Inhalational anesthetics as neuroprotectants or chemical preconditioning agents in ischemic brain

被引:155
作者
Kitano, Hideto [1 ]
Kirsch, Jeffrey R. [1 ]
Hurn, Patricia D. [1 ]
Murphy, Stephanie J. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Anesthesia & Perioperat Med, Portland, OR 97239 USA
关键词
inhalational anesthesia; neuroprotection; perioperative stroke; preconditioning;
D O I
10.1038/sj.jcbfm.9600410
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This review will focus on inhalational anesthetic neuroprotection during cerebral ischemia and inhalational anesthetic preconditioning before ischemic brain injury. The limitations and challenges of past and current research in this area will be addressed before reviewing experimental and clinical studies evaluating the effects of inhalational anesthetics before and during cerebral ischemia. Mechanisms underlying volatile anesthetic neuroprotection and preconditioning will also be examined. Lastly, future directions for inhalational anesthetics and ischemic brain injury will be briefly discussed.
引用
收藏
页码:1108 / 1128
页数:21
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