British Journal of Anaesthesia, Vol 83, Issue 2 296-301, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia
S. Teramoto, H. Matsui, E. Ohga, T. Ishii, T. Matsuse and Y. Ouchi
The effects of anaesthesia on upper airway reflexes in older animals have
not been elucidated fully. We studied young (4-month-old) and old
(28-month-old) guinea-pigs to examine the relationship between aspiration
and altered upper airway reflexes during anaesthesia. We administered an
adenovirus vector carrying Escherichia coli LacZ gene (Ad vector)
intranasally to guinea-pigs with or without anaesthesia. LacZ gene
expression was investigated in the nostrils and lungs of each animal under
anaesthesia. No LacZ gene expression was found in the lungs of
unanaesthetized animals given Ad vector. Thus intranasal administration of
Ad vector was aspirated into the lower airways under anaesthesia. Next we
examined the effect of age on anaesthesia-induced aspiration. At a lower
concentration of halothane in 100% oxygen, greater LacZ gene expression in
the lungs was measured in older than in younger animals, suggesting that
older animals are liable to aspirate oropharyngeal contents into the lower
airways during light anaesthesia. This novel animal model of aspiration
using Ad vector may be useful to explore the mechanism of aspiration during
and after anaesthesia in young and old animals.
LABORATORY INVESTIGATIONS
A novel model of aspiration in young and old guinea-pigs using LacZ gene transduction of adenovirus vector
Department of Geriatric Medicine, Tokyo University Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
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