Artru A A
Department of Anesthesiology, University of Washington School of Medicine, Seattle, USA.
Anesth Analg. 1995 Sep;81(3):585-90. doi: 10.1097/00000539-199509000-00029.
The present study examined the effects of desflurane on intraocular pressure (IOP), the rate of anterior chamber aqueous formation, trabecular outflow facility, and intraocular compliance. The effects of desflurane were compared to those of halothane because the effects of halothane on intraocular fluid dynamics are well known. Twenty-two dogs were anesthetized for surgical preparation. Pancuronium was given intravenously to produce neuromuscular blockade, and the lungs were mechanically ventilated through a tracheal tube. After surgical preparation, anesthesia was maintained in Group 1 (n = 12) with halothane (0.8% expired) and in Group 2 (n = 10) with desflurane (7.0% expired). In both groups a series of intraocular infusions was made via a 30-gauge needle in the anterior chamber and IOP, aqueous formation, outflow facility, and intraocular compliance were determined. In Group 1 (halothane) IOP was 9.4 +/- 2.8 mm Hg (mean +/- SD), aqueous formation was 1.45 +/- 0.45 microL/min, outflow facility was 0.091 +/- 0.054 microL.min-1.mm Hg-1, and compliance was 377 +/- 282 nL/mm Hg. In Group 2 (desflurane) IOP was 11.3 +/- 3.8 mm Hg, aqueous formation was 1.61 +/- 0.56 microL/min, outflow facility was 0.097 +/- 0.062 microL.min-1.mm Hg-1, and compliance was 432 +/- 238 nL/mm Hg. These values did not differ between groups. It is concluded that in dogs aqueous humor dynamics during desflurane anesthesia are similar to those during halothane anesthesia.
本研究检测了地氟烷对眼压(IOP)、前房水生成速率、小梁网房水流出易度和眼内顺应性的影响。将地氟烷的作用与氟烷的作用进行比较,因为氟烷对眼内流体动力学的作用是众所周知的。22只犬接受麻醉以进行手术准备。静脉给予潘库溴铵以产生神经肌肉阻滞,通过气管导管进行机械通气。手术准备后,第1组(n = 12)用氟烷(呼出浓度0.8%)维持麻醉,第2组(n = 10)用地氟烷(呼出浓度7.0%)维持麻醉。两组均通过前房内的30号针头进行一系列眼内输注,并测定眼压、房水生成、流出易度和眼内顺应性。第1组(氟烷组)眼压为9.4±2.8 mmHg(平均值±标准差),房水生成量为1.45±0.45 μL/min,流出易度为0.091±0.054 μL·min-1·mmHg-1,顺应性为377±282 nL/mmHg。第2组(地氟烷组)眼压为11.3±3.8 mmHg,房水生成量为1.61±0.56 μL/min,流出易度为0.097±0.062 μL·min-1·mmHg-1,顺应性为432±238 nL/mmHg。两组间这些值无差异。结论是,犬在地氟烷麻醉期间的房水动力学与氟烷麻醉期间相似。