Cardiovascular Safety and Actions of High Concentrations of I-653 and Isoflurane in Swine
- 1 May 1989
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Anesthesiology
- Vol. 70 (5), 793-798
- https://doi.org/10.1097/00000542-198905000-00015
Abstract
The ratio of lethal-to-anesthetic concentration can be used to define the margin of safety of an inhaled anesthetic. In mechanically ventilated swine the fatal concentration of I-653, a new inhaled anesthetic, was 23.9 .+-. 0.06% (mean .+-. SE), and of isoflurane, 6.22 .+-. 0.23%. The ratio of fatal anesthetic concentration-to-MAC for I-653 (2.45 .+-. 0.11) was less than that determined for isoflurane (3.02 .+-. 0.13; P < 0.01) but relatively greater than that reported previously for other inhaled anesthetics. As with other inhaled anesthetics, the concentration of I-653 causing cardiovascular collapse exceeds that producing apnea, making cardiovascular collapse during spontaneous ventilation unlikely. Mean aortic blood pressure and cardiac output decreased as linear functions of anesthetic concentration. Values for these variables for isoflurane were greater than those for I-653 at concentrations exceeding 1.5 MAC. Heart rate, blood lactate concentration, and base-deficit did not change with anesthetic depth.Mixed venous PO2, mixed venous oxyhemoglobin saturation, and the ratio of oxygen transport to oxygen consumption remained at or above values in conscious swine but decreased similarly with both anesthetics when anesthetic concentration increased to within 0.5 MAC of the fatal concentration. Thus, the latter three variables, reflecting the fraction of delivered oxygen that is consumed, and "mean" tissues PO2 appear to be useful indices of anesthetic concentrations approaching those producing cardiovascular collapse.This publication has 16 references indexed in Scilit:
- Systemic Distribution of Blood Flow in Swine while Awake and during 1.0 and 1.5 MAC Isoflurane Anesthesia with or without 50% Nitrous OxideAnesthesia & Analgesia, 1983
- Acid-base curve and alignment nomograms for swine bloodJournal of Applied Physiology, 1983
- A critical value for O2 transport in the ratJournal of Applied Physiology, 1982
- Age-related cardiovascular effects of catecholamines in anesthetized piglets.Circulation Research, 1979
- ANESTHETIC INDEXES - FURTHER DATA1978
- Oxygen delivery and uptake in dogs during anemic and hypoxic hypoxiaJournal of Applied Physiology, 1977
- Effect of Hypothermia in Dogs on Anesthetizing and Apneic Doses of Inhalation AgentsAnesthesiology, 1967
- Blood gas calculator.Journal of Applied Physiology, 1966
- Appearance of excess lactate in anesthetized dogs during anemic and hypoxic hypoxiaAmerican Journal of Physiology-Legacy Content, 1965
- ANALYZER FOR ACCURATE ESTIMATION OF RESPIRATORY GASES IN ONE-HALF CUBIC CENTIMETER SAMPLESJournal of Biological Chemistry, 1947