Skip to main content

Advertisement

Log in

Hepatic microsomal enzyme function in technicians and anesthesiologists exposed to halothane and nitrous oxide

  • Original Papers
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Summary

It is controversial whether daily occupational exposure to halothane stimulates (induces) the hepatic microsomal enzyme function in man.

We investigated two groups of persons with different degrees of exposure to halothane: Six technicians who for years had been employed with repair and control of anesthesiologic equipment resulting in exposure to about 7 ppm of halothane and 50 ppm of nitrous oxide, and seven anesthesiologists exposed during months to about 2 ppm of halothane and 75 ppm of nitrous oxide.

The clearance of antipyrine was determined from saliva concentrations before and 4 wk after discontinuation of exposure. Matched control persons were investigated simultaneously.

No significant differences were found between the half-life, apparent volume of distribution, or clearance of antipyrine either within the groups or between the groups.

If the antipyrine data from both exposure groups are compared to those of the control groups, the data exclude (95% confidence limit) that antipyrine metabolism increased by more than 3% during exposure to waste anesthetics. This indicates that occupational exposure to halothane in concentrations above the proposed maximal time weighted average concentration of 2 ppm does not change the microsomal activity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ballinger B, Browning M, O'Malley K, Stevenson IH (1972) Drug-metabolizing capacity in states of drug dependence and withdrawal. Br J Pharmacol 45:638–643

    Google Scholar 

  2. Berner O (1978) Concentration and elimination of anesthetic gases in operating theatres. Acta Anesth Scand 22:46–54

    Google Scholar 

  3. Berner O (1978) Concentration and elimination of anesthetic gases in recovery rooms. Acta Anesth Scand 22:55–57

    Google Scholar 

  4. Brown BR Jr, Sagalyn AM (1974) Hepatic microsomal enzyme induction by inhalation anesthetics. Anesthesiology 40:152–161

    Google Scholar 

  5. Cahalan MK, Johnson BH, Eger El (1981) Relationship of concentration of halothane and enflurane to their metabolism and elimination in man. Anesthesiology 54:3–8

    Google Scholar 

  6. Cascorbi HF (1974) Factors causing differences in halothane biotransformation. Int Anesth Clin 12:63–71

    Google Scholar 

  7. Duvaldestin P, Mazze RI, Nivoche Y, Desmonts JM (1981) Occupational exposure to halothane results in enzyme induction in anesthetists. Anesthesiology 54:57–60

    Google Scholar 

  8. Edwards OM, Courtenay-Evans RJ, Galley IM, Hunter J, Tait AD (1974) Changes in cortisol metabolism following rifampicin therapy. Lancet 2:549–551

    Google Scholar 

  9. Farrel GC, Cooksley WGE, Powell LW (1979) Enhancement of hepatic drug metabolism by glutethimide in patients with liver disease. Eur J Clin Pharmacol 16:113–117

    Google Scholar 

  10. Goss JE, Dickhaus DW (1965) Increased bishydroxycoumarin requirements in patients receiving phenobarbital. New Engl J Med 273:1094–1095

    Google Scholar 

  11. Greisen G, Andreasen PB (1976) Two compartment analysis of plasma elimination of phenazone in normals and in patients with cirrhosis of the liver. Acta Pharmacol Toxicol 38:49–58

    Google Scholar 

  12. Harman AW, Russet WJ, Frewin DB, Priestly BG (1978) Altered drug metabolism in anaesthetists exposed to volatile anaesthetic agents. Anaest Intens Care 6:210–214

    Google Scholar 

  13. Hitt BA, Mazzie RI, Stevens WC, White A, Eger El (1975) Species, strain, sex and individual differences in enflurane metabolism. Br J Anaesth 47:1157–1161

    Google Scholar 

  14. Lai AA, Levy RH, Cutler RE (1978) Time-course of interaction between carbamazepine and clonazepam in normal man. Clin Pharmacol Ther 24:316–323

    Google Scholar 

  15. Linde HW, Bergman ML (1971) Nonspecific stimulation of drug metabolizing enzymes by inhalation anesthetic agents. Anesth Analg Curr Res 50:656–665

    Google Scholar 

  16. Nagy M (1974) Caffeine content of beverages and chocolate. J Am Med Ass 229:337

    Google Scholar 

  17. Nimmo WS, Thompson PG, Prescott LF (1981) Microsomal enzyme induction after halothane anaesthesia. Br J Clin Pharmacol 12:433–434

    Google Scholar 

  18. NIOSH manual of analytical methods (1977) US Dep of Health, 2nd edn. Education and Wellfare DHEW-publication, no. 77-157-6; methods no. 112 and 117

  19. Prescott LF, Adhpon-Yamoah KK, Roberts E (1973) Rapid gas-liquid chromatographic estimation of antipyrine in plasma. J Pharm Pharmacol 25:205–207

    Google Scholar 

  20. Reynolds ES, Moslen MT (1974) Liver injury following halothane anaesthesia in phenobarbital-pretreated rats. Biochem Pharmacol 23:189–195

    Google Scholar 

  21. Sipes IG, Brown BR (1976) An animal model of hepatotoxicity associated with halothane anaesthesia. Anesthesiology 45:622–628

    Google Scholar 

  22. Toverud EL, Boobis AR, Brodie MJ, Murray S, Bennett PN, Whitmarsh V, Davies DS (1981) Differential induction of antipyrine metabolism by rifampicin. Eur J Clin Pharmacol 21:155–160

    Google Scholar 

  23. Vesell ES (1979) The antipyrine test in clinical pharmacology: conceptions and misconceptions. Clin Pharmacol Ther 26:275–286

    Google Scholar 

  24. Weisburger EK (1980) Metabolism and activation of chemical carcinogens. Mol Cell Biochem 32:95–114

    Google Scholar 

  25. Wood M, O'Malley K, Stevenson IH (1974) Drug metabolizing ability in operating theatre personnel. Br J Anaesth 46:726–728

    Google Scholar 

  26. Zauder H (1979) A possible interaction of PBC and halothane in man. Anesthesiology 51:95–96

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported with grants from the Danish Working Environment Fund

Rights and permissions

Reprints and permissions

About this article

Cite this article

Døssing, M., Weihe, P. Hepatic microsomal enzyme function in technicians and anesthesiologists exposed to halothane and nitrous oxide. Int. Arch Occup Environ Heath 51, 91–98 (1982). https://doi.org/10.1007/BF00378414

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00378414

Key words

Navigation