EFFECTS OF HALOTHANE ON BLOOD-GASES AND ACID-BASE-BALANCE IN INTACT VS CHEMODENERVATED RATS

被引:7
作者
GAUDY, JH [1 ]
SICARD, JF [1 ]
MANEGLIA, R [1 ]
QUIGNON, M [1 ]
机构
[1] UNIV PARIS 06, ANESTHESIOL LAB, F-75571 PARIS 12, FRANCE
来源
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1993年 / 40卷 / 09期
关键词
RECEPTORS; CHEMORECEPTORS; CAROTID SINUS; ANESTHETICS; VOLATILE; HALOTHANE;
D O I
10.1007/BF03009263
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Halothane decreases the ventilatory response to hypoxia and the activity of peripheral arterial chemoreceptors, resulting in ''chemical chemodenervation. '' In order to evaluate the role of this halothane-induced ''chemical denervation'' in acid-base and arterial blood gas changes, these values were measured in intact and chemodenervated rats, awake and under anaesthesia Since the depth of anaesthesia could be modified by the anatomical chemodenervation, the ED50 of inspired halothane was determined in six rats Wore and after anatomical chemodenervation. To prevent haemodynamic changes due to halothane and/or anatomical chemodenervation from interfering with the results, systemic arterial blood pressure and heart rate were measured in six intact rats, awake and then anaesthetized, and in the same rats after chemodenervation, awake and then anaesthetized. In nine intact rats and in 19 chemodenervated rats, arterial pH, arterial bicarbonate concentration, and arterial blood gases (PaO2 and PaCO2) were measured before and after administration of halothane. Anatomical chemodenervation modified neither the inspired ED50 (1.1%), nor the mean arterial blood pressure or heart rate. The haemodynamic effects of halothane were comparable in intact and in chemodenervated rats. Changes in arterial blood gases and acid-base balance due to halothane in intact rats and due to chemodenervation in awake rats were not different, but there was a decrease in PaO2 and pHa, and an increase in PaCO2. In chemodenervated rats, halothane caused a further decrease in PaO2 and a further increase in PaCO2. The fact that halothane and anatomical chemodenervation have similar effects on arterial blood gases and acid-base balance favours a ''chemical chemodenervating '' action of halothane. However, the additional effects of halothane in the anatomically chemodenervated animal show that the action of halothane on blood gases and acid-base balance is the result of multiple sites of impact on the respiratory system.
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页码:883 / 890
页数:8
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