Document Detail


Haematological and biochemical changes during anaesthesia with propofol ('Diprivan').
MedLine Citation:
PMID:  3877288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The influence of an emulsion formulation of 2,6-diisopropylphenol (propofol) on blood coagulation and fibrinolysis, and on the neuroendocrine responses to surgery has been investigated in 12 patients who received incremental doses of propofol to supplement 67% nitrous oxide in oxygen as anaesthesia for body surface surgery. The effects were compared with those in 10 patients who received Althesin to supplement nitrous oxide in oxygen in a similar manner. When pre-operative values were compared with data obtained after 30 min surgery, no significant effects on coagulation or fibrinolytic indices were found in either group. Both groups, however, showed a significant fall in haemoglobin concentration 30 min after induction of anaesthesia (P less than 0.05); and a fall in haematrocrit value was observed in those patients who received propofol (P less than 0.05). No changes in total white cell counts or platelet counts were observed. Both groups of patients showed a significant rise in blood glucose 30 min after induction of anaesthesia (P less than 0.001). After 3 h values were not significantly different from preoperative levels. The mean plasma cortisol levels fell in both groups 30 min after induction of anaesthesia, but returned to control values by 3 h. The mechanism causing this decrease is not known.
Authors:
J W Sear; J Uppington; N H Kay
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  61 Suppl 3     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  1985  
Date Detail:
Created Date:  1985-12-16     Completed Date:  1985-12-16     Revised Date:  2009-10-22    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  165-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Alfaxalone Alfadolone Mixture
Anesthesia, Intravenous*
Blood Coagulation / drug effects
Blood Glucose / metabolism
Blood Physiological Phenomena*
Female
Fibrinolysis / drug effects
Humans
Hydrocortisone / blood
Male
Phenols*
Propofol
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Phenols; 2078-54-8/Propofol; 50-23-7/Hydrocortisone; 8067-82-1/Alfaxalone Alfadolone Mixture

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


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