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关于氟烷麻醉的机制

On the mechanism of halothane anaesthesia.

作者信息

Richards C D

出版信息

J Physiol. 1973 Sep;233(2):439-56. doi: 10.1113/jphysiol.1973.sp010316.

Abstract
  1. The effects of halothane on the evoked potentials of in vitro preparations of guinea-pig olfactory cortex were studied.2. The evoked potentials recorded from the cortical surface comprised an initial diphasic wave - the lateral olfactory tract (l.o.t.) compound action potential - followed by a negative wave of 1-3 mV amplitude and about 10 msec duration. Superimposed on the negative wave was a number of positive peaks. The negative wave has been identified as an extracellularly recorded, monosynaptic, excitatory post-synaptic potential (e.p.s.p.) and the positive peaks have been shown to reflect the discharge of the cortical cell population in response to the evoked e.p.s.p. and are therefore termed ;population spikes'.3. When halothane (0.4-1.5%) was added to the gas stream that superfused the surface of the preparation the evoked e.p.s.p.s became smaller in amplitude and the size of the population spikes diminished. The l.o.t. compound action potential was unaffected by these levels of halothane. Higher levels of halothane (above 2%) further reduced the amplitude of the evoked e.p.s.p.s, abolished the population spikes, decreased the amplitude of the l.o.t. compound action potential and slowed its time course. The effects of halothane on the evoked potentials were dose-related and were independent (after the first 10 min of treatment) of the duration of the exposure to halothane.4. The decrease in the size of the population spike caused by the exposure to halothane implied that transmission through the cortical relay had been impaired. This was also shown by the decrease in the evoked activity of units in the prepiriform cortex. Of eleven units, eight were depressed by halothane (0.5-1.5%) two were unaffected and one showed a transient increase in the number of spikes generated in response to a l.o.t. volley.5. Halothane (up to 1.5%) had no effect on the threshold of the l.o.t. fibres to electrical stimulation or on that of the post-synaptic cells to synaptic excitation.6. Post-tetanic potentiation and frequency potentiation of the evoked e.p.s.p.s were enhanced in the presence of 1% halothane.7. It is concluded that halothane reduces excitatory synaptic transmission not by an increase in the electrical threshold of the post-synaptic cells to synaptic excitation but by interference with the process of chemical transmission either by reducing the output of transmitter from the pre-synaptic nerve terminal or by reducing the sensitivity of the post-synaptic membrane to the released transmitter substance.
摘要
  1. 研究了氟烷对豚鼠嗅皮质体外制备物诱发电位的影响。

  2. 从皮质表面记录到的诱发电位包括一个初始双相波——外侧嗅束(l.o.t.)复合动作电位——随后是一个幅度为1 - 3 mV、持续时间约10毫秒的负波。在负波上叠加有多个正峰。负波已被确定为细胞外记录的单突触兴奋性突触后电位(e.p.s.p.),正峰已被证明反映了皮质细胞群对诱发的e.p.s.p.的放电反应,因此被称为“群体峰电位”。

  3. 当将氟烷(0.4 - 1.5%)添加到灌注制备物表面的气流中时,诱发的e.p.s.p.s幅度变小,群体峰电位的大小减小。l.o.t.复合动作电位不受这些氟烷水平的影响。更高水平的氟烷(高于2%)进一步降低了诱发的e.p.s.p.s幅度,消除了群体峰电位,降低了l.o.t.复合动作电位的幅度并减缓了其时间进程。氟烷对诱发电位的影响与剂量相关,并且(在处理的前10分钟后)与氟烷暴露的持续时间无关。

  4. 暴露于氟烷导致群体峰电位大小减小,这意味着通过皮质中继的传递受到了损害。梨状前皮质中单位诱发活动的降低也证明了这一点。在11个单位中,8个被氟烷(0.5 - 1.5%)抑制,2个未受影响,1个对l.o.t.冲动产生的峰电位数量显示出短暂增加。

  5. 氟烷(高达1.5%)对l.o.t.纤维对电刺激的阈值或突触后细胞对突触兴奋的阈值没有影响。

  6. 在1%氟烷存在的情况下,诱发的e.p.s.p.s的强直后增强和频率增强增强。

  7. 得出的结论是,氟烷降低兴奋性突触传递不是通过增加突触后细胞对突触兴奋的电阈值,而是通过干扰化学传递过程,要么通过减少突触前神经末梢递质的释放量,要么通过降低突触后膜对释放的递质物质的敏感性。

相似文献

1
On the mechanism of halothane anaesthesia.关于氟烷麻醉的机制
J Physiol. 1973 Sep;233(2):439-56. doi: 10.1113/jphysiol.1973.sp010316.
2
On the mechanism of barbiturate anaesthesia.论巴比妥类麻醉的机制。
J Physiol. 1972 Dec;227(3):749-67. doi: 10.1113/jphysiol.1972.sp010057.

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