Hepatocelluar intergrity during sevolurane anesthesia with ainduced hypotension
Joint Authors
Yusuf, Maha A.
Khafagy, Hanan F.
al-Shanawani, Fatin M.
al-Sibai, Husam H.
Umar, Suhaylah H.
Allam, Muhammad A.
Kamil, Hind H.
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 39, Issue 2 (31 Aug. 2009), pp.641-651, 11 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2009-08-31
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Topics
Abstract EN
The effect of sevoflurane anesthesia with or without induced hypotension on hepatocellular integrity was studied.
Forty adult consented patients scheduled for various urological procedures were allocated randomly to either NTG group (nitroglycerin-induced hypotension) or a control group of twenty patients each.
Anesthesia was induced and maintained by fentanyl, sevoflurane & vecuro¬nium in both groups.
In NTG group, nitro-glycerin infusion was adjusted to maintain mean arterial pressure (MAP) of 50-65 mm Hg.
Specific and sensitive hepatic biomarkers; a (alpha) and % (pi) glutathione S-transferases (GST) and hyaluronic acid (HA), also traditional liver enzymes; aspartate (AST) and ala¬nine (ALT) aminotransferases were measured at: TO (pre-induction), Tl, T2, T3 (15, 30 & 60 minutes after MAP stabilization respectively) and T4 (24 hours after anesthesia end).
Plasma a-GST significantly increased at T3 in con¬trol group (p< 0.05) and in NTG group (p< 0.01) compared to TO in same group.
In NTG group, hyaluronic acid con-centrations was significantly in¬creased at Tl, T2 (p< 0.05) and T3 (p< 0.01) from TO.
Compared to control group, a- GST & HA concentrations showed significant increases in NTG group at T3 with p< 0.05 then returned back to normal range at T4.
But, TT-GST, AST and ALT showed no significant changes throughout the study in both groups
American Psychological Association (APA)
Yusuf, Maha A.& Khafagy, Hanan F.& al-Shanawani, Fatin M.& al-Sibai, Husam H.& Umar, Suhaylah H.& Allam, Muhammad A.…[et al.]. 2009. Hepatocelluar intergrity during sevolurane anesthesia with ainduced hypotension. Journal of the Egyptian Society of Parasitology،Vol. 39, no. 2, pp.641-651.
https://search.emarefa.net/detail/BIM-104167
Modern Language Association (MLA)
Yusuf, Maha A.…[et al.]. Hepatocelluar intergrity during sevolurane anesthesia with ainduced hypotension. Journal of the Egyptian Society of Parasitology Vol. 39, no. 2 (Aug. 2009), pp.641-651.
https://search.emarefa.net/detail/BIM-104167
American Medical Association (AMA)
Yusuf, Maha A.& Khafagy, Hanan F.& al-Shanawani, Fatin M.& al-Sibai, Husam H.& Umar, Suhaylah H.& Allam, Muhammad A.…[et al.]. Hepatocelluar intergrity during sevolurane anesthesia with ainduced hypotension. Journal of the Egyptian Society of Parasitology. 2009. Vol. 39, no. 2, pp.641-651.
https://search.emarefa.net/detail/BIM-104167
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 649-651
Record ID
BIM-104167