Article ; Online: General Anesthesia Blocks Pain-Induced Hemorrhage and Locomotor Deficits After Spinal Cord Injury in Rats.
2023 Volume 40, Issue 23-24, Page(s) 2552–2565
Abstract: Research has shown that engaging pain (nociceptive) pathways after spinal cord injury (SCI) aggravates secondary injury and undermines locomotor recovery. This is significant because SCI is commonly accompanied by additional tissue damage (polytrauma) ... ...
Abstract | Research has shown that engaging pain (nociceptive) pathways after spinal cord injury (SCI) aggravates secondary injury and undermines locomotor recovery. This is significant because SCI is commonly accompanied by additional tissue damage (polytrauma) that drives nociceptive activity. Cutting communication with the brain by means of a surgical transection, or pharmacologically transecting the cord by slowly infusing a sodium channel blocker (lidocaine) rostral to a thoracic contusion, blocks pain-induced hemorrhage. These observations suggest that the adverse effect of pain after SCI depends on supraspinal (brain) systems. We hypothesize that inhibiting brain activity using a general anesthetic (e.g., pentobarbital, isoflurane) should have a protective effect. The present study shows that placing rats in an anesthetic state with pentobarbital or isoflurane 24 h after a lower thoracic contusion injury blocks pain-induced intraspinal inflammation and hemorrhage when administered before pain. Pentobarbital also extends protective effects against locomotor deficits produced by noxious stimulation. Inducing anesthesia after noxious stimulation, however, has no effect. Similarly, subanesthetic dosages of pentobarbital were also ineffective at blocking pain-induced hemorrhage. Also examined were the hemodynamic impacts of both pain and anesthetic delivery after SCI. Peripheral pain-input induced an acute increase in systolic blood pressure; isoflurane and pentobarbital prevent this increase, which may contribute to the protective effect of anesthesia. The results suggest that placing patients with SCI in a state akin to a medically induced coma can have a protective effect that blocks the adverse effects of pain. |
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MeSH term(s) | Humans ; Rats ; Animals ; Pentobarbital ; Isoflurane/pharmacology ; Pain/drug therapy ; Pain/etiology ; Spinal Cord Injuries/complications ; Anesthetics ; Anesthesia, General/adverse effects ; Hemorrhage ; Contusions/complications |
Chemical Substances | Pentobarbital (I4744080IR) ; Isoflurane (CYS9AKD70P) ; Anesthetics |
Language | English |
Publishing date | 2023-04-28 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S. |
ZDB-ID | 645092-1 |
ISSN | 1557-9042 ; 0897-7151 |
ISSN (online) | 1557-9042 |
ISSN | 0897-7151 |
DOI | 10.1089/neu.2022.0449 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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