Smith R A, Winter P M, Smith M, Eger E I
Anesthesiology. 1979 Jun;50(6):496-500. doi: 10.1097/00000542-197906000-00004.
Following the observation that mice manifest a characteristic withdrawal syndrome after an hour of exposure to nitrous oxide, the authors reasoned that there might be a very rapidly developing tolerance to nitrous oxide. Thus, they determined the inspired concentrations that cause loss of the righting reflex in mice (i.e, the ED50), in the presence of 1 atm of oxygen, of: 1) nitrous oxide alone; 2) cyclopropane alone; 3) nitrous oxide plus 13.6 atm helium; 4) ethylene plus 13.6 atm helium. In each instance the ED50 was determined after averages of 6,34 and 64 min of exposure to the anesthetic agents. For nitrous oxide alone the ED50 at 6 min was 1.18 +/- 0.049 atm, increasing to 1.39 +/- 0.061 atm at 64 min. For ethylene plus helium the ED50 increased from 1.21 +/- 0.033 atm at 6 min to 1.31 +/- 0.039 atm at 64 min, indicating the development of acute tolerance. Neither cyclopropane alone nor nitrous oxide plus helium caused acute tolerance. This absence of tolerance may have resulted from a slower development of an alveolar anesthetic concentration.
在观察到小鼠暴露于一氧化二氮一小时后会出现特征性戒断综合征后,作者推断可能存在对一氧化二氮非常快速发展的耐受性。因此,他们确定了在1个大气压氧气存在下,导致小鼠翻正反射消失的吸入浓度(即半数有效剂量[ED50]),分别为:1)单独使用一氧化二氮;2)单独使用环丙烷;3)一氧化二氮加13.6个大气压氦气;4)乙烯加13.6个大气压氦气。在每种情况下,均在麻醉剂暴露6分钟、34分钟和64分钟的平均值后测定ED50。单独使用一氧化二氮时,6分钟时的ED50为1.18±0.049个大气压,64分钟时增至1.39±0.061个大气压。对于乙烯加氦气,ED50从6分钟时的1.21±0.033个大气压增加到64分钟时的1.31±0.039个大气压,表明出现了急性耐受性。单独使用环丙烷或一氧化二氮加氦气均未引起急性耐受性。这种耐受性的缺乏可能是由于肺泡麻醉浓度发展较慢所致。