British Journal of Anaesthesia, Vol 76, Issue 1 38-42, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia
D. Roth, S. Petersen-Felix, P. Bak, L. Arendt-Nielsen, M. Fischer, P. Bjerring and A. M. Zbinden
The aim of this study was to see if an analgesic effect of subanaesthetic
concentrations of isoflurane could be detected with evoked potentials
elicited by nociceptive stimuli. We studied 10 healthy volunteers breathing
three steady-state subanaesthetic concentrations of isoflurane (0.08, 0.16
and 0.24 vol% end-tidal). Reaction time, subjective pain intensities and
evoked vertex potentials to laser (LEP) and electrical (SEP) stimuli were
recorded and compared with auditory evoked potentials (AEP). Compared with
baseline, the subanaesthetic concentrations of isoflurane did not change
the latencies of the evoked potentials, but caused a significant reduction
in the amplitudes of the LEP and SEP at 0.16 and 0.24 vol% and of the AEP
at all three concentrations. There were no changes in perceived pain
intensity, and isoflurane produced similar reductions in evoked potentials
elicited by both nociceptive and non-nociceptive stimuli. The reaction time
was increased significantly at 0.24 vol% isoflurane. The results
demonstrated that subanaesthetic isoflurane concentrations caused similar
changes in evoked potentials with both painful and non- painful stimuli,
with no effect on perceived pain intensity.
CLINICAL INVESTIGATIONS
Analgesic effect in humans of subanaesthetic isoflurane concentrations evaluated by evoked potentials
Department of Anaesthesiology and Intensive Care, University Hospital of Bern, Switzerland; Centre for Sensory-Motor Interaction, University of Aalborg, Denmark; Department of Dermatology, University Hospital of Aarhus, Denmark
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