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右美托咪定和氟烷对猫的脑电图和肌电图活动产生相似的改变。

Dexmedetomidine and halothane produce similar alterations in electroencephalographic and electromyographic activity in cats.

作者信息

Farber N E, Poterack K A, Schmeling W T

机构信息

Department of Anesthesiology, The Medical College of Wisconsin, Milwaukee 53226, USA.

出版信息

Brain Res. 1997 Nov 7;774(1-2):131-41. doi: 10.1016/s0006-8993(97)81696-4.

Abstract

Dexmedetomidine, an alpha2-adrenergic agonist, produces sedation and reduces volatile anesthetic requirements. This investigation compared the actions of dexmedetomidine and halothane on the processed EEG and on the electromyogram (EMG) which has not been previously described. Chronically instrumented cats were prepared with arterial and venous cannulae, quadriceps EMG electrodes and EEG electrodes in the lateral geniculate nucleus and over the frontal and occipital cortices. Hemodynamics, EEG and EMG were recorded in the conscious state and after randomly administered halothane or intravenous dexmedetomidine (on separate days). Blink and tail-clamp responses also assessed level of consciousness. Halothane resulted in unconsciousness and a lack of response to tail clamping, while dexmedetomidine produced profound sedation, with preservation of tail-clamp responses. Both agents similarly decreased (P < 0.05) the median power frequency from 9.5 +/- 0.9 to 5.7 +/- 0.4 Hz (2% halothane) and from 9.6 +/- 0.7 to 5.9 +/- 0.8 Hz (20 microg/kg dexmedetomidine), and 95% power frequency from 23.0 +/- 0.2 to 18.2 +/- 0.6 Hz (2% halothane) and from 23.0 +/- 0.2 to 19.1 +/- 0.8 Hz (20 microg/kg dexmedetomidine). Both agents increased the total spectral power and delta band power of the EEG and reduced integrated EMG activity. Halothane and dexmedetomidine produced differing effects on level of consciousness as assessed by response to tail clamping. The results suggest that conventional processing of EEG and EMG parameters are inadequate to assess anesthetic depth in the presence of alpha2-adrenergic agonists.

摘要

右美托咪定是一种α2肾上腺素能激动剂,具有镇静作用并可降低挥发性麻醉药的需求量。本研究比较了右美托咪定和氟烷对处理后的脑电图(EEG)以及此前未描述过的肌电图(EMG)的作用。给长期植入仪器的猫准备动脉和静脉插管、股四头肌EMG电极以及位于外侧膝状体、额叶和枕叶皮质上方的EEG电极。在清醒状态下以及随机给予氟烷或静脉注射右美托咪定后(在不同日期)记录血流动力学、EEG和EMG。眨眼和夹尾反应也用于评估意识水平。氟烷导致无意识且对夹尾无反应,而右美托咪定产生深度镇静,但保留夹尾反应。两种药物均同样降低(P<0.05)中位功率频率,从9.5±0.9Hz降至5.7±0.4Hz(2%氟烷)以及从9.6±0.7Hz降至5.9±0.8Hz(20μg/kg右美托咪定),并且95%功率频率从23.0±0.2Hz降至18.2±0.6Hz(2%氟烷)以及从23.0±0.2Hz降至19.1±0.8Hz(20μg/kg右美托咪定)。两种药物均增加EEG的总频谱功率和δ波带功率,并降低EMG积分活动。根据对夹尾的反应评估,氟烷和右美托咪定对意识水平产生不同影响。结果表明,在存在α2肾上腺素能激动剂的情况下,EEG和EMG参数的传统处理不足以评估麻醉深度。

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