P. Reinstrup et al., INFLUENCE OF HALOTHANE AND ISOFLURANE ON THE CONTRACTILE RESPONSES TOPOTASSIUM AND PROSTAGLANDIN-F2-ALPHA IN ISOLATED HUMAN PIAL-ARTERIES, British Journal of Anaesthesia, 72(5), 1994, pp. 581-586
Volatile anaesthetics may modulate cerebrovascular resistance, but the
ir direct actions on human cerebral arteries are unknown. in the prese
nt study, we have evaluated the effects of halothane and isoflurane at
different MAC (0.4, 1.0 and 2.0) on contractions induced by depolariz
ation (potassium) or receptor stimulation (prostaglandin F-2 alpha) in
isolated ring segments of human pial arteries. Neither halothane nor
isoflurane had significant effects on potency (unaffected EC, value) o
r the maximum response (Emax) in potassium-contracted arteries, even t
hough there was a general tendency to attenuation of Emax. Similarly,
the potency of prostaglandin F-2 alpha was unchanged (unaffected EC(50
) value). However, the Emax value for prostaglandin F-2 alpha at normo
capnia (mean Pco(2) 4.3 (SEM 0.1) kPa, pH 7.41 (0.01)) and addition of
halothane (0.4, 1.0 and 2.0 MAC) was significantly attenuated to 96 (
2)%, 91 (3)% and 84 (4)% at the respective MAC concentrations. Isoflur
ane at 2 MAC and normocapnia also reduced Emax to 94 (3)%. During hypo
capnia (Pco(2) 2.7 (0.1) kPa, pH 7.64 (0.01)), the vasodilator effect
of halothane was reduced, whereas isoflurane at 0.4 and 1.0 MAC enhanc
ed the contraction induced by prostaglandin F-2 alpha.