Mercier F J, Denjean A
Département d' Anaesthésie, Université Paris-Sud, Hôpital A. Béclèrc, Clamart, France.
Eur Respir J. 1996 Jul;9(7):1451-5. doi: 10.1183/09031936.96.09071451.
Halothane and isoflurane induce potent bronchodilation during general anaesthesia and have been used successfully during status asthmaticus. The aim of this study was to determine whether airway hyporesponsiveness was prolonged after halothane administration. Sixteen guinea-pigs were submitted for 2 h to either 1.5% halothane in oxygen or 100% oxygen, and were killed 24 h later to elicit isometric tracheal contractions in organ baths with various agonists. Cumulative concentration-response curves to histamine or to KCl and contractions evoked with acetylcholine 1 mM (4.7 +/- 0.8 vs 4.6 +/- 0.5 g) or carbachol 10 microM in calcium-free buffer (4.3 +/- 0.6 vs 4.4 +/- 0.6 g) exhibited no difference between groups. Moreover, when 4% halothane or 4.6% isoflurane were directly bubbled through the organ baths, a significant decrease (13 +/- 1% and 37 +/- 2%) of maximal contractions evoked with acetylcholine and KCI, respectively, was obtained but these relaxant effects did not persist 30 min after cessation of anaesthetic. These results indicate that, even though halothane induces transient airway hyporesponsiveness in vitro, previous halothane anaesthesia in guinea-pigs does not alter subsequent tracheal responsiveness assessed in vitro. Our findings may explain the transient renewal of bronchospasm reported during intermittent periods off halothane in status asthmaticus.
氟烷和异氟烷在全身麻醉期间可诱导强效支气管扩张,已成功用于哮喘持续状态。本研究的目的是确定给予氟烷后气道低反应性是否会延长。16只豚鼠分别在氧气中接受2小时的1.5%氟烷或100%氧气处理,24小时后处死,以在器官浴中用各种激动剂引发气管等长收缩。组胺或氯化钾的累积浓度-反应曲线以及在无钙缓冲液中用1 mM乙酰胆碱(4.7±0.8克对4.6±0.5克)或10 microM卡巴胆碱引发的收缩(4.3±0.6克对4.4±0.6克)在两组之间无差异。此外,当4%氟烷或4.6%异氟烷直接通入器官浴时,分别使乙酰胆碱和氯化钾引发的最大收缩显著降低(13±1%和37±2%),但这些舒张作用在麻醉停止后30分钟内未持续。这些结果表明,尽管氟烷在体外可诱导短暂的气道低反应性,但豚鼠先前的氟烷麻醉不会改变随后体外评估的气管反应性。我们的发现可能解释了哮喘持续状态下在停用氟烷的间歇期报告的支气管痉挛短暂复发。