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恒河猴体内氙气和氟烷的最低肺泡有效浓度

MAC of xenon and halothane in rhesus monkeys.

作者信息

Whitehurst S L, Nemoto E M, Yao L, Yonas H

机构信息

Department of Anesthesiology/CCM, University of Pittsburgh School of Medicine, Pennsylvania.

出版信息

J Neurosurg Anesthesiol. 1994 Oct;6(4):275-9. doi: 10.1097/00008506-199410000-00008.

Abstract

Local cerebral blood flow (LCBF) maps produced by 33% xenon-enhanced computed tomographic scanning (Xe/CT LCBF) are useful in the clinical diagnosis and management of patients with cerebrovascular disorders. However, observations in humans that 25-35% xenon (Xe) inhalation increases cerebral blood flow (CBF) have raised concerns that Xe/CT LCBF measurements may be inaccurate and that Xe inhalation may be hazardous in patients with decreased intracranial compliance. In contrast, 33% Xe does not increase CBF in rhesus monkeys. To determine whether this interspecies difference in the effect of Xe on CBF correlates with an interspecies difference in the anesthetic potency of Xe, we measured the minimum alveolar concentration (MAC) of Xe preventing movement to a tail-clamp stimulus in rhesus monkeys. Using a standard protocol for the determination of MAC in animals, we first measured the MAC of halothane (n = 5), and then used a combination of halothane and Xe to measure the MAC of Xe (n = 7). The halothane MAC was 0.99 +/- 0.12% (M +/- SD), and the Xe MAC was 98 +/- 15%. These results suggest that the MAC of Xe in rhesus monkeys is higher than the reported human Xe MAC value of 71%. Thus the absence of an effect of 33% Xe on CBF in the rhesus monkey may be related to its lower anesthetic potency.

摘要

通过33%氙增强计算机断层扫描(Xe/CT LCBF)生成的局部脑血流量(LCBF)图,在脑血管疾病患者的临床诊断和管理中很有用。然而,人体观察发现吸入25 - 35%氙气(Xe)会增加脑血流量(CBF),这引发了人们对Xe/CT LCBF测量可能不准确以及颅内顺应性降低的患者吸入Xe可能有害的担忧。相比之下,33% Xe不会增加恒河猴的CBF。为了确定Xe对CBF影响的这种种间差异是否与Xe麻醉效能的种间差异相关,我们测量了恒河猴对尾部夹捏刺激产生运动反应的Xe最低肺泡浓度(MAC)。使用动物MAC测定的标准方案,我们首先测量了氟烷的MAC(n = 5),然后使用氟烷和Xe的组合来测量Xe的MAC(n = 7)。氟烷的MAC为0.99 +/- 0.12%(平均值 +/- 标准差),Xe的MAC为98 +/- 15%。这些结果表明,恒河猴中Xe的MAC高于报道的人类Xe MAC值71%。因此,33% Xe对恒河猴CBF无影响可能与其较低的麻醉效能有关。

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