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Effects of spinal anesthesia on resting metabolic rate and quadriceps mechanomyography

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Abstract

Previous work by our group has shown by mechanomyography (MMG) that resting muscle is mechanically active. Ten patients having spinal anesthesia for surgery, which paralyses muscle below the waist, were studied to help determine whether resting-muscle mechanical activity plays a significant role in resting metabolism, and to further determine if the phenomenon is neurally mediated. Resting metabolic rate (RMR) by indirect calorimetry, and mid-anterior thigh MMG by accelerometer, were recorded before and during spinal anesthesia. Spinal anesthesia produced a 25% decrease in oxygen uptake (mean ± standard deviation: pre-spinal 228 ± 76; during spinal 171 ± 67 ml min−1; P < 0.001) and 37% decrease in mean absolute MMG signal amplitude (pre-spinal-anesthetic 10.6 ± 3.9; during spinal: 6.7 ± 3.5 mm s−2; P < 0.001). Decreased oxygen uptake in individuals correlated with decreased resting-muscle mechanical activity (R = 0.624; P = 0.05). Paralysis of muscle below the waist reduced RMR and resting-muscle mechanical activity.

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References

  • Beck TW (2007) Does the frequency content of the surface mechanomyographic signal reflect motor unit firing rates? A brief review. J Electromyogr Kinesiol 17:1–13. doi:10.1016/j.jelekin.2005.12.002

    Article  PubMed  Google Scholar 

  • Bosagh Zadeh AR (1998) Some aspects of the metabolic response to surgical trauma. Proc Nutr Soc 57:225–229

    PubMed  CAS  Google Scholar 

  • Brown DL (2000) Spinal, epidural, and caudal anesthesia. In: Miller RD (ed) Anesthesia, 5th edn. Churchill Livingstone, New York, pp 1491–1519

    Google Scholar 

  • Coast JR (1993) Relationship of oxygen consumption and cardiac output to work of breathing. Med Sci Sports Exerc 25:335–340. doi:10.1249/00005768-199303000-00007

    PubMed  CAS  Google Scholar 

  • da Rocha EE, Alves VG, da Fonseca RB (2006) Indirect calorimetry: methodology, instruments and clinical application. Curr Opin Clin Nutr Metab Care 9:247–256. doi:10.1097/01.mco.0000222107.15548.f5

    Article  PubMed  Google Scholar 

  • deVries HA (1965) Muscle tonus in postural muscles. Am J Phys Med 44:275–291

    CAS  Google Scholar 

  • deVries HA, Burke RK, Hopper RT, Sloan JH (1976) Relationship of resting EMG level to total body metabolism with reference to the origin of “tissue noise”. Am J Phys Med 55:139–147

    PubMed  CAS  Google Scholar 

  • Doyon KH, Perrey S, Abe D, Hughson RL (2001) Field testing of VO2 peak in cross-country skiers with portable breath-by-breath system. Can J Appl Physiol 26:1–11

    PubMed  CAS  Google Scholar 

  • Duffield R, Dawson B, Pinnington HC, Wong P (2004) Accuracy and reliability of a Cosmed K4b2 portable gas analysis system. J Sci Med Sport 7:11–22

    Article  PubMed  CAS  Google Scholar 

  • Gobbo M et al (2006) Torque and surface mechanomyogram parallel reduction during fatiguing stimulation in human muscles. Eur J Appl Physiol 97:9–15

    Article  PubMed  Google Scholar 

  • Greene NM (1985) Distribution of local anesthetic solutions within the subarachnoid space. Anesth Analg 64:715–730

    Article  PubMed  CAS  Google Scholar 

  • Hausmann D, Ebeling B, Nadstawek J, Muller W (1992) Muscle relaxation with no effect on oxygen uptake during isoflurane anesthesia? Anasthesiol Intensivmed Notfallmed Schmerzther 27:469–472

    Google Scholar 

  • Irish CL et al (1991) Neuromuscular blockade significantly decreases systemic oxygen consumption during hypothermic cardiopulmonary bypass. J Cardiothorac Vasc Anesth 5:132–134

    Article  PubMed  CAS  Google Scholar 

  • Jacobson E (1943) Innervation and tonus of striated muscle in man. J Nerv Ment Dis 97:197–203

    Article  Google Scholar 

  • Jacobson E (1951) Muscular tension and the estimation of effort. Am J Psychol 64:112–124

    Article  PubMed  CAS  Google Scholar 

  • Mak PH, Campbell RC, Irwin MG (2002) The ASA Physical Status Classification: inter-observer consistency American Society of Anesthesiologists. Anaesth Intensive Care 30:633–640

    PubMed  CAS  Google Scholar 

  • McKay WP, Gregson PH, McKay BW, Blanchet T (1998) Resting muscle sounds in anesthetized patients. Can J Physiol Pharmacol 76:401–406

    Article  PubMed  CAS  Google Scholar 

  • McKay WP, Chilibeck PD, Chad KE, Daku BL (2004) Resting mechanomyography after aerobic exercise. Can J Appl Physiol 29:743–757

    PubMed  Google Scholar 

  • McKay WP, Jacobson P, Chilibeck PD, Daku BL (2006) Effects of graded levels of exercise on ipsilateral and contralateral post-exercise resting rectus femoris mechanomyography. Eur J Appl Physiol 98:566–574

    Article  PubMed  Google Scholar 

  • McKay WP, Chilibeck PD, Daku BL (2007) Resting mechanomyography before and after resistance exercise. Eur J Appl Physiol 102:107–117

    Article  PubMed  Google Scholar 

  • Orizio C (1993) Muscle sound: bases for the introduction of a mechanomyographic signal in muscle studies. Crit Rev Biomed Eng 21:201–243

    PubMed  CAS  Google Scholar 

  • Oster G, Jaffe JS (1980) Low frequency sounds from sustained contraction of human skeletal muscle. Biophys J 30:119–128

    Article  PubMed  CAS  Google Scholar 

  • Rijnbeek PR, Kors JA, Witsenburg M (2001) Minimum Bandwidth Requirements for Recording of Pediatric Electrocardiograms. Circulation 104:3087–3090

    Article  PubMed  CAS  Google Scholar 

  • Roberts AT, de Jonge-Levitan L, Parker CC, Greenway F (2005) The effect of an herbal supplement containing black tea and caffeine on metabolic parameters in humans. Altern Med Rev 10:321–325

    PubMed  Google Scholar 

  • Stout JR (1997) Mechanomyography and oxygen consumption during incremental cycle ergometry. Eur J Appl Physiol 76:363–367

    Article  CAS  Google Scholar 

  • Traynor C, Hall GM (1981) Endocrine and metabolic changes during surgery: anaesthetic implications. Br J Anaesth 53:153–160

    Article  PubMed  CAS  Google Scholar 

  • Yoos JR, Kopacz DJ (2005) Spinal 2-chloroprocaine: a comparison with small-dose bupivacaine in volunteers. Anesth Analg 100:566–572

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesia, University of Saskatchewan, Saskatoon, SK, Canada

    William Paul McKay & Brendan Lett

  2. Department of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada

    Philip D. Chilibeck

  3. Department of Electrical Engineering, University of Saskatchewan, Saskatoon, SK, Canada

    Brian L. Daku

  4. Royal University, 103 Hospital Dr., Saskatoon, SK, S7N 0W8, Canada

    William Paul McKay

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  1. William Paul McKay
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  2. Brendan Lett
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  3. Philip D. Chilibeck
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  4. Brian L. Daku
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Correspondence to William Paul McKay.

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McKay, W.P., Lett, B., Chilibeck, P.D. et al. Effects of spinal anesthesia on resting metabolic rate and quadriceps mechanomyography. Eur J Appl Physiol 106, 583–588 (2009). https://doi.org/10.1007/s00421-009-1054-1

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  • DOI: https://doi.org/10.1007/s00421-009-1054-1

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