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Failure of Naloxone to Reverse the Nitrous Oxide—Induced Depression of a Brain Stem ReflexAn Electrophysiologic and Double‐blind Study in Humans

 

作者: Jean-Claude Willer,   Sabine Bergeret,   Jean-Henri Gaudy,   Claude Dauthier,  

 

期刊: Anesthesiology  (OVID Available online 1985)
卷期: Volume 63, issue 5  

页码: 467-472

 

ISSN:0003-3022

 

年代: 1985

 

出版商: OVID

 

关键词: Anesthetics, gases: nitrous oxide.;Antagonists, narcotic: naloxone.;Pain: experimental.

 

数据来源: OVID

 

摘要:

The effects of 33% nitrous oxide on the two components of the blink reflex were studied on seven healthy volunteers. The blink responses were elicited by a supraorbital nerve stimulation and recorded from the ipsilateral orbicularis oculi muscle. The intensity of stimulation was chosen at two to three times the reflex threshold in order to obtain stable suprathreshold reflex responses as well as a tolerable pain sensation reported by the volunteers. Nitrous oxide administration resulted in a potent depression of the two components of the blink reflex. This depressive effect was more marked upon the late (R2) nociceptive component (83%) than upon the early (R1) component (41%). Simultaneously, subjects reported either a decrease in pain sensation or an indifference toward the painful stimulus. None of these effects were reversed by a double-blind intravenous naloxone (1.4 mg) injection. The analgesic effect of nitrous oxide is a nonspecific depressant action on the transmission of the nociceptive messages in central nervous structures, independent of pain-suppressive endogenous morphine-like systems.

 

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