The effects of desflurane on human platelet aggregation in vitro

被引:0
作者
Türkan H. [1 ]
Beyan C. [2 ,5 ]
Karabiyik L. [3 ]
Güner D. [4 ]
Kaptan K. [2 ]
机构
[1] Clinic of Anaesthesiology, Department of Emergency Medicine, Gulhane Military Medical Academy, Ankara
[2] Department of Haematology, Gulhane Military Medical Academy, Ankara
[3] Department of Anaesthesiology, Gazi University, Faculty of Medicine, Ankara
[4] Department of Anaesthesiology, Ministry of Health, Ankara Train. and Research Hospital, Ankara
[5] Gulhane Military Medical Academy, Department of Haematology, 06010 Etlik, Ankara
关键词
Anesthetics; Desflurane; Platelet aggregation; Platelet function;
D O I
10.1532/IJH97.E0309
中图分类号
学科分类号
摘要
In view of the possible antiplatelet effects of general anesthetics, we investigated the in vitro effects of desflurane, a new inhalation agent, on platelet aggregation. For 15 patients who underwent elective operations, blood was sampled with desflurane induction before and after anesthesia but prior to surgery so that platelet aggregation in the drawn blood could be tested before desflurane anesthesia and again after exposure to the anesthetic. Platelet aggregation was measured with a whole-blood aggregometer. Adenosine diphosphate (ADP), collagen, and ristocetin were used as aggregating agents. Our results showed that aggregation in response to ADP, collagen, or ristocetin was not inhibited in patients who received desflurane anesthesia. This study with an in vitro model showed that desflurane had no influence on platelets in clinically relevant doses. ©2004 The Japanese Society of Hematology.
引用
收藏
页码:91 / 93
页数:2
相关论文
共 19 条
[1]  
Gibbs N.M., The effect of anaesthetic agents on platelet function, Anaesth Intensive Care, 19, pp. 495-505, (1991)
[2]  
Rampil I.J., Lockhart S.H., Zwass M.S., Et al., Clinical characteristics of desflurane in surgical patients: Minimum alveolar concentration, Anesthesiology, 74, pp. 429-433, (1991)
[3]  
Weiskopf R.B., Eger II E.I., Ionescu P., Et al., Desflurane does not produce hepatic or renal injury in human volunteers, Anesth Analg, 74, pp. 570-574, (1992)
[4]  
Sirridge M.S., Shannon R., Laboratory Evaluation of Hemostasis and Thrombosis. 3rd Ed., pp. 86-98, (1983)
[5]  
Sweeney D., Williams V., The effect of halothane general anaesthesia on platelet function, Anaesth Intensive Care, 15, pp. 278-281, (1987)
[6]  
Kohro S., Yamakage M., Direct inhibitory mechanisms of halothane on human platelet aggregation, Anesthesiology, 85, pp. 96-106, (1996)
[7]  
Dalsgaard-Nielsen J., Gormsen J., Effects of halothane on platelet function, Thromb Haemost, 44, pp. 143-145, (1980)
[8]  
Gotta A.W., Gould P., Sullivan C.A., Goldiner P.L., The effect of enflurane and fentanyl anaesthesia on human platelet aggregation in vivo, Can Anaesth Soc J, 27, pp. 319-322, (1980)
[9]  
Fauss B.G., Meadows J.C., Bruni C.Y., Qureshi G.D., The in vitro and in vivo effects of isoflurane and nitrous oxide on platelet aggregation, Anesth Analg, 65, pp. 1170-1174, (1986)
[10]  
Hirakata H., Ushikubi F., Toda H., Et al., Sevoflurane inhibits human platelet aggregation and thromboxane A <sub>2</sub> formation, possibly by suppression of cyclooxygenase activity, Anesthesiology, 85, pp. 1447-1453, (1996)