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异氟烷麻醉期间的诱发电位。

Evoked potentials during isoflurane anaesthesia.

作者信息

Sebel P S, Ingram D A, Flynn P J, Rutherfoord C F, Rogers H

出版信息

Br J Anaesth. 1986 Jun;58(6):580-5. doi: 10.1093/bja/58.6.580.

Abstract

Somatosensory, visual and brainstem auditory evoked potentials were recorded in 10 unpremedicated patients anaesthetized with isoflurane in oxygen. Recordings were made at 0.5%, 1.1% and 1.65% (six patients) end-tidal isoflurane concentration. There were statistically significant increases in the latencies of the somatosensory (N20), visual and brainstem auditory potentials (waves III and V) with increasing concentrations of isoflurane. The central conduction time was prolonged. Amplitudes of the somatosensory and visual potentials were reduced with increasing concentrations of isoflurane. The effects of isoflurane on evoked potentials are similar to those of halothane and enflurane. It is possible that changes in evoked potential measurements may be useful as a neurophysiological indicator of anaesthetic depth.

摘要

对10例未用术前药、以异氟烷加氧气麻醉的患者记录了体感诱发电位、视觉诱发电位和脑干听觉诱发电位。记录是在呼气末异氟烷浓度为0.5%、1.1%和1.65%(6例患者)时进行的。随着异氟烷浓度增加,体感诱发电位(N20)、视觉诱发电位和脑干听觉诱发电位(Ⅲ波和Ⅴ波)的潜伏期有统计学意义的增加。中枢传导时间延长。随着异氟烷浓度增加,体感诱发电位和视觉诱发电位的波幅降低。异氟烷对诱发电位的影响与氟烷和恩氟烷相似。诱发电位测量的变化有可能作为麻醉深度的神经生理学指标。

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