectively. The concentration and partial pressure of the anesthetics in the jugular and femoral vein were measured. Our results showed that the partial pressure for isoflurane was 3.91±1.11 mmHg and 12.61±1.60 mmHg (1.0MAC), and for sevoflurane was 3.89±1.00 mmHg and 19.92±1.84mmHg (1.0MAC), in the jugular vein and femoral vein, respectively. There was significant difference between jugular and femoral vein partial pressure for both isoflurane and sevoflurane groups (both P < 0.001). In conclusion, a simple and minimally invasive method has been successfully developed to selectively deliver isoflurane and sevoflurane to the spinal cord in the rabbit. Before the anesthetics taking action on the brain, 69% of isoflurane and 81% of sevoflurane were removed through lungs. This method can be used to investigate sites and mechanisms of volatile anesthetic action.
乳化挥发性麻醉剂可直接注入循环系统,并通过肺部从血液中消除。利用乳化挥发性麻醉剂独特的药代动力学特性,我们旨在开发一种创伤较小的方法,将其有区别地输送到兔的脊髓。16 只新西兰白兔被随机分配到异氟醚或七氟醚组。将导管置于降主动脉中,并分别给予乳化异氟醚(8mg/kg/h)或七氟醚(12mg/kg/h)。测量颈静脉和股静脉中麻醉剂的浓度和分压。我们的结果表明,异氟醚的分压为 3.91±1.11mmHg 和 12.61±1.60mmHg(1.0MAC),七氟醚的分压为 3.89±1.00mmHg 和 19.92±1.84mmHg(1.0MAC),分别在颈静脉和股静脉中。异氟醚和七氟醚组颈静脉和股静脉的分压均有显著差异(均 P<0.001)。总之,成功开发了一种简单微创的方法,可选择性地将异氟醚和七氟醚输送到兔的脊髓。在麻醉剂对大脑产生作用之前,69%的异氟醚和 81%的七氟醚通过肺部被清除。该方法可用于研究挥发性麻醉剂作用的部位和机制。