Volatile anesthetics excite mammalian nociceptor afferents recorded in vitro

Anesthesiology. 1990 Jun;72(6):1022-30. doi: 10.1097/00000542-199006000-00012.

Abstract

The present study investigated the actions of halothane, isoflurane, and enflurane on spontaneous discharge and evoked action potential activity in mammalian A-delta and C fiber nociceptors from the in vitro rabbit cornea. At 1 MAC halothane, isoflurane, and enflurane significantly (P less than 0.001) increased spontaneous discharge frequency of C fibers to 410%, 388%, and 569% of control, respectively. The anesthetics produced burst discharge activity over the concentration range of 0.25-1.5 MAC and depressed discharge activity at higher concentrations (greater than 3.0 MAC). Similar excitatory effects were produced by the potassium channel blocker 4-aminopyridine (250-500 microM). Variable effects on evoked discharge activity of A-delta fibers were observed. Halothane reduced action potential amplitude (77.3 +/- 4.5% of control +/- SD; n = 6 at 1 MAC) and increased spike latency (0.42 +/- 0.075 ms). In contrast, the ethers decreased both spike latency (isoflurane by 0.31 +/- 0.064 ms and enflurane by 0.35 +/- 0.058 ms) and action potential amplitude. Halothane and the ether anesthetics produced a common excitatory action on C fibers; however, the differential depressant effects on A-delta fibers suggest that different membrane mechanisms of action are involved.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 4-Aminopyridine / pharmacology
  • Action Potentials / drug effects
  • Anesthetics / pharmacology*
  • Animals
  • Cornea / innervation
  • Electric Stimulation
  • Enflurane / pharmacology
  • Evoked Potentials
  • Halothane / pharmacology
  • In Vitro Techniques
  • Isoflurane / pharmacology
  • Mechanoreceptors / drug effects
  • Mechanoreceptors / physiology
  • Neurons, Afferent / drug effects
  • Neurons, Afferent / physiology*
  • Nociceptors / drug effects
  • Nociceptors / physiology*
  • Physical Stimulation
  • Potassium / physiology
  • Rabbits

Substances

  • Anesthetics
  • Enflurane
  • 4-Aminopyridine
  • Isoflurane
  • Potassium
  • Halothane