Gelb A W, Knill R L
Can Anaesth Soc J. 1978 Nov;25(6):488-94. doi: 10.1007/BF03007411.
Ventilation and the ventilatory response to a steady-state of isocapnic hypoxaemia were measured in six healthy volunteers, both awake and while sedated with low doses of halothane (0.05 and 0.1 MAC). Halothane sedation markedly reduced ventilatory responses to sustained hypoxaemia, in a dose-related fashion. We estimated the length of time after anaesthesia that halothane 0.1 MAC would be present in patients in the recovery room. In five healthy patients who had halothane anaesthesia with a mean duration of one hour, halothane 0.1 MAC or more persisted for approximately one hour. We conclude that, during emergence from halothane anaesthesia, patients may have a significant impairment of the ventilatory response to hypoxaemia, which persists for some time even after regaining consciousness.
对6名健康志愿者在清醒状态以及用低剂量氟烷(0.05和0.1MAC)镇静时的通气及对等碳酸血症性低氧血症稳态的通气反应进行了测量。氟烷镇静以剂量相关方式显著降低了对持续性低氧血症的通气反应。我们估算了麻醉后恢复室中患者体内0.1MAC氟烷存在的时长。在5名平均麻醉时长为1小时的接受氟烷麻醉的健康患者中,0.1MAC或更高浓度的氟烷持续存在约1小时。我们得出结论,在氟烷麻醉苏醒期间,患者对低氧血症的通气反应可能有显著损害,即使在恢复意识后这种损害仍会持续一段时间。