Anesthesia-induced changes in regional blood flow implications for drug disposition

Laurence E. Mather, William B. Runciman, Anthony H. Ilsley

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

Anesthesia and anesthetics have the potential to imluence drug pharmacokinetics through changes !n body perfusion, hepatic and metabolic (unction, protein binding, and renal function. A chronically catheterized sheep preparation has been developed whereby blood flew through, and drug and oxygen extraction by, the heart and lungs, kidneys, gut, and liver can be measured. Thiopentone/halothane general anesthesia consistently decreased regional blood flow and extraction of test drugs by each of the organ groups. High subarachnoid anesthesia with tetracaine scarcely perturbed flow or function. Test drugs chosen were cefoxitin for kidney extraction, mepiridine for liver and kidney extraction, and chlormethiazole for liver, lung, and kidney extraction. It is suggested that the lack of effects of subarachnoid block on regional blood flow drug pharmacokinetics commend its use over general anesthesia for patients with limited cardiovascular or organ reserve. Further investigation of drug pharmacokinetics in surgical patients is still required so that deleterious effects are not experienced from drugs in use during the peroperative period.

Original languageEnglish
Pages (from-to)S24-S33
JournalRegional Anesthesia
Volume7
Issue number4
Publication statusPublished - 1 Jan 1982
Externally publishedYes

Keywords

  • Anesthesia
  • Blood flow
  • Cefoxitin
  • Chlormethiazole
  • Drug clearance
  • General
  • Kidney
  • Liver
  • Lung
  • Meperidine
  • Organ
  • Regional
  • Spinal
  • Subarachnoid

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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