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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Eger, Edmond I. Tang, Michael Liao, Mark Laster, Michael J. Solt, Ken Flood, Pamela Jenkins, Andrew Raines, Douglas Hendrickx, Jan F. Shafer, Steven L. Yasumasa, Tanifuji Sonner, James M. |
| Description | Country affiliation: United States Author Affiliation: Eger EI ( Department of Anesthesia, S-455, University of California, San Francisco, CA 94143-0464, USA. egere@anesthesia.ucsf.edu) |
| Abstract | BACKGROUND: We hypothesized that pairs of inhaled anesthetics having divergent potencies [one acting weakly at minimum alveolar anesthetic concentration (MAC); one acting strongly at MAC] on specific receptors/channels might act synergistically, and that such deviations from additivity would support the notion that anesthetics act on multiple sites to produce anesthesia. METHODS: Accordingly, we studied the additivity of MAC for 11 anesthetic pairs divergently (one weakly, one strongly) affecting a specific receptor/channel at MAC. By 'divergently,' we usually meant that at MAC the more strongly acting anesthetic enhanced or blocked the in vitro receptor or channel at least twice (and usually more) as much as did the weakly acting anesthetic. The receptors/channels included: TREK-1 and TASK-3 potassium channels; and gamma-aminobutyric acid type A, glycine, N-methyl-D-aspartic acid, and acetylcholine receptors. We also studied the additivity of cyclopropane-benzene because the N-methyl-D-aspartic acid blocker MK-801 had divergent effects on the MACs of these anesthetics. We also studied four pairs that included nitrous oxide because nitrous oxide had been reported to produce infraadditivity (antagonism) when combined with isoflurane. RESULTS: All combinations produced a result within 10% of that which would be predicted by additivity except for the combination of isoflurane with nitrous oxide where infraadditivity was found. CONCLUSIONS: Such results are consistent with the notion that inhaled anesthetics act on a single site to produce immobility in the face of noxious stimulation. |
| File Format | HTM / HTML |
| ISSN | 00032999 |
| Issue Number | 2 |
| Volume Number | 107 |
| e-ISSN | 15267598 |
| Journal | Anesthesia & Analgesia |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2008-08-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Anesthesiology Anesthetics, Inhalation Pharmacology Administration & Dosage Animals Drug Synergism Immobilization Isoflurane Nitrous Oxide Potassium Channels, Tandem Pore Domain Drug Effects Pulmonary Alveoli Metabolism Rats Rats, Sprague-dawley Receptors, Cholinergic Receptors, Gaba Receptors, N-methyl-d-aspartate Journal Article Research Support, N.i.h., Extramural |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
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