The echocardiographic assessment of left ventricular performance during sevoflurane and halothane anesthesia

Journal of Anesthesia
H KasudaR Shimizu

Abstract

The cardiovascular effects of sevoflurane were studied and compared with those of halothane in 30 healthy patients. The patients were assigned to receive 1 MAC sevoflurane (n = 10), 2 MAC sevoflurane (n = 10) or 1 MAC halothane (n = 10) in N(2)O 2 l.min(-1) and O(2) 4 l.min(-1). The changes in left ventricular diastolic and systolic dimension (Dd and Ds), fractional shortening (FS), mean velocity of circumferential fiber shortening (mVcf), left ventricular diastolic and systolic volume (Vd and Vs), stroke volume (SV), ejection fraction (EF) and cardiac index (CI) were evaluated by echocardiography. Sevoflurane produced significant dose-dependent decreases in FS, mVcf, EF and SV, but no significant changes in Dd and Vd. Therefore, the decrease in SV was due mainly to the increase in left ventricular residual volume (Vs). One MAC halothane produced a more significant decrease in FS, mVcf, EF and SV, when compared to values obtained at 1 MAC sevoflourane ( P < 0.01). CI was more significantly decreased with 1 MAC halothane than with 1 MAC and 2 MAC sevoflurane ( P < 0.01). This was brought about by a slight decrease in HR with halothane and a slight increase in HR with sevoflurane, in addition to a smaller decrease in SV with sevo...Continue Reading

References

Mar 1, 1977·Anesthesiology·P C DukeJ G Wade
Nov 1, 1978·Anesthesia and Analgesia·R K CalverleyC W Jones
Nov 1, 1975·Anesthesia and Analgesia·R F WallinI J Stern
Mar 1, 1987·Anesthesiology·T Katoh, K Ikeda
May 1, 1970·Anesthesiology·E I EgerC E Whitcher
Nov 1, 1980·Canadian Anaesthetists' Society Journal·P C Duke, S Trosky

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