Table 1.
CNS Function Lost | MAC Stage | Significance of Plane of Anesthesia | Status of CNS Functions | Functional Test in Mice | Approximate MAC Value | Vaporizer Dial Setting |
---|---|---|---|---|---|---|
Loss of memory | MACamnesia | Unable to form memories | Cerebral functions, spinal and autonomic reflexes intact | Difficult to assess in mice both experimentally and in clinical settings | 0.25 | 0.3–0.5% |
Loss of consciousness | MACawake | Unable to perceive pain | Cerebral functions anesthetized; spinal and autonomic reflexes intact | Mouse can be laid on its back and will not right itself | 0.5 | 0.7–0.9% |
Loss of motor response to a noxious stimulus | MAC | No motor response to a noxious stimulus; surgical plane of anesthesia (in veterinary medicine) | Cerebral functions and spinal reflexes anesthetized; autonomic reflexes intact | No movement in response to a noxious stimulus | 1.0 | 1.3–1.8% |
Blunted autonomic reflexes | MACBAR | Autonomic nervous system is not responsive to physiologic changes | Cerebral functions, spinal reflexes, and autonomic reflexes anesthetized | Experimentally, no change in serum epinephrine concentrations in response to a noxious stimulus, clinically no change in HR, RR, or BP in response to noxious stimulus | 1.5 | 2.0–2.7% |
This table presents different anesthetic planes and MAC relationship, which refers to the minimum alveolar concentration where 50% of animals lose a motor response to a noxious stimulus. The MAC value is dependent on multiple factors, including the severity of the noxious stimulus, where the stimulus is applied, and animal-specific factors. In veterinary medicine, the loss of a motor response to a noxious stimulus is commonly referred to as the surgical plane of anesthesia, while this would be considered a very deep plane of anesthesia in human patients.2,6,17,321,34,322 Please note that 2% isoflurane may blunt autonomic responses; therefore, supportive care, such as warmed fluid administration and other monitoring techniques (preventing hypothermia etc ), is warranted (discussed in anesthetic monitoring). MACBAR refers to the MAC which blocks autonomic responses. HR, RR, and BP indicate heart rate, respiratory rate, and blood pressure, respectively.