T. Shichino et al., EFFECTS OF INHALATION ANESTHETICS ON THE RELEASE OF ACETYLCHOLINE IN THE RAT CEREBRAL-CORTEX IN-VIVO, British Journal of Anaesthesia, 80(3), 1998, pp. 365-370
By analysing the EEG, reticular multi-unit activity and behavioural ch
anges, we have classified general anaesthetics into three groups: cent
ral nervous system (CNS) depressant, CNS excitant and epileptogenic ag
ents. Changes in CNS neural activity are associated with alteration in
transmitter release. We have attempted to clarify the actions of wide
ly used inhalation anaesthetics, such as isoflurane (CNS depressant),
nitrous oxide (CNS excitant) and sevoflurane (epileptogenic) on acetyl
choline (ACh) release in the cerebral cortex using brain microdialysis
. ACh release was suppressed by isoflurane and sevoflurane in a dose-r
elated manner but recovered on wash-out. There were no significant dif
ferences between the effects of sevoflurane and isoflurane at the same
MAC values. In contrast, ACh release was enhanced significantly by ni
trous oxide. These findings indicate that the response of the cortical
cholinergic cells to different anaesthetics reflects their neurophysi
ological characteristics, that is whether they stimulate or suppress C
NS neurones.