BibTex RIS Kaynak Göster

Effects of sevoflurane and desflurane on the blood and plasma viscosity

Yıl 2015, Cilt: 2 Sayı: 2, 165 - 71, 10.03.2015

Rauf Gul Denizhan Karis , Guniz Koksal Cem Sayilgan Murat Bolayirli Huseyin Oz , Meltem Ercan

Öz

The purpose of present study was to compare the effects of desflurane and sevoflurane on blood viscosity in three different shear rates and plasma viscosity. Forty male patients, ASAI-II, undergone tympanoplasty were included in this study. Patients were randomly categorized as anaesthetized either with sevoflurane or desflurane. Anaesthesia was maintained with inspiratory concentrations of sevoflurane 1-1.5 MAC or desflurane. The samples were taken for hemorheological and biochemical examinations before induction of anaesthesia (initial time) and at 60th and 120th min of the operation. Blood viscosities were measured by rotational viscometer. Plasma viscosity was measured by capillary viscometer. Patients receiving desflurane showed steady decrease at 23 1/sec shear rate at 60th and 120th min and in blood viscosity at 115 1/sec shear rate in 120th min. Statistically significant decrease in the level of plasma viscosity was observed in the patient group anesthetized with desflurane, between initial time vs 60th min (p<0.01), initial time vs 120th min. (p<0.01). Desflurane produced stable effects on the blood circulation. The differences in the blood viscosity should not be overlooked.

Keywords: Desflurane, Sevoflurane, Blood viscosity, Plasma viscosity

Anahtar Kelimeler

Desflurane Sevoflurane Blood viscosity Plasma viscosity

Kaynakça

  • 1. Trevor AJ, White PF. General Anesthetics, in: Katzung BG. (ed): Basic and clinical pharmacology.The Mac-Graw Hill Companies. 2007; Chapter 25.
  • 2. Seagard JL, Bosnjak ZJ, Hopp FA, Jr Kampine JP. Cardiovascular effects of anaesthesia., in: Effects of anaesthesia, Covino BG, Fozzard HA, Rehder K, Strichartz G. (eds), Bethesda MD. American Physiological Society. 1985;149-177.
  • 3. Seagard JL, Hopp FA, Donegan JH, Kalbfleisch JH, Kampine JP. Halothane and the carotid sinus reflex: evidence for multiple sites of action. Anesthesiology. 1982;57(3):191-202.
  • 4. Weiskopf RB, Cahalan MK, Ionescu P, Eger EI, 2nd, Yasuda N, Lockhart SH, et al. Cardiovascular actions of desflurane with and without nitrous oxide during spontaneous ventilation in humans. Anesthesia and analgesia. 1991;73(2):165-74.
  • 5. Weiskopf RB, Cahalan MK, Eger EI, 2nd, Yasuda N, Rampil IJ, Ionescu P, et al. Cardiovascular actions of desflurane in normocarbic volunteers. Anesthesia and analgesia. 1991;73(2):143-56.
  • 6. Pagel PS, Warltier DC. Anaesthetics and left ventricular function, in: Ventricular function, Warltier DC. (ed). Baltimore, Williams & Wilkins. 1995;213-252.
  • 7. Ebert TJ, Harkin CP, Muzi M. Cardiovascular responses to sevoflurane: a review. Anesthesia and analgesia. 1995;81(6 Suppl):S11-22.
  • 8. Isbister JP. Hyperviscosity: Clinical disorders, in: Handbook of Hemorheology and Hemodynamics. Baskurt OK. (ed). IOS Press. 2007; 371-391.
  • 9. Baskurt OK. Mechanisms of blood rheology alterations, in: Handbook of Hemorheology and Hemodynamics, Baskurt OK. (ed). IOS Press. 2007; 171-190.
  • 10. Nash GB. Blood rheology and ischaemia. Eye. 1991;5 ( Pt 2):151-8.
  • 11. Dupont J, Tavernier B, Ghosez Y, Durinck L, Thevenot A, Moktadir-Chalons N, et al. Recovery after anaesthesia for pulmonary surgery: desflurane, sevoflurane and isoflurane. British journal of anaesthesia. 1999;82(3):355-9.
  • 12. Welborn LG, Hannallah RS, Norden JM, Ruttimann UE, Callan CM. Comparison of emergence and recovery characteristics of sevoflurane, desflurane, and halothane in pediatric ambulatory patients. Anesthesia and analgesia. 1996;83(5):917-20.
  • 13. Ozarslan NG, Ayhan B, Kanbak M, Celebioglu B, Demircin M, Ince C, et al. Comparison of the effects of sevoflurane, isoflurane, and desflurane on microcirculation in coronary artery bypass graft surgery. Journal of cardiothoracic and vascular anesthesia. 2012;26(5):791-8.
  • 14. Yerer MB, Aydogan S, Comu FM. Gender-related alerations in erythrocyte mechanical activities under desflurane or sevoflurane anesthesia. Clinical hemorheology and microcirculation. 2008;39(1-4):423-7.
  • 15. Baskurt OK, Boynard M, Cokelet GC, Connes P, Cooke BM, Forconi S et al. New guidelines for hemorheological laboratory techniques. International Expert Panel for Standardization of emorheological Methods. Clin Hemorheol and Microcirc. 2009;42,75–97.
  • 16. Matrai A, Whittington BBW, Ernst E. A simple method of estimating whole blood viscosity at standardized hematocrit. Clin Hemorheol. 1987;7, 261-265.
  • 17. Harkness J. A new instrument for the measurement of plasma-viscosity. Lancet. 1963;2(7302):280-1.
  • 18. Lenz C, Rebel A, Waschke KF, Koehler RC, Frietsch T. Blood viscosity modulates tissue perfusion: sometimes and somewhere. Transfusion alternatives in transfusion medicine : TATM / NATA, Network for Advancement of Transfusion Alternatives. 2008;9(4):265-72.
  • 19. Yerer MB, Aydogan S, Comu FM, Arslan M, GunesEkinci I, Kurtipek O, et al. The red blood cell deformability alterations under desfluran anesthesia in rats. Clinical hemorheology and microcirculation. 2006;35(1-2):213-6.
  • 20. Iannuzzi E, Iannuzzi M, Viola G, Cerulli A, Cirillo V, Chiefari M. Desflurane and sevoflurane in elderly patients during general anesthesia: a double blind comparison. Minerva anestesiologica. 2005;71(4):147-55.
  • 21. Merin RG. Physiology, pathophysiology and pharmacology of the coronary circulation with particular emphasis on anesthetics. Anaesthesiologie und Reanimation. 1992;17(1):5-26.
  • 22. Gordon RJ, Ravin MB. Rheology and anesthesiology. Anesthesia and analgesia. 1978;57(2):252-61.
  • 23. Magora F, London M, Eimerl D, Aronson HB. Blood viscosity during anaesthesia with halothane, cyclopropane, thiopentone and ketamine. British journal of anaesthesia. 1974;46(5):343-7.
  • 24. Odoom JA, Bovill JG, Hardeman MR, Oosting J, Zuurmond WW. Effects of epidural and spinal anesthesia on blood rheology. Anesthesia and analgesia. 1992;74(6):835-40.
  • 25. Erdogan C, Erdem A, Akinci SB, Dikmenoglu N, Basgul E, Balkanci ZD. et al. The effect of midazolam on erythrocyte deformability and plasma viscosity in rats: A- 158. Eur J Anaesth. 2005;22,43-44.
  • 26. Ebert TJ, Muzi M. Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers. A comparison with isoflurane. Anesthesiology. 1993;79(3):444-53.
  • 27. Kesmarky G, Kenyeres P, Rabai M, Toth K. Plasma viscosity: a forgotten variable. Clinical hemorheology and microcirculation. 2008;39(1-4):243-6.
  • 28. Salazar Vazquez BY, Cabrales P, Tsai AG, Intaglietta M. Nonlinear cardiovascular regulation consequent to changes in blood viscosity. Clinical hemorheology and microcirculation. 2011;49(1-4):29-36.
  • 29. Tomiyama Y, Brian JE, Jr., Todd MM. Plasma viscosity and cerebral blood flow. American journal of physiology Heart and circulatory physiology. 2000;279(4):H1949-54.
  • 30. Rosenson RS, Lowe GD. Effects of lipids and lipoproteins on thrombosis and rheology. Atherosclerosis. 1998;140(2):271-80.
  • 31. Cabrales P, Tsai AG. Plasma viscosity regulates systemic and microvascular perfusion during acute extreme anemic conditions. American journal of physiology Heart and circulatory physiology. 2006;291(5):H2445-52.
  • 32. Cabrales P, Intaglietta M, Tsai AG. Increase plasma viscosity sustains microcirculation after resuscitation from hemorrhagic shock and continuous bleeding. Shock. 2005;23(6):549-55.
  • 33. Salazar Vazquez BY, Martini J, Chavez Negrete A, Cabrales P, Tsai AG, Intaglietta M. Microvascular benefits of increasing plasma viscosity and maintaining blood viscosity: counterintuitive experimental findings. Biorheology. 2009;46(3):167-79.
  • 34. Ozarslan NG, Ayhan B, Kanbak M, Celebioglu B, Demircin M, Ince C, et al. Comparison of the effects of sevoflurane, isoflurane, and desflurane on microcirculation in coronary artery bypass graft surgery. Journal of cardiothoracic and vascular anesthesia. 2012;26(5):791-8

Effects of sevoflurane and desflurane on the blood and plasma viscosity

Yıl 2015, Cilt: 2 Sayı: 2, 165 - 71, 10.03.2015

Rauf Gul Denizhan Karis , Guniz Koksal Cem Sayilgan Murat Bolayirli Huseyin Oz , Meltem Ercan

Öz

Kaynakça

  • 1. Trevor AJ, White PF. General Anesthetics, in: Katzung BG. (ed): Basic and clinical pharmacology.The Mac-Graw Hill Companies. 2007; Chapter 25.
  • 2. Seagard JL, Bosnjak ZJ, Hopp FA, Jr Kampine JP. Cardiovascular effects of anaesthesia., in: Effects of anaesthesia, Covino BG, Fozzard HA, Rehder K, Strichartz G. (eds), Bethesda MD. American Physiological Society. 1985;149-177.
  • 3. Seagard JL, Hopp FA, Donegan JH, Kalbfleisch JH, Kampine JP. Halothane and the carotid sinus reflex: evidence for multiple sites of action. Anesthesiology. 1982;57(3):191-202.
  • 4. Weiskopf RB, Cahalan MK, Ionescu P, Eger EI, 2nd, Yasuda N, Lockhart SH, et al. Cardiovascular actions of desflurane with and without nitrous oxide during spontaneous ventilation in humans. Anesthesia and analgesia. 1991;73(2):165-74.
  • 5. Weiskopf RB, Cahalan MK, Eger EI, 2nd, Yasuda N, Rampil IJ, Ionescu P, et al. Cardiovascular actions of desflurane in normocarbic volunteers. Anesthesia and analgesia. 1991;73(2):143-56.
  • 6. Pagel PS, Warltier DC. Anaesthetics and left ventricular function, in: Ventricular function, Warltier DC. (ed). Baltimore, Williams & Wilkins. 1995;213-252.
  • 7. Ebert TJ, Harkin CP, Muzi M. Cardiovascular responses to sevoflurane: a review. Anesthesia and analgesia. 1995;81(6 Suppl):S11-22.
  • 8. Isbister JP. Hyperviscosity: Clinical disorders, in: Handbook of Hemorheology and Hemodynamics. Baskurt OK. (ed). IOS Press. 2007; 371-391.
  • 9. Baskurt OK. Mechanisms of blood rheology alterations, in: Handbook of Hemorheology and Hemodynamics, Baskurt OK. (ed). IOS Press. 2007; 171-190.
  • 10. Nash GB. Blood rheology and ischaemia. Eye. 1991;5 ( Pt 2):151-8.
  • 11. Dupont J, Tavernier B, Ghosez Y, Durinck L, Thevenot A, Moktadir-Chalons N, et al. Recovery after anaesthesia for pulmonary surgery: desflurane, sevoflurane and isoflurane. British journal of anaesthesia. 1999;82(3):355-9.
  • 12. Welborn LG, Hannallah RS, Norden JM, Ruttimann UE, Callan CM. Comparison of emergence and recovery characteristics of sevoflurane, desflurane, and halothane in pediatric ambulatory patients. Anesthesia and analgesia. 1996;83(5):917-20.
  • 13. Ozarslan NG, Ayhan B, Kanbak M, Celebioglu B, Demircin M, Ince C, et al. Comparison of the effects of sevoflurane, isoflurane, and desflurane on microcirculation in coronary artery bypass graft surgery. Journal of cardiothoracic and vascular anesthesia. 2012;26(5):791-8.
  • 14. Yerer MB, Aydogan S, Comu FM. Gender-related alerations in erythrocyte mechanical activities under desflurane or sevoflurane anesthesia. Clinical hemorheology and microcirculation. 2008;39(1-4):423-7.
  • 15. Baskurt OK, Boynard M, Cokelet GC, Connes P, Cooke BM, Forconi S et al. New guidelines for hemorheological laboratory techniques. International Expert Panel for Standardization of emorheological Methods. Clin Hemorheol and Microcirc. 2009;42,75–97.
  • 16. Matrai A, Whittington BBW, Ernst E. A simple method of estimating whole blood viscosity at standardized hematocrit. Clin Hemorheol. 1987;7, 261-265.
  • 17. Harkness J. A new instrument for the measurement of plasma-viscosity. Lancet. 1963;2(7302):280-1.
  • 18. Lenz C, Rebel A, Waschke KF, Koehler RC, Frietsch T. Blood viscosity modulates tissue perfusion: sometimes and somewhere. Transfusion alternatives in transfusion medicine : TATM / NATA, Network for Advancement of Transfusion Alternatives. 2008;9(4):265-72.
  • 19. Yerer MB, Aydogan S, Comu FM, Arslan M, GunesEkinci I, Kurtipek O, et al. The red blood cell deformability alterations under desfluran anesthesia in rats. Clinical hemorheology and microcirculation. 2006;35(1-2):213-6.
  • 20. Iannuzzi E, Iannuzzi M, Viola G, Cerulli A, Cirillo V, Chiefari M. Desflurane and sevoflurane in elderly patients during general anesthesia: a double blind comparison. Minerva anestesiologica. 2005;71(4):147-55.
  • 21. Merin RG. Physiology, pathophysiology and pharmacology of the coronary circulation with particular emphasis on anesthetics. Anaesthesiologie und Reanimation. 1992;17(1):5-26.
  • 22. Gordon RJ, Ravin MB. Rheology and anesthesiology. Anesthesia and analgesia. 1978;57(2):252-61.
  • 23. Magora F, London M, Eimerl D, Aronson HB. Blood viscosity during anaesthesia with halothane, cyclopropane, thiopentone and ketamine. British journal of anaesthesia. 1974;46(5):343-7.
  • 24. Odoom JA, Bovill JG, Hardeman MR, Oosting J, Zuurmond WW. Effects of epidural and spinal anesthesia on blood rheology. Anesthesia and analgesia. 1992;74(6):835-40.
  • 25. Erdogan C, Erdem A, Akinci SB, Dikmenoglu N, Basgul E, Balkanci ZD. et al. The effect of midazolam on erythrocyte deformability and plasma viscosity in rats: A- 158. Eur J Anaesth. 2005;22,43-44.
  • 26. Ebert TJ, Muzi M. Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers. A comparison with isoflurane. Anesthesiology. 1993;79(3):444-53.
  • 27. Kesmarky G, Kenyeres P, Rabai M, Toth K. Plasma viscosity: a forgotten variable. Clinical hemorheology and microcirculation. 2008;39(1-4):243-6.
  • 28. Salazar Vazquez BY, Cabrales P, Tsai AG, Intaglietta M. Nonlinear cardiovascular regulation consequent to changes in blood viscosity. Clinical hemorheology and microcirculation. 2011;49(1-4):29-36.
  • 29. Tomiyama Y, Brian JE, Jr., Todd MM. Plasma viscosity and cerebral blood flow. American journal of physiology Heart and circulatory physiology. 2000;279(4):H1949-54.
  • 30. Rosenson RS, Lowe GD. Effects of lipids and lipoproteins on thrombosis and rheology. Atherosclerosis. 1998;140(2):271-80.
  • 31. Cabrales P, Tsai AG. Plasma viscosity regulates systemic and microvascular perfusion during acute extreme anemic conditions. American journal of physiology Heart and circulatory physiology. 2006;291(5):H2445-52.
  • 32. Cabrales P, Intaglietta M, Tsai AG. Increase plasma viscosity sustains microcirculation after resuscitation from hemorrhagic shock and continuous bleeding. Shock. 2005;23(6):549-55.
  • 33. Salazar Vazquez BY, Martini J, Chavez Negrete A, Cabrales P, Tsai AG, Intaglietta M. Microvascular benefits of increasing plasma viscosity and maintaining blood viscosity: counterintuitive experimental findings. Biorheology. 2009;46(3):167-79.
  • 34. Ozarslan NG, Ayhan B, Kanbak M, Celebioglu B, Demircin M, Ince C, et al. Comparison of the effects of sevoflurane, isoflurane, and desflurane on microcirculation in coronary artery bypass graft surgery. Journal of cardiothoracic and vascular anesthesia. 2012;26(5):791-8
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Rauf Gul Bu kişi benim

Denizhan Karis

Guniz Koksal Bu kişi benim

Cem Sayilgan Bu kişi benim

Murat Bolayirli Bu kişi benim

Huseyin Oz

Meltem Ercan Bu kişi benim

Yayımlanma Tarihi 10 Mart 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 2 Sayı: 2

Kaynak Göster

APA Gul, R., Karis, D., Koksal, G., Sayilgan, C., vd. (2015). Effects of sevoflurane and desflurane on the blood and plasma viscosity. Medical Science and Discovery, 2(2), 165-71. https://doi.org/10.17546/msd.36015
AMA Gul R, Karis D, Koksal G, Sayilgan C, Bolayirli M, Oz H, Ercan M. Effects of sevoflurane and desflurane on the blood and plasma viscosity. Med Sci Discov. Ocak 2015;2(2):165-71. doi:10.17546/msd.36015
Chicago Gul, Rauf, Denizhan Karis, Guniz Koksal, Cem Sayilgan, Murat Bolayirli, Huseyin Oz, ve Meltem Ercan. “Effects of Sevoflurane and Desflurane on the Blood and Plasma Viscosity”. Medical Science and Discovery 2, sy. 2 (Ocak 2015): 165-71. https://doi.org/10.17546/msd.36015.
EndNote Gul R, Karis D, Koksal G, Sayilgan C, Bolayirli M, Oz H, Ercan M (01 Ocak 2015) Effects of sevoflurane and desflurane on the blood and plasma viscosity. Medical Science and Discovery 2 2 165–71.
IEEE R. Gul, D. Karis, G. Koksal, C. Sayilgan, M. Bolayirli, H. Oz, ve M. Ercan, “Effects of sevoflurane and desflurane on the blood and plasma viscosity”, Med Sci Discov, c. 2, sy. 2, ss. 165–71, 2015, doi: 10.17546/msd.36015.
ISNAD Gul, Rauf vd. “Effects of Sevoflurane and Desflurane on the Blood and Plasma Viscosity”. Medical Science and Discovery 2/2 (Ocak 2015), 165-71. https://doi.org/10.17546/msd.36015.
JAMA Gul R, Karis D, Koksal G, Sayilgan C, Bolayirli M, Oz H, Ercan M. Effects of sevoflurane and desflurane on the blood and plasma viscosity. Med Sci Discov. 2015;2:165–71.
MLA Gul, Rauf vd. “Effects of Sevoflurane and Desflurane on the Blood and Plasma Viscosity”. Medical Science and Discovery, c. 2, sy. 2, 2015, ss. 165-71, doi:10.17546/msd.36015.
Vancouver Gul R, Karis D, Koksal G, Sayilgan C, Bolayirli M, Oz H, Ercan M. Effects of sevoflurane and desflurane on the blood and plasma viscosity. Med Sci Discov. 2015;2(2):165-71.
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