단독 또는 Nalbuphine 병용시 Enflurane의 MAC 및 Fentanyl의 $ED_{50}$에 미치는 영향

MAC of Enflurane Nalbuphine-Enflurane and $ED_{50}$ of Fentanyl under 65% $N_2O$ in Rats

  • 오정근 (충남대학교 의과대학 마취과학교실) ;
  • 이원형 (충남대학교 의과대학 마취과학교실) ;
  • 김혜자 (충남대학교 의과대학 마취과학교실)
  • Oh, Jeong-Geun (Department of Anesthesiology, Chungnam national University, College of Medicine) ;
  • Lee, Won-Hyoung (Department of Anesthesiology, Chungnam national University, College of Medicine) ;
  • Kim, Hye-Ja (Department of Anesthesiology, Chungnam national University, College of Medicine)
  • 발행 : 1994.11.26

초록

The MAC($ED_{50}$)values of enflurane, fentanyl, and nalbuphine-enflurane under 65% $N_2O$ were determined in 76 Sprague-Dawley rats using the tail-clamp technique to compare the equipotent effects of intravenous and inhaled anesthetics. The rats were divided into 3 groups: enfluarne, fentanyl, and nalbuphine-enflurane. Results were as follows: 1) The MAC value of enflurane under 65% $N_2O$ was $1.160{\pm}0.05%$ and after subcutaneous nalbuphine 20 mg/kg injection, the values were 1.08% at 60min and 0.99% at 90min. 2) The lowest $ED_{50}$ for fentanyl was 26.8 ${\mu}g$/kg at 15 min, and the $ED_{50}$, 30, 45, and 60min after the injection were 36.2, 39.7, and 44.7 ${\mu}g$/kg, respectively. 3) On arterial blood gas analysis under 65% $N_2O$-1MAC($ED_{50}$), fentanyl and nalbuphine-enflurane groups showed mild increase in $PaCO_2$, but there were no significant differences among 3 groups. Fentanyl group showed significant difference in pH compared with enfluarane and nalbuphine-enflurane groups. 4) Rats injected with high dose fentanyl(above $40{\mu}g$) displayed rigidity and respiratory depression.

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