Journal article
Post-conditioning by a short administration of desflurane reduced renal reperfusion injury after differing of ischaemia times in rats
British journal of anaesthesia : BJA, Vol.97(6), pp.783-791
12/01/2006
DOI: 10.1093/bja/ael245
PMID: 16997839
Abstract
‘Anaesthetic post-conditioning’, that is administration of anaesthetics during early reperfusion, is known to have positive effects on several organs. For the kidney, however, the effects of post-conditioning by volatile anaesthetics are not well researched. We examined renal function and morphology after post-conditioning by desflurane.
Anaesthetized rats were subjected to 30 or 45 min of renal ischaemia 14 days after contralateral nephrectomy. Post-conditioning was achieved by administration of 1 MAC desflurane (6.7 vol%) for 15 min during early reperfusion (all groups n=8). Cystatin C (CyC), creatinine clearance (ClCr) and fractional sodium excretion (FENa) were measured in the awake rats over 3 days. Cell damage was graded from 1 to 4 in histological sections. Functional variables [mean (sd)] were compared statistically by a one-way anova followed by Bonferroni's multiple comparison test and histological scores (median and range) by Kruskal–Wallis test followed by Dunn's multiple comparison test.
Pre-ischaemia function did not differ between the groups, but was markedly reduced after ischaemia. After 30 min ischaemia, the area under the curve (AUC) for ClCr was smaller in the desflurane than in the control group [21.5 (5.0) vs 31.6 (5.1) ml min−1 h, P<0.05]. After 45 min desflurane reduced the AUC compared with the control group for both CyC [15 (4) vs 21 (3) mg litre−1 h] and FENa [1054 (221) vs 1570 (572)% h, both P<0.05). Morphological differences were greater between the 30 min groups [control: 2.75 (2.0–3.5) vs desflurane: 1.5 (1.0–2.5); P<0.05] than between the 45 min groups [control: 3.5 (3.0–4.0) vs desflurane: 3.0 (1.5–4.0)].
Desflurane post-conditioning protects renal function and tissue. This protection was greater after the short episode than after the long episode of ischaemia.
Details
- Title: Subtitle
- Post-conditioning by a short administration of desflurane reduced renal reperfusion injury after differing of ischaemia times in rats
- Creators
- D. Obal - Heinrich Heine University DüsseldorfK. Rascher - Heinrich Heine University DüsseldorfC. Favoccia - Heinrich Heine University DüsseldorfS. Dettwiler - Heinrich Heine University DüsseldorfW. Schlack - University of Amsterdam
- Resource Type
- Journal article
- Publication Details
- British journal of anaesthesia : BJA, Vol.97(6), pp.783-791
- Publisher
- Elsevier Ltd
- DOI
- 10.1093/bja/ael245
- PMID
- 16997839
- ISSN
- 0007-0912
- eISSN
- 1471-6771
- Language
- English
- Date published
- 12/01/2006
- Academic Unit
- Anesthesia
- Record Identifier
- 9984696727402771
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