Drenger B, Ginosar Y, Gozal Y
Department of Anesthesiology and Critical Care Medicine, Hadassah University Hospital, Jerusalem, Israel.
Adv Pharmacol. 1994;31:89-97. doi: 10.1016/s1054-3589(08)60610-9.
The present results provide indirect support for other studies which showed that halothane inhibited the Ca2+ accumulation associated with myocardial ischemia in isolated guinea pig hearts (6), demonstrating a potentially beneficial effect of the anesthetic on the ischemic heart. The role of halothane in preventing ischemia-induced dysrhythmias and attenuation of free radical generation on reperfusion offers a new potential use during open heart surgery. The method of continuous perfusion of oxygenated blood cardioplegia, retrogradely, through the coronary sinus, enables a concomitant administration of the VA before and during the ischemic period of the cardiopulmonary bypass. Further studies may promote the use of the volatile anesthetic when myocardial ischemia and reperfusion are present during open heart surgery.
目前的结果为其他研究提供了间接支持,这些研究表明,氟烷可抑制离体豚鼠心脏中与心肌缺血相关的Ca2+蓄积(6),证明了该麻醉剂对缺血心脏具有潜在的有益作用。氟烷在预防缺血性心律失常以及减轻再灌注时自由基生成方面的作用,为心脏直视手术提供了一种新的潜在用途。通过冠状窦逆行持续灌注含氧血心脏停搏液的方法,能够在体外循环的缺血期之前和期间同时给予VA。当心脏直视手术中出现心肌缺血和再灌注时,进一步的研究可能会促进挥发性麻醉剂的使用。