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July 1, 1995Anesthesia & Analgesia

Potency (Minimum Alveolar Anesthetic Concentration) of Isoflurane Is Independent of Peripheral Anesthetic Effects

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Key result

Reducing peripheral isoflurane fails to change minimum alveolar anesthetic concentration compared to baseline.

  • P>0.05
  • n=6

Why the study?

Does peripheral isoflurane concentration influence the minimum alveolar anesthetic concentration required to suppress movement in response to noxious stimuli in dogs?

Population

6 isoflurane-anesthetized mongrel dogs

Comparison

Diminished isoflurane concentration at the site… vs Normal blood flow and matched end-tidal…

Design

Preclinical

Authors

JAJoseph F. AntogniniUniversity of California, DavisNKNguyen Duc KienHue University

Discussion

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Implication

Peripheral isoflurane does not alter MAC in dogs; leaves open central mechanisms as primary determinants for clinical translation.

Structured PICO

Does peripheral isoflurane concentration influence the minimum alveolar anesthetic concentration required to suppress movement in response to noxious stimuli in dogs?

P
Population
6 isoflurane-anesthetized mongrel dogs undergoing lower body bypass to isolate peripheral anesthetic effects.
I
Intervention
Diminished isoflurane concentration at the site of noxious stimulus (tail) via cardiopulmonary bypass diverting blood to the lower body (approximate equals 0.2%)
C
Comparator
Normal blood flow and matched end-tidal isoflurane in the lower body
O
Outcome
Minimum alveolar anesthetic concentration (MAC)surrogate

Main Result

Absolute Event Rate: 1.2% vs 1.3%

p-value: p=> 0.05

The peripheral effects of isoflurane do not influence the minimum alveolar anesthetic concentration required to suppress movement in response to noxious stimuli.

Cite This Study

Antognini et al. (1995) studied Isoflurane anesthesia (n=6). Lower body bypass to alter peripheral isoflurane concentration vs. Baseline normal blood flow was evaluated on Minimum alveolar anesthetic concentration (MAC) (p=> 0.05). Reducing peripheral isoflurane concentration to 0.2% in the lower body did not significantly change the minimum alveolar anesthetic concentration compared to baseline (1.2% vs 1.3%; P>0.05).

synapsesocial.com/papers/6aa45bea9ff49eff76185448https://doi.org/10.1213/00000539-199507000-00014
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Effects of Halothane on Sympathetic Ganglionic Transmission1982 · 50 citations
  2. 2Anesthetic Potency Is Not Altered after Hypothermic Spinal Cord Transection in Rats1994 · 404 citations
  3. 3Anesthetic Potency (MAC) Is Independent of Forebrain Structures in the Rat1993 · 548 citations
  4. 4Minimum Alveolar Concentration of 1???653 and Isoflurane in Pigs1988 · 118 citations
  5. 5Does the Brain Influence Somatic Responses to Noxious Stimuli during Isoflurane Anesthesia?1994 · 134 citations