Antkowiak B, Hentschke H, Kirschfeld K
Max-Planck-Institut für biologische Kybernetik, Tübingen, Germany.
Br J Anaesth. 1997 Nov;79(5):617-24. doi: 10.1093/bja/79.5.617.
We have investigated in rat brain slices the effects of the volatile anaesthetics enflurane, isoflurane and halothane on spontaneous discharge patterns and mean firing rates of cerebellar Purkinje cells. In the absence of these anaesthetics, Purkinje cells fired bursts of action potentials separated by quiescent periods lasting less than 2 s. Mean discharge rates were 10.8 (SEM 0.4) Hz at 23 +/- 1 degrees C and 25.6 (1.2) Hz at 35 +/- 1 degrees C. The agents exhibited qualitatively different effects when applied at concentrations corresponding to 1-3 MAC. Enflurane markedly lengthened burst and inter-burst durations. Isoflurane acted in a similar manner, but effects were less pronounced. In contrast with isoflurane and enflurane, halothane shortened burst durations. At concentrations corresponding to 1-1.5 MAC, halothane, isoflurane and enflurane significantly depressed action potential firing by 15-30% (P < 0.05). Enflurane 1.2 mmol litre-1 (2.0 MAC), isoflurane 0.9 mmol litre-1 (2.8 MAC) and halothane 0.9 mmol litre-1 (3.8 MAC) depressed spontaneous spike rates by 50%. The changes in discharge patterns and the concentration-dependent decrease in the firing rates were similar at 23 +/- 1 degrees C and 35 +/- 1 degrees C. In summary, we observed that neither the anaesthetic-induced alterations in spontaneous discharge patterns nor the EC50 values of the concentration-dependent depression of the mean firing rates were in accordance with the Meyer-Overton rule. However, at clinically relevant concentrations, depression of average spike rates did not differ significantly between the anaesthetics and thus followed the rule. Our results suggest that anaesthetic actions, which are in accordance with the rule, are frequently masked by several side effects.
我们在大鼠脑片中研究了挥发性麻醉剂恩氟烷、异氟烷和氟烷对小脑浦肯野细胞自发放电模式和平均放电频率的影响。在没有这些麻醉剂的情况下,浦肯野细胞会产生一连串动作电位,其间静息期持续时间不到2秒。在23±1℃时平均放电频率为10.8(标准误0.4)赫兹,在35±1℃时为25.6(1.2)赫兹。当以相当于1 - 3个最低肺泡有效浓度(MAC)的浓度应用时,这些药物表现出质的不同的作用。恩氟烷显著延长了爆发期和爆发间期的持续时间。异氟烷的作用方式类似,但效果不太明显。与异氟烷和恩氟烷相反,氟烷缩短了爆发期持续时间。在相当于1 - 1.5个MAC的浓度下,氟烷、异氟烷和恩氟烷使动作电位发放显著降低15 - 30%(P < 0.05)。1.2毫摩尔/升(2.0个MAC)的恩氟烷、0.9毫摩尔/升(2.8个MAC)的异氟烷和0.9毫摩尔/升(3.8个MAC)的氟烷使自发放电频率降低50%。在23±1℃和35±1℃时,放电模式的变化以及放电频率的浓度依赖性降低是相似的。总之,我们观察到麻醉剂引起的自发放电模式改变以及平均放电频率浓度依赖性抑制的半数有效浓度(EC50)值均不符合迈耶 - 奥弗顿法则。然而,在临床相关浓度下麻醉剂之间平均放电频率的降低没有显著差异,因此符合该法则。我们的结果表明,符合该法则的麻醉作用常常被几种副作用掩盖。