Davies R O, Edwards M W, Lahiri S
Anesthesiology. 1982 Sep;57(3):153-9. doi: 10.1097/00000542-198209000-00002.
Halothane is known to inhibit the ventilatory responses to hypoxia and hypercapnia. In order to determine whether this inhibition was mediated by peripheral chemoreceptors, the authors measured the effect of halothane on the response of carotid body chemoreceptors to these stimuli. Cats were decerebrated under brief halothane anesthesia, paralyzed, and ventilated. Chemoreceptor activity was recorded from single- or few-fiber preparations of carotid sinus nerve, and the inspiratory drive was recorded from the whole phrenic nerve. Steady-state responses were measured at three levels of CO2 tension (19-92 mmHg) during hyperoxia, and at four levels of O2 tension (35-450 mmHg) at a fixed PaCO2. Both responses were measured before, during, and after 0.5-1.0 per cent halothane was inspired. The halothane inhalation was maintained for at least 30 min before the responses were obtained. Halothane reduced the slope of chemoreceptor response to hypercapnia to about 48 per cent of the control slope. The response to hypoxia was reduced to about 58 pr cent of the control response. The increase in firing after intravenous nicotine (100 micrograms), summed for 20 s, was reduced to 25 per cent of the prehalothane control values; that after NaCN (25 micrograms) was reduced to 17 per cent of the control value. The effect of halothane was prompt (half complete in 1-2 min) and reversible. This finding explains some of the inhibition of the ventilatory responses to hypoxia and hypercapnia caused by halothane.
已知氟烷会抑制对低氧和高碳酸血症的通气反应。为了确定这种抑制是否由外周化学感受器介导,作者测量了氟烷对颈动脉体化学感受器对这些刺激反应的影响。在短暂的氟烷麻醉下对猫进行大脑去皮质手术,使其瘫痪并进行通气。从颈动脉窦神经的单纤维或少数纤维标本记录化学感受器活动,从膈神经整体记录吸气驱动。在高氧期间,在三个二氧化碳张力水平(19 - 92 mmHg)下测量稳态反应,在固定的动脉血二氧化碳分压下,在四个氧张力水平(35 - 450 mmHg)下测量稳态反应。在吸入0.5 - 1.0%氟烷之前、期间和之后测量这两种反应。在获得反应之前,氟烷吸入至少维持30分钟。氟烷将化学感受器对高碳酸血症反应的斜率降低至对照斜率的约48%。对低氧的反应降低至对照反应的约58%。静脉注射尼古丁(100微克)后20秒内放电增加的总和降低至氟烷麻醉前对照值的25%;注射氰化钠(25微克)后降低至对照值的17%。氟烷的作用迅速(1 - 2分钟内完成一半)且可逆。这一发现解释了氟烷引起的对低氧和高碳酸血症通气反应的部分抑制现象。