AIM: To study the effects of ketamine on central sympathetic and cardiovasc
ular regulation. METHODS: The experiment was performed on 25 urethane-anaes
thetized, artificially ventilated adult rats. A total of 32 presympathetic
neurons in the rostral ventrolateral medulla (RVLM) were electrophysiologic
ally identified, which had properties of both barosensitivity and projectio
n to the spinal cord. Responses of these neurons to intravenously administr
ated ketamine (a non-competitive N-methyl-D-aspartate receptor antagonist)
were observed. RESULTS: Intravenous injection of ketamine (3, 6, 12 mg/kg b
ody weight) increased the firing rate and blocked the barosensitivity of pr
esympathetic neurons in the RVLM in a dose-dependant manner. CONCLUSION: Ke
tamine could affect the sympathetic outflow by blocking tonic baroreceptor
inhibition of the presympathetic neurons in the RVLM.