At. Melton et al., Caffeine- or halothane-induced contractures of masseter muscle are similarto those of vastus muscle in normal humans, ACT ANAE SC, 43(7), 1999, pp. 764-769
Citations number
22
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Background: Skinned fibers from normal human masseter muscle have greater c
affeine and calcium sensitivity than skinned fibers from vastus muscle. We
examined sensitivity to caffeine and halothane in fresh, cut muscle bundles
(non-skinned) from human masseter muscle.
Methods: Masseter bundles (caffeine, n=25, halothane, n=19) excised from 10
humans under general anesthesia had tension measured in 37 degrees C baths
during the addition of caffeine (0.5, 1, 2, 4, 8, 32 mM) or 3% halothane.
Results were compared to those of our previous studies (1989, 1997, 25 pati
ents) of vastus bundles (caffeine, n=71, halothane, n=63) using the same pr
otocol, technicians, and equipment. Results: Baseline force in the caffeine
test was 2.10+/-1.57 for masseter, and 2.02+/-1.68 and 1.82+/-1.29 respect
ively for vastus muscle. Force at 32 mM caffeine concentration was 11.2+/-9
.9 g for masseter, 11.0+/-5.4 and 13.5+/-7.5 g for vastus. Concentration-re
sponse curves were virtually identical. In the halothane group, neither bas
eline values (masseter 1.47+/-1.30, vastus 1.91+/-1.32 and 2.15+/-1.71) nor
contractures in response to 3% halothane were different. Most bundles had
no contracture in response to 3% halothane; 3 masseter bundles and 2 vastus
bundles (1989) developed contractures of less than 0.05 g. Three vastus bu
ndles (1997) developed contractures >0.2 g.
Conclusion: Contracture responses of intact cut masseter and vastus bundles
(non-skinned) do not differ with respect to caffeine and halothane. Respon
ses of skinned fibers might demonstrate greater sensitivity under certain c
onditions, but they do not reflect those of intact cut bundles.