Hepatic function during xenon anesthesia in pigs

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • H. Reinelt - , Ulm University (Author)
  • T. Marx - , Ulm University (Author)
  • J. Kotzerke - , Ulm University (Author)
  • P. Topalidis - , Ulm University (Author)
  • S. Luederwald - , Ulm University (Author)
  • S. Armbruster - , Ulm University (Author)
  • U. Schirmer - , Ulm University (Author)
  • M. Schmidt - , Ulm University (Author)

Abstract

Background: Inhalation anesthetics decrease liver perfusion and oxygen consumption by changing the distribution pattern of perfusion between the hepatic artery and the portal vein and by direct effects on liver cells. The effects of xenon on liver perfusion and function have been not investigated until now. Methods: Fourteen pigs were randomly assigned to two groups to receive either 73-78% xenon or 75% nitrogen in oxygen with additional supplementation of pentobarbital and buprenorphine. Microspheres were used to determine the arterial perfusion of the liver and splanchnic organs. Oxygen contents were measured by catheterization of the portal and a liver vein. Lactate and glucose plasma concentrations were measured in hepatic, mixed venous and arterial blood. Alanine aminotransferase (ALT) and lactate dehydrogenase (LOH) plasma concentrations were measured in arterial blood. Urea production rates were calculated to assess hepatic metabolic function. Results: Significant higher oxygen contents were found in the liver venous blood during xenon anesthesia. No differences were found in any other investigated parameters. Conclusion: Higher oxygen content in liver venous blood observed during xenon anesthesia was not induced by changes in hepatic perfusion distribution or by an impairment of liver metabolic capacity. However, it can be explained by similar results known from inhalation anesthesia. Additionally, the effect can be caused by the reduction of plasma catecholamine concentrations during xenon anesthesia.

Details

Original languageEnglish
Pages (from-to)713-716
Number of pages4
JournalActa anaesthesiologica Scandinavica
Volume46
Issue number6
Publication statusPublished - 2002
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 12059897

Keywords

ASJC Scopus subject areas

Keywords

  • Anesthesia, Inhalation, Liver oxygenation, Microspheres, Xenon

Library keywords