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From the Department of Dental Anesthesiology, Tokyo Dental College, 1-2-2, Masago, Mihama-ku, Chiba, 261-0011 Japan.
Address correspondence to: Dr. Tatsuya Ichinohe. Phone: 81-43-270-3969; Fax: 81-43-270-3971; E-mail: ichinohe{at}tdc.ac.jp
Purpose: To evaluate the interaction between nitrous oxide and propofol for the suppression of hypertension following electrical stimulation of the mental nerve in the rabbit.
Methods: Male Japan White rabbits were tracheostomized, cannulated and mechanically ventilated under isoflurane anesthesia. Square wave pulses (5 V, 0.5 msec, 50 Hz for 5 sec) were delivered to the left mental nerve. Animals received nitrous oxide 20, 40, 60 and 80% (Group 1); propofol 200, 400, 600 and 800 µgkg1min1 (Group 2); or combinations of nitrous oxide and propofol at 10 + 100, 20 + 200, 30 + 300 and 40 % + 400 µgkg1min1 (Group 3). Systolic blood pressure was recorded from immediately before to maximal increase following nerve stimulation. Probit analysis was used to obtain ED50 values for 50% suppression of blood pressure elevation. Isobolographic analysis was used to evaluate the interaction between nitrous oxide and propofol.
Results: ED50 values are 52.9% for nitrous oxide (Group 1), 464.1 µgkg1min1 for propofol (Group 2), 21.7 % + 217.1 µgkg1min1 for nitrous oxide and propofol combination (Group 3) and 24. 7 % + 247.1 µgkg1min1 for the theoretically additive combination of nitrous oxide and propofol, respectively.
Conclusion: The interaction between nitrous oxide and propofol for the suppression of blood pressure elevation following electrical stimulation of the mental nerve is additive.
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