Document Detail


Sub-MAC concentrations of desflurane do not inhibit hypoxic pulmonary vasoconstriction in anesthetized piglets.
MedLine Citation:
PMID:  11546716     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: In vitro, halogenated agents reduce the pulmonary vasoconstrictor response to alveolar hypoxia in isolated perfused lungs. However, studies in intact animals have been less convincing. The aim of the present study was to assess the effect of sub-MAC concentrations of desflurane on hypoxic pulmonary vasoconstriction (HPV) in anesthetized piglets using the pressure/cardiac output relationship (P/Q). METHODS: Eleven large white piglets were anesthetized and ventilated mechanically, alternatively in hyperoxia (FIO2=0.4) and in hypoxia (FIO2=0.12). Multipoint plots of pulmonary arterial pressure (PAP), or differences between PAP and left atrial pressure (LAP) against Q were generated by gradual inflation of a balloon advanced into the inferior vena cava. P/Q relationships were established in hyperoxia and in hypoxia at baseline, and then with gradual concentrations of desflurane. RESULTS: In hypoxia, pressure gradients (PAP-LAP) increased significantly at every level of Q, demonstrating active pulmonary vasoconstriction. Desflurane did not affect these P/Q relationships either in hyperoxia, or in hypoxia, when compared with baseline. CONCLUSION: Desflurane at a clinically relevant dose has no significant effect on HPV in anesthetized piglets.
Authors:
F Kerbaul; C Guidon; J Stephanazzi; M Bellezza; P Le Dantec; T Longeon; M Aubert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  48     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-07     Completed Date:  2001-10-18     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  760-7     Citation Subset:  IM    
Affiliation:
Department of Anesthésie-Réanimation Adulte, Groupe Hospitalier de La Timone, Marseilles, France. fkerbaul@yahoo.fr
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MeSH Terms
Descriptor/Qualifier:
Anesthesia
Anesthetics, Inhalation / pharmacology*
Animals
Anoxia / physiopathology*
Cardiac Output / drug effects
Isoflurane / analogs & derivatives,  pharmacology*
Pulmonary Artery / drug effects*,  physiology
Swine
Sympathetic Nervous System / drug effects
Vasoconstriction / drug effects*
Chemical
Reg. No./Substance:
0/Anesthetics, Inhalation; 26675-46-7/Isoflurane; 57041-67-5/desflurane

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


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