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Inhalation Anesthetics Augment Oxidant‐induced Pulmonary VasoconstrictionEvidence for a Membrane Effect

 

作者: Jay Shayevitz,   Richard Traystman,   N. Adkinson,   A. Sciuto,   Gail Gurtner,  

 

期刊: Anesthesiology  (OVID Available online 1985)
卷期: Volume 63, issue 6  

页码: 624-632

 

ISSN:0003-3022

 

年代: 1985

 

出版商: OVID

 

关键词: Anesthetics, gases: cyclopropane; nitrous oxide;Anesthetics, volatile: halothane;Hormones: prostoglandins;Lung: vascular resistance;Membrane: cell

 

数据来源: OVID

 

摘要:

Inhalational anesthetics “fluidize” biologic membranes. Since arachidonate metabolism also occurs in cell membranes, anesthetic agents may modify arachidonic acid mediator production. The authors used the isolated perfused rabbit lung preparation to examine the effects of inhalational anesthetics on the production of arachi-donate mediators. The oxidant tert-butyl-hydroperoxide (t-bu-OOH) is known to cause pulmonary vasoconstriction by causing increased production of thromboxane A2(TxA2). The authors administered three anesthetics (halothane, cyclopropane, and nitrous oxide) of widely different potencies, at different dosages, each to three different groups of preparations and challenged the lungs at each anesthetic dose with t-bu-OOH. They found a dose-related augmentation of the pulmonary vasopressor response to t-bu-OOH. Preparations given t-bu-OOH alone showed no change in response over time. Lungs perfused with indomethacin (5 μg.ml-1in Krebs-Henseleit buffer), ventilated with cyclopropane (2 MAC), and challenged with t-bu-OOH showed almost complete inhibition of the response to t-bu-OOH. Indomethacin at this concentration is a specific inhibitor of cyclooxygenase. The authors also have demonstrated significantly increased perfusate levels of thromboxane B2(TxB2), the inactive metabolite of TxA2, after oxidant challenge during exposure to 2% halothane compared with TxB2levels before halothane exposure. The authors believe that the augmented pressor response and mediator production occur because of increased substrate (arachidonic acid) availability induced by anesthetic agent.

 

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