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Specific Actions of Halothane, Isoflurane, and Desflurane on Sympathetic Activity and A [Greek small letter delta] and C Somatosympathetic Reflexes Recorded in Renal Nerves in Dogs

 

作者: Chen Pac‐Soo,   Daqing Ma,   Chen Wang,   Mihir Chakrabarti,   James Whitwam,  

 

期刊: Anesthesiology  (OVID Available online 1999)
卷期: Volume 91, issue 2  

页码: 470-478

 

ISSN:0003-3022

 

年代: 1999

 

出版商: OVID

 

关键词: Desflurane;halothane;isoflurane;mechanisms of anesthesia;nociceptive reflex;sympathetic activity

 

数据来源: OVID

 

摘要:

BackgroundThis was a study of the relative effects on directly recorded sympathetic activity of desflurane, isoflurane, and halothane.MethodsRenal sympathetic nerve activity (RSNA) was recorded with bipolar electrodes in renal nerves exposed retroperitoneally in anesthetized ([Greek small letter alpha]‐chloralose), paralyzed (succinylcholine), and artificially ventilated dogs. Somatosympathetic responses were evoked by supramaximal electrical stimulation of radial nerves (0.33 Hz, 30 V, 0.5 ms). Spontaneous and evoked activity were rectified, averaged, and integrated to allow quantitative comparison of the effects of 3–12% desflurane, 0.6–2.4% isoflurane, and 0.4–1.6% halothane.ResultsIncreasing concentrations of isoflurane progressively depressed mean RSNA, A [Greek small letter delta], and C reflexes by 40% (P < 0.01), 50% (P < 0.01) and 70% (P < 0.001) respectively at 2.4% concentration. Halothane depressed both reflexes equally by approximately 60% (P < 0.01) at 1.6% concentration, without significant depression of spontaneous RSNA. Desflurane increased and subsequently decreased RSNA by 37% (P < 0.02) and 65% (P < 0.001) at concentrations of 6% and 12% respectively, and although somatosympathetic reflexes remained unchanged up to 9%, both were depressed equally by 70% (P < 0.01) at 12% concentration.ConclusionAfter equilibration, lower concentrations of desflurane remained excitatory, but, like isoflurane, higher concentrations depressed RSNA. The effect of halothane on RSNA was insignificant. Isoflurane depressed C more than A [Greek small letter delta] somatosympathetic reflexes, which is uncorrelated with lipid solubility because desflurane and halothane, which have the highest and lowest minimum alveolar concentration, respectively, depressed both equally.

 

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