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[哥廷根小型猪的异氟烷麻醉。控制通气下的血流动力学和心脏变化]

[Isoflurane anesthesia in the Gottinger minipig. Hemodynamic and cardiac changes under controlled ventilation].

作者信息

Becker M, Beglinger R, Youssef H A

出版信息

Anaesthesist. 1984 Aug;33(8):377-83.

PMID:6486394
Abstract

10 adult, female Göttingen minipigs were anaesthetized with isoflurane under controlled ventilation. A mixture of O2: N2O = 1:3 was used to vaporize isoflurane in an inspiratory concentration of 1.75-2.0 Vol%. Electrocardiogram, blood pressure, cardiac output and central venous pressure were continuously monitored. To determine the maximum rate of rise of intraventricular pressure (dp/dt max) as an indirect measure of myocardial contractility we placed a micro-tip manometer in the left ventricle before and during (30 min value) the experiment. Acid-base balance was controlled by collecting arterial blood samples anaerobically. We found a negative chronotropic and marked inotropic effect of isoflurane on the heart-muscle. This probably is the main cause for the depression of arterial pressure, though peripheral vasodilatation has some effect. All cardiovascular changes were fully reversible within a few minutes of completing anaesthesia. After only 15 min all animals were fully conscious and data values had returned to control levels. Because of its deficient metabolism and toxicity isoflurane seems to be well qualified for use in experimental medicine in minipigs, especially when the animals require long or multiple exposure. But we recommend the use of isoflurane in combination with a basic anaesthesia, for example NLA or Ketamine to reduce cardiovascular depression.

摘要

10只成年雌性哥廷根小型猪在控制通气条件下用异氟醚麻醉。使用O₂:N₂O = 1:3的混合气体将异氟醚蒸发至吸气浓度为1.75 - 2.0体积%。持续监测心电图、血压、心输出量和中心静脉压。为了确定作为心肌收缩力间接指标的室内压最大上升速率(dp/dt max),我们在实验前和实验期间(30分钟时的值)将微型尖端压力计置于左心室内。通过厌氧采集动脉血样来控制酸碱平衡。我们发现异氟醚对心肌有负性变时作用和明显的变力作用。这可能是动脉压降低的主要原因,尽管外周血管扩张也有一定作用。所有心血管变化在麻醉结束后的几分钟内完全可逆。仅15分钟后,所有动物就完全清醒,数据值已恢复到对照水平。由于异氟醚代谢不足且有毒性,它似乎非常适合用于小型猪的实验医学,特别是当动物需要长时间或多次暴露时。但我们建议将异氟醚与基础麻醉剂(如NLA或氯胺酮)联合使用,以减轻心血管抑制。

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