Abstract
The effects of varying concentrations and types of volatile anesthetics on neurochemical sequelae of brain ischemia were evaluated in the rat. Rats were assigned to treatment defined by a 3×3 design (anesthetic type and dose) with 5 rats/cell. Each group received halothane, enflurane, or isoflurane 0.5, 1.0, or 2.0 MAC (minimal alevolar concentration). This was followed by preischemic plasma glucose sampling, 5 min hypotension (30 mmHg) and 5 min decapitation cerebral ischemia. Preischemia plasma glucose increased with increasing anesthetic concentration and was highest in the isoflurane groups, varying from a low (±SD) of 7.19±1.79 μmol/ml in the 0.5 MAC halothane group to a high of 12.68±3.65 μmol/ml in the 2.0 MAC isoflurane group. End-ischemic brain lactate correlated with preischemic plasma glucose (r=0.5, α=0.5). We conclude that increasing concentration of volatile anesthesia with iv phenylephrine blood pressure support produces higher levels of plasma glucose and brain lactate with cerebral ischemia.
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Zapp, M., Kofke, W.A. & Davis, D.W. Comparison of the effects of volatile anesthetics in varying concentrations on brain energy metabolism with brain ischemia in rats. Neurochem Res 17, 301–305 (1992). https://doi.org/10.1007/BF00974569
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DOI: https://doi.org/10.1007/BF00974569