Nicholls E A, Louie G L, Prokocimer P G, Maze M
Anesthesiology. 1986 Dec;65(6):637-41. doi: 10.1097/00000542-198612000-00012.
The authors determined the effects of aminophylline on the anesthetic requirements for halothane in rats and dogs. MAC for halothane was determined in rats (n = 24) before and after aminophylline, 100 mg X kg-1 ip, or an equal volume of saline. Because changes in central noradrenergic neurotransmission have been linked to drug-induced changes in the depth of the anesthetic state, we investigated the effect of aminophylline on the turnover of norepinephrine in discrete brain regions of halothane-anesthetized rats. To facilitate testing at steady-state aminophylline conditions and to permit frequent blood sampling, halothane MAC was determined in dogs (n = 7) before and after a therapeutic level of aminophylline (15 +/- 2 micrograms X ml-1) was obtained. Neither in the rats (1.0 vs. 1.0%) nor in the dogs (1.04 +/- 0.14 vs. 1.01 +/- 0.14%) was halothane MAC affected by aminophylline treatment. Commensurate with the lack of change of anesthetic depth, aminophylline treatment did not affect noradrenergic neurotransmission in the brain of halothane-anesthetized rats. Furthermore, the anticipated increase in circulating catecholamines following aminophylline treatment in dogs did not materialize. The authors conclude that halothane anesthetic requirements are not altered by aminophylline treatment, possibly because of the attenuation of the putative sympathomimetic effects of aminophylline by halothane.
作者们测定了氨茶碱对大鼠和犬氟烷麻醉所需剂量的影响。在给大鼠(n = 24)腹腔注射100 mg/kg氨茶碱或等体积生理盐水之前和之后,测定氟烷的最低肺泡有效浓度(MAC)。由于中枢去甲肾上腺素能神经传递的变化与药物引起的麻醉深度变化有关,我们研究了氨茶碱对氟烷麻醉大鼠离散脑区去甲肾上腺素周转的影响。为便于在氨茶碱稳态条件下进行测试并允许频繁采血,在犬(n = 7)达到治疗水平的氨茶碱(15±2微克/毫升)之前和之后,测定氟烷MAC。氨茶碱处理对大鼠(1.0%对1.0%)和犬(1.04±0.14%对1.01±0.14%)的氟烷MAC均无影响。与麻醉深度无变化相一致,氨茶碱处理对氟烷麻醉大鼠脑内的去甲肾上腺素能神经传递无影响。此外,犬经氨茶碱处理后循环儿茶酚胺预期的增加并未出现。作者得出结论,氨茶碱处理不会改变氟烷的麻醉需求,这可能是因为氟烷减弱了氨茶碱假定的拟交感神经效应。