Spinal conduction block by intrathecal ketamine in dogs

H Iida, S Dohi, T Tanahashi, Y Watanabe… - Anesthesia & …, 1997 - journals.lww.com
H Iida, S Dohi, T Tanahashi, Y Watanabe, M Takenaka
Anesthesia & Analgesia, 1997journals.lww.com
In addition to its use for intravenous (IV) anesthesia, ketamine can provide pain relief in
humans when administered spinally. To elucidate the mechanisms of intrathecal (IT)
ketamine analgesia, we observed differences in the effects of IV and IT ketamine on
intraspinal evoked potentials (ISEPs) in 28 dogs anesthetized with pentobarbital. Bipolar
extradural electrodes were inserted at the cervical and lumbar regions of the spinal cord for
recording descending ISEPs represented by the two negative deflections, Waves I and II. IV …
Abstract
In addition to its use for intravenous (IV) anesthesia, ketamine can provide pain relief in humans when administered spinally. To elucidate the mechanisms of intrathecal (IT) ketamine analgesia, we observed differences in the effects of IV and IT ketamine on intraspinal evoked potentials (ISEPs) in 28 dogs anesthetized with pentobarbital. Bipolar extradural electrodes were inserted at the cervical and lumbar regions of the spinal cord for recording descending ISEPs represented by the two negative deflections, Waves I and II. IV ketamine 2 and 10 mg/kg did not affect the amplitude and latency of Wave I, whereas the large dose (10 mg/kg) significantly decreased the amplitude but not the latency of Wave II. IT ketamine 1 and 5 mg/kg caused significant dose-dependent decreases in both Wave I and II amplitudes and prolongations of both Wave I and II latencies. These IT effects on ISEPs are consistent with previous in vitro observations that ketamine blocks axonal conduction. We conclude that axonal conduction block may contribute to the analgesic mechanism of IT ketamine.
Lippincott Williams & Wilkins
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