SELECTIVE EFFECTS OF ALFENTANIL ON NOCICEPTIVE-RELATED NEUROTRANSMISSION IN NEONATAL RAT SPINAL-CORD

被引:19
作者
FENG, J [1 ]
KENDIG, JJ [1 ]
机构
[1] STANFORD UNIV,SCH MED,DEPT ANESTHESIA,STANFORD,CA 94305
关键词
ANALGESICS OPIOID; ALFENTANIL; MORPHINE; SPINAL CORD; EVOKED POTENTIALS; RAT;
D O I
10.1093/bja/74.6.691
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have examined the effects of alfentanil on nociceptive-related neurotransmission in isolated neonatal rat spinal cord, with particular attention to acute tolerance. Electrical stimulation of a lumbar dorsal root was used to evoke the monosynaptic reflex (MSR), a slow ventral root potential (sVRP), and the dorsal root potential (DRP). Alfentanil (0.5 nmol litre(-)1 to 1 mu mol litre(-1)) depressed sVRP area by a maximum of 85%; EC(50) was approximately 2 nmol litre(-1). The effects of alfentanil were selective for very slow, metabotropically mediated sVRP components compared with faster NMDA receptor-mediated components. The MSR was unaffected. Alfentanil depressed DRP area by a maximum of 50% at 1 mu mol litre(-1). Naloxone antagonized all alfentanil effects. Morphine depressed sVRP area with an approximate EC(50) of 90 nmol litre(-1), giving an alfentanil:morphine potency ratio of 45:1. The effects of alfentanil on sVRP showed no biphasic time dependence up to 60 min. Naloxone administered after alfentanil produced a significant rebound in sVRP area to a level of 143 (SD 21.3)% above control. Thus, in this study there was no evidence for acute tolerance, as measured by a decrease in effectiveness over time, but there was evidence as measured by rebound following naloxone.
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页码:691 / 696
页数:6
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