• Anaesthesia · Feb 1997

    Randomized Controlled Trial Comparative Study Clinical Trial

    Serum glutathione S-transferase concentrations and creatinine clearance after sevoflurane anaesthesia.

    • J R Darling, J M Murray, D R McBride, T R Trinick, and J P Fee.
    • Department of Anaesthesia, Ulster Hospital, Belfast, UK.
    • Anaesthesia. 1997 Feb 1; 52 (2): 121-6.

    AbstractThe effects of sevoflurane and isoflurane on serum glutathione S-transferase concentrations and creatinine clearance were compared in 50 ASA I-III patients aged over 18 years undergoing body surface surgery of 1-3 h predicted duration. Patients randomly received sevoflurane (n = 24) or isoflurane (n = 26) in nitrous oxide and oxygen (FIO2 = 0.4) via a nonrebreathing system. Fluids were standardised and patient's lungs ventilated to normocapnia. Expired concentration of anaesthetic agent was adjusted to maintain systolic arterial pressure between 70 and 100% of baseline. Patients received significantly less (p < 0.05) sevoflurane (1.0 MAC-h) than isoflurane (1.5 MAC-h). Using serum glutathione S-transferase concentrations and creatinine clearance as markers of hepatic and renal function respectively, no statistically significant differences were identified between the groups.

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