The effect of general anaesthesia on gastric myoelectric activity in experimental pigs
Jazyk angličtina Země Velká Británie, Anglie Médium electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
23496859
PubMed Central
PMC3607881
DOI
10.1186/1471-230x-13-48
PII: 1471-230X-13-48
Knihovny.cz E-zdroje
- MeSH
- anestetika celková farmakologie MeSH
- isofluran farmakologie MeSH
- migrující myoelektrický komplex účinky léků fyziologie MeSH
- modely u zvířat MeSH
- oxid dusný farmakologie MeSH
- prasata MeSH
- thiopental farmakologie MeSH
- žaludek účinky léků patofyziologie MeSH
- zvířata MeSH
- Check Tag
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Názvy látek
- anestetika celková MeSH
- isofluran MeSH
- oxid dusný MeSH
- thiopental MeSH
BACKGROUND: Surface electrogastrography (EGG) is a non-invasive method for clinical assessment of gastric myoelectrical activity. Different forms of general anaesthesia might have various effects on porcine EGG. The aim of this study was to evaluate the impact of different anaesthetic agents on EGG in experimental pigs. METHODS: Four 15-minute EGG intervals were recorded and analysed. A baseline EGG recording was started 20 minutes after intramuscular injection of ketamine and azaperone (periods A and B). Four different regimens of general anaesthesia followed immediately after the baseline EGG (5 pigs in each experimental group): thiopental, isoflurane, nitrous oxide and isoflurane plus nitrous oxide. EGG recordings followed for the next 30 minutes under general anaesthesia (periods C and D). The dominant frequencies of slow waves were compared between the baseline intervals A and B and periods C and D under general anaesthesia. RESULTS: The mean dominant frequency was within the normal range (2.3 - 3.5 cycles per minute) in all animals in all regimens. Thiopental general anaesthesia did not influence any change of the dominant frequency of slow waves. Nitrous oxide general anaesthesia increased the dominant frequency of slow waves in a statistically significant manner (baseline: 2.93 ± 0.53 and 3.01 ± 0.53; under general anaesthesia: 3.25 ± 0.34 and 3.29 ± 0.38 cycles per minute; p < 0.001, p = 0.003, p < 0.001, p < 0.001). Nitrous oxide together with isoflurane induced a statistically significant decrease of dominant frequency in the last 15-minute interval (2.66 ± 0.55 cycles per minute) compared to the baseline recording (2.81 ± 0.49; p = 0.030). CONCLUSIONS: All changes of porcine gastric myoelectric activity assessed by the dominant frequency of slow waves during EGG remained within the normal range although some of them achieved statistical significance. Thus all tested agents used for general anaesthesia can be recommended in preclinical studies with porcine models focused on gastric myoelectric activity without any risk of compromising the results. Thiopental seems to be the most suitable as it did not cause any changes at all.
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Chen JZ, McCallum RW. Electrogastrography. Principles and applications. New York: Raven; 1994.
Parkman HP, Hasler WL, Barnett JL, Eaker EY. American Motility Society Clinical GI Motility Testing Task Force. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil. 2003;15:89–102. doi: 10.1046/j.1365-2982.2003.00396.x. PubMed DOI
Varayil JE, Ali SM, Tachecí I. Electrogastrography in experimental pigs. Methodical design and initial experience. Folia Gastroenterol Hepatol. 2009;7:98–104. doi: 10.1016/j.cgh.2008.08.043. Available from: http://www.pro-folia.org. DOI
Tacheci I, Kvetina J, Kunes M. Electrogastrography in experimental pigs: the influence of gastrointestinal injury induced by dextran sodium sulphate on porcine gastric erythromycin-stimulated myoelectric activity. Neuro Endocrinol Lett. 2011;32(Suppl 1):131–136. PubMed
Kvetina J, Varayil JE, Ali SM. Preclinical electrogastrography in experimental pigs. Interdiscip Toxicol. 2010;3:53–58. PubMed PMC
Kopácová M, Tachecí I, Kvetina J. Wireless video capsule enteroscopy in preclinical studies: methodical design of its applicability in experimental pigs. Dig Dis Sci. 2010;55:626–630. doi: 10.1007/s10620-009-0779-3. PubMed DOI PMC
Kvetina J, Kunes M, Bures J, Kopacová M, Tacheci I, Spelda S. The use of wireless capsule enteroscopy in a preclinical study: a novel diagnostic tool for indomethacin-induced gastrointestinal injury in experimental pigs. Neuro Endocrinol Lett. 2008;29:763–769. PubMed
Bures J, Pejchal J, Kvetina J. Morphometric analysis of the porcine gastrointestinal tract in a 10-day high-dose indomethacin administration with or without probiotic bacteria Escherichia coli Nissle 1917. Hum ExpToxicol. 2011;30:1955–1962. doi: 10.1177/0960327111403174. PubMed DOI
Bures J, Smajs D, Kvetina J. Bacteriocinogeny in experimental pigs treated with indomethacin and Escherichia coli Nissle. World J Gastroenterol. 2011;17:609–617. doi: 10.3748/wjg.v17.i5.609. PubMed DOI PMC
Kararli TT. Comparison of the gastrointestinal anatomy, physiology and biochemistry of humans and commonly used laboratory animals. Biopharm Drug Dispos. 1995;16:351–380. doi: 10.1002/bdd.2510160502. PubMed DOI
Cheng W, Chow B, Tam PK. Electrogastrographic changes in children who undergo day-surgery anesthesia. J Pediatr Surg. 1999;34:1336–1338. doi: 10.1016/S0022-3468(99)90006-4. PubMed DOI
Lombardo L, Ruggia O, Crocellà L. Epidural plus general anesthesia vs general anesthesia alone for elective aortic surgery: effects on gastric electrical activity and serum gastrin secretion. Minerva Anestesiol. 2009;75:109–115. PubMed
Oshima M, Aoyama K, Warabi K, Akazawa T, Inada E. Electrogastrography during and after cesarean delivery. J Anesth. 2009;23:75–79. doi: 10.1007/s00540-008-0692-5. PubMed DOI
Lawlor PM, McCullough JA, Byrne PJ, Reynolds JV. Electrogastrography: a non-invasive measurement of gastric function. Ir J Med Sci. 2001;170:126–131. PubMed
Eqbuji JU, O’Grady G, Du P, Cheng LK, Lammers WJ, Windsor JA, Pullan AJ. Origin, propagation and regional characteristics of porcine gastric slow wave activity determined by high-resolution mapping. Neurogastroenterol Motil. 2010;22:e292–300. doi: 10.1111/j.1365-2982.2010.01538.x. PubMed DOI PMC
Schnoor J, Bartz S, Klosterhalfen B, Kuepper W, Rossaint R, Unger JK. A long-term porcine model for measurement of gastrointestinal motility. Lab Anim. 2003;37:145–154. doi: 10.1258/00236770360563796. PubMed DOI
Explanatory Report on the European Convention for the Protection of Vertebrate Animals Used for Experimental and Other Scientific Purposes. Strasbourg: Council of Europe; 1986.
Torri G. Inhalation anesthetics: a review. Minerva Anestesiol. 2010;76:215–228. PubMed
Rüsch D, Eberhart LH, Wallenborn J, Kranke P. Nausea and vomiting after surgery under general anesthesia: an evidence-based review concerning risk assessment, prevention, and treatment. Dtsch Arztebl Int. 2010;107:733–741. PubMed PMC
Sanders RD, Weimann J, Maze M. Biologic effects of nitrous oxide: a mechanistic and toxicologic review. Anesthesiology. 2008;109:707–722. doi: 10.1097/ALN.0b013e3181870a17. PubMed DOI
Eikaas H, Raeder J. Total intravenous anaesthesia techniques for ambulatory surgery. Curr Opin Anaesthesiol. 2009;22:725–729. doi: 10.1097/ACO.0b013e3283310f6b. PubMed DOI
Emmanouil DE, Quock RM. Advances in understanding the actions of nitrous oxide. Anesth Prog. 2007;54:9–18. doi: 10.2344/0003-3006(2007)54[9:AIUTAO]2.0.CO;2. PubMed DOI PMC
Thörn SE, Wattwil M, Lindberg G, Säwe J. Systemic and central effects of morphine on gastroduodenal motility. Acta Anaesthesiol Scand. 1996;40:177–186. doi: 10.1111/j.1399-6576.1996.tb04417.x. PubMed DOI
Thörn SE, Wickbom G, Philipson L, Leissner P, Wattwil M. Myoelectric activity in the stomach and duodenum after epidural administration of morphine or bupivacaine. Acta Anaesthesiol Scand. 1996;40:773–778. doi: 10.1111/j.1399-6576.1996.tb04531.x. PubMed DOI
Wallden J, Lindberg G, Sandin M, Thörn SE, Wattwil M. Effects of fentanyl on gastric myoelectrical activity: a possible association with polymorphisms of the mu-opioid receptor gene? Acta Anaesthesiol Scand. 2008;52:708–715. doi: 10.1111/j.1399-6576.2008.01624.x. PubMed DOI
Hendrickx JF, Eger EI 2nd, Sonner JM, Shafer SL. Is synergy the rule? A review of anesthetic interactions producing hypnosis and immobility. Anesth Analg. 2008;107:494–506. doi: 10.1213/ane.0b013e31817b859e. PubMed DOI