Group 4 – Sevoflurane-induced myocardial depression (SEVO)

DA Dawud Abawi
AF Alessandro Faragli
MS Michael Schwarzl
MM Martin Manninger
DZ David Zweiker
KK Karl-Patrik Kresoja
JV Jochen Verderber
BZ Birgit Zirngast
HM Heinrich Maechler
PS Paul Steendijk
BP Burkert Pieske
HP Heiner Post
AA Alessio Alogna
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After baseline measurements at NT (n = 5, 38.0 °C), the continuous administration of sevoflurane was elevated from a baseline of 1.0–2.0 to 4 Vol%. Subsequently, the continuous administration of sevoflurane was reduced to baseline values, and animals were cooled to MH (33.0 °C). After new baseline measurements in the same animals at MH, the continuous administration of sevoflurane was elevated from 1.0–2.0 to 3 Vol%. The Vol% of sevoflurane to induce cardiac depression during NT and MH was established in a series of pilot experiments. The sevoflurane dose was titrated aiming at an approximate 50% reduction of LV dP/dtmax. A lower Vol% of sevoflurane was needed to induce the same magnitude of depression of contractile function during MH, probably due to different pharmacokinetics of the anesthetics at lower body temperatures, as previously reported [2832]. The abovementioned timepoints (baseline at NT, 4 Vol% sevoflurane, baseline at MH and 3 Vol% sevoflurane) were considered for data analysis (Fig. 1c).

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