Research Article
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Year 2020, Volume: 6 Issue: 5, 373 - 379, 04.09.2020
https://doi.org/10.18621/eurj.554642

Abstract

References

  • 1. Morgan GE, Mikhail MS, Murray MJ. Neurophysiology and anesthesia.In: Morgan GE, Mikhail MS, Murray MJ (eds.) Clinical Anesthesiology. 4th edition., New York: Lange Medical Book/McGraw-Hill, 2006: pp.614-30.
  • 2. Matchett GA, Allard MW, Martin RD, Zhang JH. Neuroprotective effect of volatile anesthetic agents: molecular mechanims. Neurol Res 2009;31:128-34.
  • 3. Milde LN. Cerebral protection. In: Cucchiara RF, Black S, Mchenfelder JD (eds.). Clinical Neuroanesthesia. New York: Churchill Livingstone, 1998: pp.177-228.
  • 4. Heath KJ, Gupta S, Matta BF. The effects of sevoflurane on cerebral hemodynamics during propofol anesthesia. Anesth Analg 1997;85:1284-7.
  • 5. Hu XW, Zhang Y, Li WY, Liu J, Lia Y. Preconditioning with sevoflurane ameliorates spatil learning and memory deficit after focal cerebral ischemia-reperfusion in rats. Int J Dev Neurosci 2013;31:328-33.
  • 6. Lenz C, RebelA, Van Ackern K, Kuschinsky W, Waschke KF. Local cerebral blood flow local cerebral glucose utilization and flow metabolism coupling during sevoflurane versus isoflurane anesthesia in rats. Anesthesiology 1998;89:1480-8.
  • 7. Werner C, Möllenberg O, Kochs E, Schulte J am Esch. Sevoflurane improves neurological outcome after incomplete cerebral ischemia in rats. Br J Anaesth 1995;75:756-60.
  • 8. Mc Bride DW, Klebe D, Tank J, Zhang JH. Correcting for brain swelling effect on infarct volüme calculation after middle cerebral artery occlusion in rats. Transl Stroke Res 2015;6:323-38.
  • 9. Wang H, Li P, Xu N, Zhu L, Cai M, Gao Y. Paradigms and mechanism of inhalational anesthetics mediated neuroprotection against cerebral ischemic stroke. Med Gas Res 2016;6:194-205.
  • 10. Reynolds MA, Kirchick HJ, Dahlen JR, Anderberg JM, McPherson PH, Nakamura KK, et al. Early biomarkers of stroke. Clin Chem 2003;49:1733-9.
  • 11. Abdelmalak B, Cata J. Biomarkers: understanding, progress, and implications in the perioperative period. Adv Anesth 2010;28:161-86.
  • 12. Steiner J, Bogerts B, Schroeter ML, Bernstein HG. S100B protein in neurodegenerativ disorders. Clin Chem Lab Med 2011;49:409-24.
  • 13. Isobe T, Ishioka N, Okuyama T. Structural relation of two S-100 proteins in bovine brain; subunit composition of S-100a protein. Eur J Biochem 1981;115:469-74.
  • 14. Hachimi-Idrisi S, Van der Auwera M, Schiettecatte J, Ebinger G, Michotte Y, Huggens L. S-100 protein as early predictor of regaining consciousness after out of hospital cardiac arrest. Resuscitation 2002;53:251-7.
  • 15. Rosen H, Rosengren L, Herlitz J, Blomstrand C. Increased serum levels of the S-100 protein are associated with hypoxic brain damage after cardiac arrest. Stroke 1998;29:473-7.
  • 16. De Vries J, Snels SE, Menovsky T, Lemmens WA, De Reus H, Lamers KJ, et al. Peri-operative levels of S-100 protein in serum: marker for surgical manipulation and postoperative complications. Minim Invasive Neurosurg 2003;46:33-6.
  • 17. Ingebrigten T, Waterloo K, Jacobsen EA, Langbakk B, Romner B. Travmatic brain damage in minor head injury: relation of serum S-100 protein measurements to magnetic resonance imaging and neurobehavioral outcome. Neurosurgery 1999;45:468-75.
  • 18. Herrmann M1, Vos P, Wunderlich MT, de Bruijn CH, Lamers KJ. Release of glial tissue-specific proteins after acute stroke : a comparative analysis of serum concentrations of protein S-100B and glial fibrillary acidic protein. Stroke 2000;31:2670-7.
  • 19. Schick U, Döhnert J, Meyer J-J, Vitzthum H-E. Prognostic significance of SSEP, BAEP and serum S-100B monitoring after aneurysm surgery. Acta Neurol Scand 2003;108:161-9.
  • 20. Einav S, Shoshan Y, Ovadia H, Matot I, Hersch M, Itshayek E. Early postoperative serum S100B levels predict ongoing brain damage after meningioma surgery: a prospective observational study. Crit Care 2006;10:R141.
  • 21. Negargar S, Peirovifar A, Mahmoodpoor A, Parish M, Golzari SE, Molseqi H, et al. Hemodynamic parameters of low-flow isoflurane and low-flow sevoflurane anesthesia during controlled ventilation with laryngeal mask airway. Anesth Pain Med 2014;4:e20326.
  • 22. Shan J, Sun L, Wang D, Li X. Comparison of the neuroprotective effects and recovery profiles of isoflurane, sevoflurane and desflurane as neurosurgical pre-conditioning on ischemia/reperfusion cerebral injury. Int J Clin Exp Pathol 2015;8;2001-10.
  • 23. Artru AA, Lam AM, Johnson JO, Sperry RJ. Intracranial pressure, middle cerebral artery flow velocity and plasma inorganic fluoride concentrations in neurosurgical patients receiving sevoflurane on isoflurane. Anesth Analg 1997;85:587-92.
  • 24. Summors AC, Gupta AK, Matta BF. Dynamic cerebral autoregulation during sevoflurane anesthesia: a comparison with isoflurane. Anesth Analg 1999;88:341-5.
  • 25. Toner CC, Connelly K, Whelpton R, Bains S, Michael-Titus AT, McLaughlin DP, et al. Effects of sevoflurane on dopamine, glutamate and aspartate release in an in vitro model of cerebral ischemia. Br J Anaesth 2001;86:550-4.
  • 26. Martens P, Raabe A, Johnsson P. Serum S-100 and Neuron-specific enolase for prediction of regaining consciousness after global cerebral ischemia. Stroke 1998;29:2363-6.
  • 27. Wunderlich MT, Ebert AD, Kratz T, Goertler M, Jost S, Herrmann M. Early neurobehavioral outcome after stroke is related to release of neurobiochemical markers of brain damage. Stroke 1999;30:1190-5.
  • 28. de Vries J, Thijssen WA, Snels SE, Menovsky M, Peer NG, Lamers KJ. Intraoperative volues of S-100 protein, myelin basic protein, lactate and albumin in the CSF and serum of neurosurgical patients. J Neurol Neurosurg Psychiatry 2001;71:671-4.

Comparison of neuroprotective effect of isoflurane and sevoflurane on cerebral ischemia

Year 2020, Volume: 6 Issue: 5, 373 - 379, 04.09.2020
https://doi.org/10.18621/eurj.554642

Abstract

Objectives:
In this study, we aimed to evaluate the effects of isoflurane and
sevoflurane on cerebral ischemia in patients undergoing intracranial tumour
surgery by measuring protein S-100B in serum. Patients undergoing intracranial
surgery are at risk for cerebral ischemia. The presence of S100-B in serum is
an early and the most sensitive determinant of cerebral ischemia.

Methods: Twenty patients, scheduled
for elective, intracranial tumor surgery were enrolled in this prospective and randomized
study. Anaesthesia induction was performed with thiopental, fentanyl and
vecuronium. In the maintenance, isoflurane or sevoflurane was administered in a
minimum alveolar concentration of 0.8-1.2%. Peripheral blood samples were taken
at 9 different times to measure protein S-100B levels.

Results: Demographic data, heart
rate, systolic arterial pressure, mean arterial pressure and the deviations in
the end-tidal carbon dioxide were similar in the study groups (
p > 0.05),
whereas diastolic arterial pressure was found to be significantly decreased in
isoflurane group after the intubation, and there was an increase in the
sevoflurane group (
p < 0.05). Also there was no significant difference
between the groups regarding protein S-100B levels.







Conclusions: It was concluded that isoflurane and sevoflurane
have similar neuroprotective effects against cerebral ischemia and sevoflurane
may be a good alternative to isoflurane. 










 


References

  • 1. Morgan GE, Mikhail MS, Murray MJ. Neurophysiology and anesthesia.In: Morgan GE, Mikhail MS, Murray MJ (eds.) Clinical Anesthesiology. 4th edition., New York: Lange Medical Book/McGraw-Hill, 2006: pp.614-30.
  • 2. Matchett GA, Allard MW, Martin RD, Zhang JH. Neuroprotective effect of volatile anesthetic agents: molecular mechanims. Neurol Res 2009;31:128-34.
  • 3. Milde LN. Cerebral protection. In: Cucchiara RF, Black S, Mchenfelder JD (eds.). Clinical Neuroanesthesia. New York: Churchill Livingstone, 1998: pp.177-228.
  • 4. Heath KJ, Gupta S, Matta BF. The effects of sevoflurane on cerebral hemodynamics during propofol anesthesia. Anesth Analg 1997;85:1284-7.
  • 5. Hu XW, Zhang Y, Li WY, Liu J, Lia Y. Preconditioning with sevoflurane ameliorates spatil learning and memory deficit after focal cerebral ischemia-reperfusion in rats. Int J Dev Neurosci 2013;31:328-33.
  • 6. Lenz C, RebelA, Van Ackern K, Kuschinsky W, Waschke KF. Local cerebral blood flow local cerebral glucose utilization and flow metabolism coupling during sevoflurane versus isoflurane anesthesia in rats. Anesthesiology 1998;89:1480-8.
  • 7. Werner C, Möllenberg O, Kochs E, Schulte J am Esch. Sevoflurane improves neurological outcome after incomplete cerebral ischemia in rats. Br J Anaesth 1995;75:756-60.
  • 8. Mc Bride DW, Klebe D, Tank J, Zhang JH. Correcting for brain swelling effect on infarct volüme calculation after middle cerebral artery occlusion in rats. Transl Stroke Res 2015;6:323-38.
  • 9. Wang H, Li P, Xu N, Zhu L, Cai M, Gao Y. Paradigms and mechanism of inhalational anesthetics mediated neuroprotection against cerebral ischemic stroke. Med Gas Res 2016;6:194-205.
  • 10. Reynolds MA, Kirchick HJ, Dahlen JR, Anderberg JM, McPherson PH, Nakamura KK, et al. Early biomarkers of stroke. Clin Chem 2003;49:1733-9.
  • 11. Abdelmalak B, Cata J. Biomarkers: understanding, progress, and implications in the perioperative period. Adv Anesth 2010;28:161-86.
  • 12. Steiner J, Bogerts B, Schroeter ML, Bernstein HG. S100B protein in neurodegenerativ disorders. Clin Chem Lab Med 2011;49:409-24.
  • 13. Isobe T, Ishioka N, Okuyama T. Structural relation of two S-100 proteins in bovine brain; subunit composition of S-100a protein. Eur J Biochem 1981;115:469-74.
  • 14. Hachimi-Idrisi S, Van der Auwera M, Schiettecatte J, Ebinger G, Michotte Y, Huggens L. S-100 protein as early predictor of regaining consciousness after out of hospital cardiac arrest. Resuscitation 2002;53:251-7.
  • 15. Rosen H, Rosengren L, Herlitz J, Blomstrand C. Increased serum levels of the S-100 protein are associated with hypoxic brain damage after cardiac arrest. Stroke 1998;29:473-7.
  • 16. De Vries J, Snels SE, Menovsky T, Lemmens WA, De Reus H, Lamers KJ, et al. Peri-operative levels of S-100 protein in serum: marker for surgical manipulation and postoperative complications. Minim Invasive Neurosurg 2003;46:33-6.
  • 17. Ingebrigten T, Waterloo K, Jacobsen EA, Langbakk B, Romner B. Travmatic brain damage in minor head injury: relation of serum S-100 protein measurements to magnetic resonance imaging and neurobehavioral outcome. Neurosurgery 1999;45:468-75.
  • 18. Herrmann M1, Vos P, Wunderlich MT, de Bruijn CH, Lamers KJ. Release of glial tissue-specific proteins after acute stroke : a comparative analysis of serum concentrations of protein S-100B and glial fibrillary acidic protein. Stroke 2000;31:2670-7.
  • 19. Schick U, Döhnert J, Meyer J-J, Vitzthum H-E. Prognostic significance of SSEP, BAEP and serum S-100B monitoring after aneurysm surgery. Acta Neurol Scand 2003;108:161-9.
  • 20. Einav S, Shoshan Y, Ovadia H, Matot I, Hersch M, Itshayek E. Early postoperative serum S100B levels predict ongoing brain damage after meningioma surgery: a prospective observational study. Crit Care 2006;10:R141.
  • 21. Negargar S, Peirovifar A, Mahmoodpoor A, Parish M, Golzari SE, Molseqi H, et al. Hemodynamic parameters of low-flow isoflurane and low-flow sevoflurane anesthesia during controlled ventilation with laryngeal mask airway. Anesth Pain Med 2014;4:e20326.
  • 22. Shan J, Sun L, Wang D, Li X. Comparison of the neuroprotective effects and recovery profiles of isoflurane, sevoflurane and desflurane as neurosurgical pre-conditioning on ischemia/reperfusion cerebral injury. Int J Clin Exp Pathol 2015;8;2001-10.
  • 23. Artru AA, Lam AM, Johnson JO, Sperry RJ. Intracranial pressure, middle cerebral artery flow velocity and plasma inorganic fluoride concentrations in neurosurgical patients receiving sevoflurane on isoflurane. Anesth Analg 1997;85:587-92.
  • 24. Summors AC, Gupta AK, Matta BF. Dynamic cerebral autoregulation during sevoflurane anesthesia: a comparison with isoflurane. Anesth Analg 1999;88:341-5.
  • 25. Toner CC, Connelly K, Whelpton R, Bains S, Michael-Titus AT, McLaughlin DP, et al. Effects of sevoflurane on dopamine, glutamate and aspartate release in an in vitro model of cerebral ischemia. Br J Anaesth 2001;86:550-4.
  • 26. Martens P, Raabe A, Johnsson P. Serum S-100 and Neuron-specific enolase for prediction of regaining consciousness after global cerebral ischemia. Stroke 1998;29:2363-6.
  • 27. Wunderlich MT, Ebert AD, Kratz T, Goertler M, Jost S, Herrmann M. Early neurobehavioral outcome after stroke is related to release of neurobiochemical markers of brain damage. Stroke 1999;30:1190-5.
  • 28. de Vries J, Thijssen WA, Snels SE, Menovsky M, Peer NG, Lamers KJ. Intraoperative volues of S-100 protein, myelin basic protein, lactate and albumin in the CSF and serum of neurosurgical patients. J Neurol Neurosurg Psychiatry 2001;71:671-4.
There are 28 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Original Articles
Authors

Halil Erkan Sayan 0000-0003-3943-5549

Vuslat Muslu Erdem This is me 0000-0002-8903-9002

Şefika Gülsen Korfalı This is me 0000-0001-7339-3122

Publication Date September 4, 2020
Submission Date April 17, 2019
Acceptance Date July 4, 2019
Published in Issue Year 2020 Volume: 6 Issue: 5

Cite

AMA Sayan HE, Muslu Erdem V, Korfalı ŞG. Comparison of neuroprotective effect of isoflurane and sevoflurane on cerebral ischemia. Eur Res J. September 2020;6(5):373-379. doi:10.18621/eurj.554642

e-ISSN: 2149-3189 


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