Advances in precision anaesthesia may be found by testing our resistance to change

Autor: M. Bruce MacIver, Sarah L. Eagleman
Rok vydání: 2020
Předmět:
Zdroj: Br J Anaesth
ISSN: 0007-0912
Popis: BACKGROUND: Recent studies point to a fundamental distinction between population-based and individual-based anaesthetic pharmacology. At the population level, anaesthetic potency is defined as the relationship between drug concentration and the likelihood of response to a stimulus. At the individual level, even when the anaesthetic concentration is held constant, fluctuations between the responsive and unresponsive states are observed. Notably, these spontaneous fluctuations exhibit resistance to state transitions R(st). Therefore, the response probability in each individual depends not just upon the drug concentration, but also upon responses to previous stimuli. Here, we hypothesise that R(st) is distinct from drug potency and is differentially modulated by different anaesthetics. METHODS: Adult (14–24 weeks old) C57BL/6J male mice (n=60) were subjected to repeated righting reflex (RR) assays at equipotent steady-state concentrations of isoflurane (0.6 vol%), sevoflurane (1.0 vol%), and halothane (0.4 vol%). RESULTS: Fluctuations in RR were observed for all tested anaesthetics. Analysis of these fluctuations revealed that R(st) was differentially modulated by different anaesthetics (F[2, 56.01]=49.59; P
Databáze: OpenAIRE