Document Detail

Anesthetic doses of sevoflurane to block cardiovascular responses to incision when administered with xenon or nitrous oxide.
MedLine Citation:
PMID:  10443598     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The authors' previous study demonstrated that xenon (Xe) and nitrous oxide (N2O) in combination with sevoflurane can attenuate cardiovascular responses to skin incision. To quantitatively evaluate their suppressive effects on cardiovascular responses, the authors compared the MAC-BAR (minimum alveolar concentration that blocks adrenergic or cardiovascular response to incision) values of sevoflurane when administered with Xe or N2O. METHODS: Forty-three patients received sevoflurane with one of three anesthetics; 1 MAC Xe, 0.7 MAC Xe and 0.7 MAC N2O. The MAC-BAR of sevoflurane was determined in each anesthetic using the "up and down" method. The response was considered positive if the heart rate or mean arterial pressure increased 15% or more. The end-tidal sevoflurane concentration given to the next patient was increased or decreased by 0.3 MAC if the response was positive or negative in the previous patient, respectively. The MAC-BAR was calculated as the mean of four independent cross-over responses. RESULTS: The MAC-BAR of sevoflurane, including the contribution of Xe or N2O, was 2.1+/-0.2 MAC and 2.7+/-0.2 MAC when administered with 1 MAC and 0.7 MAC Xe, respectively, and 2.6+/-0.4 MAC when administered with 0.7 MAC N2O (mean +/- SD). CONCLUSIONS: Although 1 MAC Xe has a more potent suppressive effect on cardiovascular responses to incision than 0.7 MAC Xe or N2O, Xe and N2O have a similar suppressive effect at 0.7 MAC.
Y Nakata; T Goto; Y Ishiguro; K Terui; Y Niimi; S Morita
Related Documents :
3918978 - Rate of rise of arterial carbon dioxide tension in the halothane-anesthetized horse.
7817638 - Evaluation of halothane as an anaesthetic in camels (camelus dromedarius).
19412398 - Efficacy of preanesthetic intramuscular administration of ephedrine for prevention of a...
2223368 - Cerebral effects of sevoflurane in the dog: comparison with isoflurane and enflurane.
25059438 - The influence of vascular risk factors on cognitive decline in patients with alzheimer'...
17905028 - Eus-guided portal vein carbon dioxide angiography: a pilot study in a porcine model.
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Anesthesiology     Volume:  91     ISSN:  0003-3022     ISO Abbreviation:  Anesthesiology     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-08-19     Completed Date:  1999-08-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1300217     Medline TA:  Anesthesiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  369-73     Citation Subset:  AIM; IM    
Department of Anesthesia, Teikyo University School of Medicine, Ichihara Hospital, Chiba, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anesthetics, Inhalation / pharmacology*
Hemodynamics / drug effects*
Methyl Ethers / pharmacokinetics,  pharmacology*
Middle Aged
Nitrous Oxide / pharmacology*
Pulmonary Alveoli / metabolism
Surgical Procedures, Operative
Xenon / pharmacology*
Reg. No./Substance:
0/Anesthetics, Inhalation; 0/Methyl Ethers; 10024-97-2/Nitrous Oxide; 28523-86-6/sevoflurane; 7440-63-3/Xenon

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Platelet-activated clotting time does not measure platelet reactivity during cardiac surgery.
Next Document:  Confirmation of caudal needle placement using nerve stimulation.