Wilkinson P L, Stowe D F, Glantz S A, Tyberg J V
Acta Anaesthesiol Scand. 1980 Jun;24(3):181-6. doi: 10.1111/j.1399-6576.1980.tb01530.x.
We have quantified the sensitivity and range of response of baroreflex-mediated heart rate changes during halothane anesthesia. Anesthesia was induced in 10 dogs with sodium thiopental (4 mg/kg i.v.), morphine sulfate (1 mg/kg), and succinylcholine (0.5 mg/min) was infused. After instrumentation, we infused sodium nitroprusside (0.1 mg/ml) or gave phenylephrine in divided doses (0.05 mg i.v.) at end-tidal halothane concentrations of 0.5%, 1.0%, and 2.0%. We changed systolic pressure over the range 6.5-26 kPa, measuring systolic pressure and heart rate responses at 1.3-2.6 kPa intervals. We found that the sigmoid curve relating heart period and systolic pressure was displaced leftwards, and the range of reflex response was significantly depressed (P < 0.001) at 2% halothane concentrations. The maximum slope of the curve was significantly depressed (P < 0.001) at increasing halothane concentrations. We conclude that halothane depresses the slope of the relationship between blood pressure and heart rate. However, the reflex response range is only depressed at high halothane concentrations, and the curve is displaced in the direction of lower heart rates at any given systemic pressure.
我们已经对氟烷麻醉期间压力感受性反射介导的心率变化的敏感性和反应范围进行了量化。对10只犬静脉注射硫喷妥钠(4mg/kg)、硫酸吗啡(1mg/kg)诱导麻醉,并输注琥珀酰胆碱(0.5mg/min)。在安装仪器后,在呼气末氟烷浓度为0.5%、1.0%和2.0%时,我们输注硝普钠(0.1mg/ml)或分次给予去氧肾上腺素(0.05mg静脉注射)。我们将收缩压在6.5 - 26kPa范围内变化,以1.3 - 2.6kPa的间隔测量收缩压和心率反应。我们发现,在氟烷浓度为2%时,与心动周期和收缩压相关的S形曲线向左移位,反射反应范围显著降低(P < 0.001)。随着氟烷浓度增加,曲线的最大斜率显著降低(P < 0.001)。我们得出结论,氟烷会降低血压与心率之间关系的斜率。然而,反射反应范围仅在高氟烷浓度时降低,并且在任何给定的体循环压力下,曲线都向较低心率方向移位。