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Suppressive effect of nitrous oxide on motor evoked potentials can be reversed by train stimulation in rabbits under ketamine/fentanyl anaesthesia, but not with additional propofol T Sakamoto, M Kawaguchi, S Inoue, H Furuya British Journal of Anaesthesia Volume 86, Issue 3, Pages (March 2001) DOI: /bja/ Copyright © 2001 British Journal of Anaesthesia Terms and Conditions
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Fig 1 Changes in amplitude of myogenic MEPs in response to electrical stimulation with a single pulse or a train of three or five pulses before and during the administration of propofol in rabbits under ketamine/fentanyl anaesthesia. Propofol was administered as a bolus of 10 mg kg−1 followed by continuous infusion at 0.8 mg kg−1 min−1 (a) or 1.6 mg kg−1 min−1 (b). Data are expressed as mean (sem). *P<0.05 vs before propofol; **P<0.01 vs before propofol. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions
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Fig 2 Effects of nitrous oxide on amplitude of myogenic MEPs without (a) and with (b, c) propofol administration in rabbits under ketamine/fentanyl anaesthesia. Electrical stimulation was performed with a single pulse or a train of three or five pulses. After a control recording, the concentration of nitrous oxide (N2O) was changed to 30, 50 or 70% and then re-zeroed. Propofol was administered as a bolus of 10 mg kg−1 followed by continuous infusion at 0.8 mg kg−1 min−1 (b) or 1.6 mg kg−1 min−1 (c). Data are expressed as mean (sem). *P<0.05 vs one pulse; **P<0.01 vs one pulse. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions
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Fig 3 Representative MEPs induced by stimulation with a single pulse or a train of five pulses before the administration of nitrous oxide [N2O(–)] and after 70% nitrous oxide (N2O 70%) in a rabbit under ketamine/fentanyl anaesthesia. Administration of 70% nitrous oxide significantly reduced the amplitude of MEPs in response to single-pulse stimulation. By contrast, the amplitude of MEPs in response to stimulation with a train of five pulses did not change significantly. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions
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Fig 4 Representative MEPs induced by stimulation with a train of five pulses before [Propofol(–), N2O(–)] and after (Propofol 1.6, N2O 70%) the administration of propofol and/or nitrous oxide in a rabbit under ketamine/fentanyl anaesthesia. Propofol was administered as a bolus (10 mg kg−1) followed by continuous infusion (1.6 mg kg−1 min−1). Before the administration of propofol, the amplitude of MEPs did not change significantly during administration of 70% nitrous oxide. By contrast, administration of 70% nitrous oxide significantly reduced the amplitude of MEPs during propofol administration. British Journal of Anaesthesia , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions
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