Why the study?
Do inhalation anesthetics improve myocardial and hepatic energy metabolism compared to pentobarbital in normotensive and hypertensive rats subjected to hemorrhage?
Do inhalation anesthetics improve myocardial and hepatic energy metabolism compared to pentobarbital in normotensive and hypertensive rats subjected to hemorrhage?
Inhalation anesthetics may protect against hepatic metabolic deterioration during hemorrhage compared to barbiturates, though they do not significantly affect myocardial metabolism.
Does not support changing anesthetic choice in hemorrhage; hypothesis-generating for hepatic ATP preservation in hypertensive models.
Forty spontaneously hypertensive rats (SHRs) and forty normotensive Wistar-ST rats (NRs) were used to assess the influence of anesthetics on myocardial and hepatic energy metabolism after hemorrhage. They were divided into five pairs of groups: a control group (pentobarbital 6 mg.100 g BW-1 ip), and four others which received 1.2% halothane, 2.2% enflurane, 1.4% isoflurane, and 3.3% sevoflurane, respectively. Following a 10 min stabilization period, blood (2 ml.100 g BW-1) was gradually withdrawn over a 5 min period from a femoral artery. Thirty min after the induction of hemorrhage, the heart and liver were removed and myocardial and hepatic metabolites (ATP, lactate, pyruvate and glycogen) were measured by enzymatic methods. There were no significant differences in myocardial metabolites among either the anesthetic groups or between SHRs and NRs. However, hepatic ATP levels in all SHR groups were significantly lower than those in NR groups. Moreover, ATP levels in the inhalation anesthetic groups of SHRs were significantly higher than that in the control group of SHRs. All inhalation anesthetics, especially isoflurane, may reduce metabolic deterioration of the liver during hemorrhage when compared to barbiturate anesthesia.
No takes yet. Share an insight, caveat, or question.
Kashimoto et al. (1994) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: