B. Preckel et al., Beneficial effects of sevoflurane and desflurane against myocardial reperfusion injury after cardioplegic arrest, CAN J ANAES, 46(11), 1999, pp. 1076-1081
Citations number
19
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE
Purpose: To determine whether sevoflurane or desflurane offer additional pr
otective effects against myocardial reperfusion injury after protecting the
heart against the ischemic injury by cardioplegic arrest.
Methods: Isolated rat hearts in a Langendorff-preparation (n=9) were arrest
ed by infusion of HTK cardioplegic solution and subjected to 30 min global
ischemia Followed by 60 min reperfusion (controls). An additional 18 hearts
were subjected to the same protocol, and sevoflurane (n=9) or desflurane (
n=9) was added to the perfusion medium during the first 30 min of reperfusi
on in a concentration corresponding to 1.5 MAC in rats, Left ventricular (L
V) developed pressure and creatine kinase (CK) release were determined as i
ndices of myocardial performance and cellular injury, respectively,
Results: The LV developed pressure recovered to 46 +/- 7% of baseline in co
ntrols. Functional recovery during reperfusion was improved by inhalational
anesthetics to 67 +/- 3% (sevoflurane, P < 0.05) and 61 +/- 5% of baseline
(desflurane, P < 0.05), respectively. Peak CK release during early reperfu
sion was reduced from 52 +/- 11 U.min(-1).g(-1) in controls to 34 +/- 7 and
26 +/- 7 U.min(-1).g(-1) in sevoflurane and desflurane treated hearts, res
pectively, The CK release during the first 30 min of reperfusion was reduce
d From 312 +/- 41 U.g(-1) in control hearts to 195 +/- 40 and 206 +/- 37 U.
g(-1) in sevoflurane and desflurane treated hearts,
Conclusion: After ischemic protection by cardioplegia, sevoflurane and desf
lurane given during the early reperfusion period offer additional protectio
n against myocardial reperfusion injury.