Key result
MAC values of halothane, isoflurane, sevoflurane, and desflurane were reduced by 23%, 14%, 13%, and 7% respectively in cardiomyopathic hamsters compared to normal hamsters.
Why the study?
Does cardiomyopathy reduce the minimum alveolar anesthetic concentration of volatile anesthetics in a hamster model?
Does cardiomyopathy reduce the minimum alveolar anesthetic concentration of volatile anesthetics in a hamster model?
Cardiomyopathy significantly reduces the minimum alveolar anesthetic concentration required for volatile anesthetics in a hamster model.
Answers are grounded in this paper and cite their sources.
May lower volatile anesthetic needs in cardiomyopathy; hypothesis-generating in hamsters and leaves human translation open.
Minimum alveolar anesthetic concentrations (MAC) values of volatile anesthetics in cardiovascular diseases remain unknown.We determined MAC values of volatile anesthetics in spontaneously breathing normal and cardiomyopathic hamsters exposed to increasing (0.1%-0.3% steps) concentrations of halothane, isoflurane, sevoflurane, or desflurane (n = 30 in each group) using the tail-clamp technique. MAC values and their 95% confidence interval were calculated using logistic regression. In normal hamsters, inspired MAC values were: halothane 1.15% (1.10%-1.20%), isoflurane 1.62% (1.54%-1.69%), sevoflurane 2.31% (2.22%-2.40%), and desflurane 7.48% (7.30%-7.67%). In cardiomyopathic hamsters, they were: halothane 0.89% (0.83%-0.95%), isoflurane 1.39% (1.30%-1.47%), sevoflurane 2.00% (1.85%-2.15%), and desflurane 6.97% (6.77%-7.17%). Thus, MAC values of halothane, isoflurane, sevoflurane, and desflurane were reduced by 23% (P < 0.05), 14% (P < 0.05), 13% (P < 0.05), and 7% (P < 0.05), respectively in cardiomyopathic hamsters. Implications: Minimum alveolar anesthetic concentrations of volatile anesthetics were significantly lower in cardiomyopathic hamsters than in normal hamsters. (Anesth Analg 1999;88:489-93)
No takes yet. Share an insight, caveat, or question.
Vivien et al. (1999) studied Cardiomyopathy (n=240). Volatile anesthetics (halothane, isoflurane, sevoflurane, desflurane) vs. Normal hamsters was evaluated on Minimum alveolar anesthetic concentration (MAC) (reduced by 7% to 23%, p=< 0.05). MAC values of halothane, isoflurane, sevoflurane, and desflurane were reduced by 23%, 14%, 13%, and 7% respectively in cardiomyopathic hamsters compared to normal hamsters.
Synapse has enriched 10 related papers. Consider them for comparative context: