Effect of propofol, sevoflurane and desflurane on systemic redox balance

Gilda Cinnella, G. Vendemiale, M. Dambrosio, G. Serviddio, P. L. Pugliese, G. Aspromonte, E. Altomare

Research output: Contribution to journalArticle

Abstract

We studied the effects of Propofol, Desflurane, and Sevoflurane on the systemic redox balance in patients undergoing laparohysterectomy. We measured blood concentration of glutathione (GSH), plasma antioxidant capacity (Trolox Equivalent Antioxidant Capacity-TEAC), and lipid peroxidation products (malondialdehyde (aMDA) and 4-hydroxynonenal (aHNE) protein adducts). Sixty patients were randomly placed into three groups of twenty people each. In Group P anesthesia was induced with Propofol 2 mg/kg and maintained with 12-10-8 mg/kg/min; in Groups S and D anesthesia was induced with 3 mg/kg Sodium Thiopental and maintained with 2% Sevoflurane and 6% Desflurane, respectively. Blood samples were collected prior to induction (T0 bas), 60min and 24h postoperatively (T1 60′ and T 2 24 h). In Group P, GSH increased on T1 60′ (p1 60′ (p0 bas, p0 bas, respectively); in Group D, on T1 60′ there was a slight decrease of GSH and TEAC. The levels of aMDA slightly decreased throughout the study periods in Group P, increased in Group D, and remained stable in Group S. Propofol showed antioxidant properties, while Sevoflurane and Desflurane seemed to shift the redox balance towards oxidation, yet without inducing overt oxidative damage.

Original languageEnglish
Pages (from-to)585-593
Number of pages9
JournalInternational Journal of Immunopathology and Pharmacology
Volume20
Issue number3
Publication statusPublished - Jul 2007

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Keywords

  • Desflurane
  • General anesthesia
  • Propofol
  • Redox balance
  • Sevoflurane

ASJC Scopus subject areas

  • Pharmacology

Cite this

Cinnella, G., Vendemiale, G., Dambrosio, M., Serviddio, G., Pugliese, P. L., Aspromonte, G., & Altomare, E. (2007). Effect of propofol, sevoflurane and desflurane on systemic redox balance. International Journal of Immunopathology and Pharmacology, 20(3), 585-593.