Lodge D, Anis N A
Br J Anaesth. 1984 Oct;56(10):1143-51. doi: 10.1093/bja/56.10.1143.
The effects of ketamine, alphaxalone/alphadolone, methohexitone and di-isopropylphenol have been compared on synaptic excitations and inhibitions in the spinal cord of decerebrate or pentobarbitone-anaesthetized cats. Ketamine selectively and reversibly decreased polysynaptic reflexes over a wide dose range. With the other three anaesthetic drugs decreases in reflex activity were accompanied by increases in the prolonged inhibition of reflexes, and in the amplitude and time course of dorsal root potentials. It was concluded that ketamine decreases synaptic transmission at terminals of excitatory interneurones, whereas the other three anaesthetics enhance synaptic inhibitions mediated by gamma-aminobutyric acid. Such specific effects of anaesthetics on particular synaptic processes do not support a unitary hypotheses of anaesthesia.
已比较了氯胺酮、α-羟孕酮/α-孕烷二醇、美索比妥和二异丙酚对去大脑或戊巴比妥麻醉猫脊髓突触兴奋和抑制的影响。氯胺酮在很宽的剂量范围内选择性且可逆地降低多突触反射。使用其他三种麻醉药物时,反射活动的降低伴随着反射延长抑制、背根电位幅度和时程的增加。得出的结论是,氯胺酮降低兴奋性中间神经元终末的突触传递,而其他三种麻醉药增强由γ-氨基丁酸介导的突触抑制。麻醉药对特定突触过程的这种特定作用不支持单一的麻醉假说。