Vagally mediated sympathoexcitation and central depression by desflurane in rabbits

Autor: Daqing Ma, J. G. Whitwam, Chen Pac-Soo, M. K. Chakrabarti, C. Wang
Rok vydání: 2000
Předmět:
Zdroj: British Journal of Anaesthesia. 84:777-782
ISSN: 0007-0912
DOI: 10.1093/oxfordjournals.bja.a013593
Popis: The effects of desflurane on renal sympathetic nerve activity (RSNA) were studied in intact or vagotomized anaesthetized rabbits with initial concentrations of 4.5-18%, subsequently equilibrated to end-tidal concentrations from 3%, 6%, 9% and 12% each for 20 min allowing sympathetic activity to stabilize. In intact animals, immediate transient increases in mean sympathetic activity from 27% to 63% were closely related to initial concentrations from 4.5% to 18%. During subsequent equilibration this remained elevated by 25-30% up to 6%, returned to control at 9% and fell by 33% at 12%. Bilateral vagotomy abolished sympathoexcitation apart from small increases in sympathetic activity, for example 14% at 4.5% (P0.05). We conclude that increases in inspired desflurane concentrations evoked rapid transient vagally mediated reflex sympathoexcitation with a small extra-vagal contribution. Central depression of sympathetic activity started at 6% and was 33% below baseline at 12%.
Databáze: OpenAIRE