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Electrolyte Imbalance as the Mechanism for Inert Gas Narcosis and Anaesthesia P. B. BENNETT* & A. J. HAYWARD
Royal Navy Physiological Laboratory, Alverstoke, Hampshire.
*Present address: Defence Research Medical Laboratories, P.O. Box 62, Station K, Toronto 12, Canada.
THE mechanism by which the volatile anaesthetics induce narcosis and anaesthesia remains the subject of speculation. Similarly, there has been much controversy concerning the mechanisms by which raised pressures of air or the chemically inert noble gases xenon, krypton, argon, neon and helium produce euphoria or loss of consciousness. Among the possibilities considered which could interfere with cerebral electrical activity have been a histotoxic hypoxia, depression of metabolism, membrane stabilization or block, interference with the sodium pump mechanism, increased production of inhibitor substance, interference with adenosine triphosphate production and the formation of clathrates1–6.
References
| 1. |
Miller, K. W., Paton, W. D. M., and Smith, E. B., Nature, 206, 574 (1965). | PubMed | ISI | ChemPort | |
| 2. |
Latner, A. L., Proc. Roy. Soc. Med., 58, 895 (1965). | PubMed | ISI | ChemPort | |
| 3. |
Pittinger, C. B., and Keasling, H. H., Anesthesiology, 20, 204 (1959). | PubMed | ISI | ChemPort | |
| 4. |
Butler, T. C., Pharmacol. Rev., 2, 121 (1950). | ISI | |
| 5. |
Featherstone, R. M., and Muehlbaecher, C., Pharmacol. Rev., 15, 97 (1963). | ISI | |
| 6. |
Bennett, P. B., The Aetiology of Compressed Air Intoxication and Inert Gas Narcosis (Pergamon Press, London, 1966). |
| 7. |
Paton, W. D. M., and Speden, R. N., Brit. Med. Bull., 21, 44 (1965). | PubMed | ISI | ChemPort | |
| 8. |
McIlwain, H. in Ciba Foundation Symposium jointly with Coordinating Committee for Symposia on Enzymes and Drug Action (edit. by Mongar. J. L., and Reuck, A. V. S. de), 170 (Churchill, London, 1962). | ChemPort | |
| 9. |
Mullins, L. J., Chem. Rev., 54, 289 (1954). | Article | ISI | ChemPort | |
| 10. |
Bangham, A. D., Standish, M. M., and Miller, N., Nature, 208, 1295 (1965). | PubMed | ISI | ChemPort | |
| 11. |
Clements, J. A., and Wilson, K. M., Proc. U.S. Nat. Acad. Sci., 48, 1008 (1962). | ChemPort | |
| 12. |
Papahadjopoulos, A. D., Bennett, P. B., Bangham, A. D., and Miller, L. (in the press). |
| 13. |
Schales, O., and Schales, S. S., in Microanalysis in Medical Biochemistry (edit. by Wootton, I. D. P.), 67 (Churchill, London, 1964). |
| 14. |
Bennett, P. B., Electroenceph. Clin. Neurophysiol., 17, 388 (1964). | Article | PubMed | ISI | ChemPort | |
| 15. |
Citron, L., Exley, D., and Hallpike, C., Brit. Med. Bull., 12, 101 (1956). | PubMed | ISI | ChemPort | |
| 16. |
Bennett, P. B. thesis, Univ. Southampton (1963). |
| 17. |
Kaplan, S. A., and Stein, S. N., Amer. J. Physiol., 190, 166 (1957). | PubMed | ISI | ChemPort | |
| 18. |
Bennett, P. B., Life Sci., 1, 721 (1962). | Article | ChemPort | |
| 19. |
Wood, J. D., Stacey, N. E., and Watson, W. J., Canad. J. Physiol. and Pharmacol., 43, 405 (1965). | ISI | ChemPort | |
| 20. |
Woodbury, D. M., Rec. Prog. Hormone Res., 10, 65 (1954). | ChemPort | |
| 21. |
Hoagland, H., Rec. Prog. Hormone Res., 10, 29 (1954). | ChemPort | |
| 22. |
Leiderman, P. H., and Katzman, R., Amer. J. Physiol., 175, 271 (1953). | PubMed | ISI | ChemPort | |
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