Glassman S D, Shields C B, Linden R D, Zhang Y P, Nixon A R, Johnson J R
Department of Orthopaedics, University of Louisville, School of Medicine, Kentucky.
Spine (Phila Pa 1976). 1993 Jun 15;18(8):1083-9. doi: 10.1097/00007632-199306150-00020.
The effects of the various anesthetic agents on the production of transcranial magnetic motor evoked potentials (tcMMEP) were studied in a canine model. Pre-anesthetic baseline tcMMEPs demonstrated consistency in onset latency measurements and variability in measurement of peak-to-peak amplitudes. Changes in tcMMEPs were evaluated following the individual administrations of sodium pentothal, etomidate, halothane, fentanyl, and ketamine. For induction of anesthesia, etomidate was compatible with tcMMEP production, whereas sodium pentothal resulted in loss of hindlimb potentials for a period of 45 minutes. For maintenance of anesthesia, halothane was incompatible with the measurement of tcMMEPs. Fentanyl administration was consistent with the recording of reliable tcMMEPs, with consistent onset latencies but widely variable peak-to-peak amplitudes. Ketamine was compatible with stable and reproducible tcMMEP production. The results of this study suggest that anesthetic agents have a predictable and consistent effect on tcMMEP responses.
在犬类模型中研究了各种麻醉剂对经颅磁运动诱发电位(tcMMEP)产生的影响。麻醉前的基线tcMMEP在起始潜伏期测量方面表现出一致性,在峰峰值幅度测量方面存在变异性。在分别给予硫喷妥钠、依托咪酯、氟烷、芬太尼和氯胺酮后,评估tcMMEP的变化。用于诱导麻醉时,依托咪酯与tcMMEP的产生相容,而硫喷妥钠导致后肢电位丧失45分钟。用于维持麻醉时,氟烷与tcMMEP的测量不相容。给予芬太尼与可靠的tcMMEP记录一致,起始潜伏期一致但峰峰值幅度变化很大。氯胺酮与稳定且可重复的tcMMEP产生相容。本研究结果表明,麻醉剂对tcMMEP反应具有可预测且一致的影响。