medigraphic.com
SPANISH

Medicina Crítica

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • Policies
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2003, Number 2

<< Back Next >>

Med Crit 2003; 17 (2)

Changes in hepatic function tests following isoflurane anaesthesia

Gómez MJJ, Fosado RI
Full text How to cite this article

Language: Spanish
References: 5
Page: 51-55
PDF size: 62.80 Kb.


Key words:

Isofluorane, anaesthesia, hepatic alterations, surgical patients.

ABSTRACT

Introduction: Severe hepatic damage has been reported following isofluorane anaesthesia.
Objective: To evaluate the changes of hepatic tests after isofluorane anaesthesia in surgical patients.
Setting: Anesthesiology department of a tertiary care hospital, Monterrey, Mexico.
Design: Case series report.
Patients: Sixty patients were asigned to three groups: Control group, PD (n = 20) treated with peridural anestehesia; MN group (n= 20) received isofluorane anaesthesia during three hours or less; and MY group treated with isofluorane during a period major of three hours.
Measurements and main results: Aminotranferases (SGOT, SGPT), alkaline phosphatase and direct and indirect bilirrubine were measured at 0, three and 24 hours in all the patients. SGOT, SGPT, alkaline phophatase and direct and indirect bilirrubin remained unchanged in PD group. SGOT and SGPT had an important increase at three hours in MN and MY group (p ‹ 0.05) and no changes of the others parameter were observed.
Conclusion: Isofluorane anaesthesia produces alterations of liver function in surgical patients.



REFERENCES

  1. Carrigan T, Straughen W. A report hepatic necrosis and death following isoflurane. Anesthesia. Anesthesiology 1987;67:581-583.

  2. Berman ML et al. Isofluorane and enfluorane-induce hepatic necrosis in triiodothyronine-pretreated rats. Anesthesiology 1983;58:1-53.

  3. Rodney H et al. Isoflurane hepatitis. Infections Medicine 1996;13:322-324.

  4. Schmidt C et al. Comparison of the effects of desflurane and isoflurane anaesthesia on hepatocellular function assessed by alpha glutathione s-transferase. Anaesthesia 1999;54:1204-1219.

  5. Tiainen P, Rosenberg P. Hepatocellular integrity during and after isoflurane and halothane anaesthesia in surgical patients. Br J Anaesth 1996;77:744-47-




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Crit. 2003;17