Document Detail


The effect of anaesthetic agents on platelet function.
MedLine Citation:
PMID:  1822977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper reviews studies which have investigated the effect of anaesthetic agents on platelet function. The results of these studies suggest that halothane is the only agent in current use which inhibits platelet function in concentrations used clinically. Nitrous oxide appears to cause only a modest inhibition, while enflurane and isoflurane appear to have minimal or negligible effects. There is no current evidence that intravenous induction agents, opiates, or muscle relaxants affect platelet function. Reports indicate that local anaesthetic agents inhibit platelet aggregation, but only at concentrations far greater than peak plasma concentrations found during clinical use. Epidural anaesthesia may be associated with a reduction in platelet aggregation through a mechanism unrelated to direct local anaesthetic inhibition. The clinical significance of the effect of halothane on platelet function is not known. However, it is possible that halothane may affect bleeding or thrombotic complications in a similar manner to other 'anti-platelet' drugs.
Authors:
N M Gibbs
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Anaesthesia and intensive care     Volume:  19     ISSN:  0310-057X     ISO Abbreviation:  Anaesth Intensive Care     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-01-23     Completed Date:  1992-01-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0342017     Medline TA:  Anaesth Intensive Care     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  495-505     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Sir Charles Gairdner Hospital, Perth, Western Australia.
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MeSH Terms
Descriptor/Qualifier:
Anesthetics / pharmacology*
Anesthetics, Local / pharmacology
Animals
Blood Platelets / drug effects*,  physiology
Humans
Platelet Activation / drug effects
Chemical
Reg. No./Substance:
0/Anesthetics; 0/Anesthetics, Local
Comments/Corrections
Comment In:
Anaesth Intensive Care. 1992 May;20(2):252-4   [PMID:  1497747 ]

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


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