Sevoflurane elimination and hystopathological changes in lung, liver, kidney and brain tissues.

Objective: The aim of this study was to investigate the fluoride levels in lung, liver, kidney and brain tissues, and the histopathological changes of lung, liver and kidney tissues due to sevoflurane metabolism and fluoride uptake. Material and Methods: Study was performed on 24 New Zealand white r...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 30; no. 6; pp. 1787 - 1795
Autores principales: Kanbak, Meral, Erdem, Nalan, Ayhan, Banu, Gököz, Özay Özkaya, Bayindir, Elif, Saricaoglu, Fatma
Formato: pictorial research tables/charts Journal Article
Publicado: Turkiye Klinikleri Dec2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2010
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        2010937893
        10.5336/medsci.2009-12505
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        atl: Sevoflurane elimination and hystopathological changes in lung, liver, kidney and brain tissues.
      aug:
        au:
          Kanbak, Meral
          Erdem, Nalan
          Ayhan, Banu
          Gököz, Özay Özkaya
          Bayindir, Elif
          Saricaoglu, Fatma
      sug:
        subj:
          Anesthetics, Inhalation
          Brain
          Kidney
          Liver
          Lung
          Anesthetics, Inhalation Analysis
          Anesthetics, Inhalation Pharmacokinetics
          Animal Studies
          Body Temperature
          Electrocardiography
          Models, Biological
          Rabbits
      ab: Objective: The aim of this study was to investigate the fluoride levels in lung, liver, kidney and brain tissues, and the histopathological changes of lung, liver and kidney tissues due to sevoflurane metabolism and fluoride uptake. Material and Methods: Study was performed on 24 New Zealand white rabbits weighing 2500-3000g. After the animals were anesthetized with intramuscular 35 mg/kg ketamine ve 5 mg/kg xylasine, all rabbits were monitored with ECG, oxygen saturation, oro-pharyngeal temperature, and the ear vein was cannulated. Rabbits were randomly allocated into four groups as Group I: Control group (n= 6), (anesthesia was maintained with IV 10 mg/kg ketamine, 3 mg/kg xylasine and 100% O2),Group II: Sevoflurane I (n= 6), Group III: Sevoflurane 24 (n= 6) and Group IV: Sevoflurane 48 (n= 6).Anesthesia was maintained with sevoflurane in oxygen at a concentration of 2% in sevoflurane groups. All rabbits were extubated after three hours of anaesthesia. Rabbits were sacrificed with high dose ketamine/xylasine at 1, 24 and 48 hours postexposure in Group II, III and IV, respectively. Biopsies were obtained from kidney, liver, brain, and lung for the determination of inorganic fluoride deposition and histopathological examination was performed in kidney, liver and lung tissues. Results: While maximum fluoride deposition was observed in kidney, minimum deposition was observed in the liver at one hour after anesthesia. After 24 and 48 hours, the fluoride levels decreased in the kidneys and increased mostly in the lungs. However, this deposition did not produce histopathological damage. In the liver, the fluoride levels increased at 24 hours (p< 0.05). The histopathological damages were observed in the liver and kidney at 24 hours, and continued at 48 hours. Conclusion: It is concluded that the fluoride which occurs after sevoflurane metabolism deposits in the kidney at early phase and is eliminated after 24 hours however it deposits mostly in the lung and secondly in the liver. The histopathological changes seen in the liver and kidney 24 hours after sevoflurane anesthesia were not related to fluoride deposition in these tissues.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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