Dd. Koblin et al., MINIMUM ALVEOLAR CONCENTRATIONS OF NOBLE-GASES, NITROGEN, AND SULFUR-HEXAFLUORIDE IN RATS - HELIUM AND NEON AS NONIMMOBILIZERS (NONANESTHETICS), Anesthesia and analgesia, 87(2), 1998, pp. 419-424
We assessed the anesthetic properties of helium and neon at hyperbaric
pressures by testing their capacity to decrease anesthetic requiremen
t for desflurane using electrical stimulation of the tail as the anest
hetic endpoint (i.e., the minimum alveolar anesthetic concentration [M
AC]) in rats. Partial pressures of helium or neon near those predicted
to produce anesthesia by the Meyer-Overton hypothesis (approximately
80-90 atm), tended to increase desflurane MAC, and these partial press
ures of helium and neon produced convulsions when administered alone.
Ln contrast, the noble gases argon, krypton, and xenon were anesthetic
with mean MAC Values of (+/- SD) of 27.0 +/- 2.6, 7.31 +/- 0.54, and
1.61 +/- 0.17 atm, respectively. Because the lethal partial pressures
of nitrogen and sulfur hexafluoride overlapped their anesthetic partia
l pressures, MAC values were determined for these gases by additivity
studies with desflurane. Nitrogen and sulfur hexafluoride MAC values w
ere estimated to be 110 and 14.6 atm, respectively. Of the gases with
anesthetic properties, nitrogen deviated the most from the Meyer-Overt
on hypothesis. Implications: It has been thought that the high pressur
es of helium and neon that might be needed to produce anesthesia antag
onize their anesthetic properties (pressure reversal of anesthesia). W
e propose an alternative explanation: like other compounds with a low
affinity to water, helium and neon are intrinsically without anestheti
c effect.