Dj. Cole et al., DIASPIRIN CROSS-LINKED HEMOGLOBIN (DCLHB(TM)) DOES NOT AFFECT THE ANESTHETIC POTENCY OF ISOFLURANE IN RATS, Artificial cells, blood substitutes, and immobilization biotechnology, 23(1), 1995, pp. 89-99
Hemoglobin solutions are being developed as oxygen carrying fluids for
multiple clinical indications. Despite an early report of accentuatio
n of ether anesthesia, the effect of hemoglobin on anesthetic potency
has not been assessed. We assessed the effect of alpha-alpha diaspirin
crosslinked hemoglobin (DCLHb) on the anesthetic requirement of isofl
urane necessary to keep rats unresponsive to noxious stimuli (1.0 MAC
[minimum alveolar concentration]). During isoflurane administration, e
ach rat received one of the following fluid regimens: 44Hct/N-normal h
ematocrit and volume; 34Hct/H-8.0 ml of donor blood given as a hypervo
lemic bolus; 30Hct/H-5.0 ml of DCLHb given as an exchange transfusion
and 8.0 ml as a hypervolemic bolus; or 16Hct/H-15.0 mi of DCLHb given
as an exchange transfusion and 8,0 ml as a hypervolemic bolus. MAC was
determined using a standard tail clamp technique. The isoflurane requ
irement to achieve 1.0 MAC was not different between the four groups.
These results are consistent with a hypothesis that DCLHb does not cha
nge the anesthetic state.