COMPARATIVE EFFECTS OF HALOTHANE, ENFLURANE, ISOFLURANE AND SEVOFLURANE ON FUNCTION AND METABOLISM IN THE ISCHEMIC RAT-HEART

被引:47
作者
OGUCHI, T
KASHIMOTO, S
YAMAGUCHI, T
NAKAMURA, T
KUMAZAWA, T
机构
[1] Department of Anaesthesiology, Yamanashi Medical University, Nakakoma-gun, Yamanashi 409-38, Shimokato 1110, Tamaho-cho
关键词
ANESTHETICS VOLATILE; HALOTHANE; ENFLURANE; ISOFLURANE; SEVOFLURANE; HEART; ISCHEMIA; ISOLATED PREPARATION; RAT;
D O I
10.1093/bja/74.5.569
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This study was designed to examine the effects of inhalation anaesthetics on function and metabolism in isolated ischaemic rat hearts. Four volatile anaesthetics in two different concentrations (1.0 to 1.5 MAC) were used before whale heart ischaemia was induced for 15 min followed by reperfusion for 30 min. The data were compared with a control group in which inhalation anaesthetics were not used. Before ischaemia, volatile anaesthetics depressed ventricular function. During reperfusion, ventricular function and coronary flow in both halothane groups were significantly lower than those in the control group. Myocardial ATP concentrations in the 1.0 MAC of enflurane and isoflurane groups were significantly higher than those in the control group. We conclude that halothane had more depressant effects than the other anaesthetics and that enflurane and isoflurane may enhance metabolic recovery in the ischaemic working rat heart.
引用
收藏
页码:569 / 575
页数:7
相关论文
共 29 条
[1]   SUPRAVENTRICULAR EXCITABILITY IN DOGS DURING ANESTHESIA WITH HALOTHANE AND ENFLURANE [J].
ATLEE, JL ;
RUSY, BF ;
KREUL, JF ;
EBY, T .
ANESTHESIOLOGY, 1978, 49 (06) :407-413
[2]  
BERGMEYER HU, 1975, Z KLIN CHEM KLIN BIO, V13, P507
[3]   EFFECTS OF SEVOFLURANE AND ISOFLURANE ON CARDIAC AND CORONARY DYNAMICS IN CHRONICALLY INSTRUMENTED DOGS [J].
BERNARD, JM ;
WOUTERS, PF ;
DOURSOUT, MF ;
FLORENCE, B ;
CHELLY, JE ;
MERIN, RG .
ANESTHESIOLOGY, 1990, 72 (04) :659-662
[4]  
BULJUBASIC N, 1993, ANESTH ANALG, V76, P54
[5]  
BULJUBASIC N, 1992, ANESTH ANALG, V74, P384
[6]  
COETZEE A, 1993, ANESTH ANALG, V76, P734
[7]  
COETZEE A, 1993, ANESTH ANALG, V76, P602
[8]  
CONZEN PF, 1992, ANESTH ANALG, V74, P79
[9]   INTERACTION BETWEEN REGIONAL MYOCARDIAL ISCHEMIA AND LEFT-VENTRICULAR PERFORMANCE UNDER HALOTHANE ANESTHESIA [J].
FRANCIS, CM ;
FOEX, P ;
LOWENSTEIN, E ;
GLAZEBROOK, CW ;
DAVIES, WL ;
RYDER, WA ;
JONES, LA .
BRITISH JOURNAL OF ANAESTHESIA, 1982, 54 (09) :965-980
[10]   ENFLURANE ENHANCES POSTISCHEMIC FUNCTIONAL RECOVERY IN THE ISOLATED RAT-HEART [J].
FREEDMAN, BM ;
HAMM, DP ;
EVERSON, CT ;
WECHSLER, AS ;
CHRISTIAN, CM .
ANESTHESIOLOGY, 1985, 62 (01) :29-33