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pubmed-article:12928584pubmed:dateCreated2003-8-20lld:pubmed
pubmed-article:12928584pubmed:abstractTextWe studied the effect of the inspired isoflurane concentration (C(I)iso) on the pharmacokinetics of isoflurane uptake in the brain by comparing the isoflurane concentration in internal jugular-bulb blood (Jiso) with that in arterial blood (Aiso), and analyzed this by gas chromatography. Sixteen patients (aged 43-76 years) undergoing colorectal surgery were enrolled, and anesthesia was maintained with a constant C(I)iso of either 1% (group 1, n = 8) or 2% (group 2, n = 8) during the 1st hour of isoflurane anesthesia. Under constant volume-controlled ventilation, we measured the C(I)iso and the end-tidal isoflurane concentration (C(E)iso) at the mouthpiece by infrared analysis. Our results demonstrate that it takes 40 min for the brain tissue concentration to equal Aiso for 1% C(I)iso, and 50 min for 2% C(I)iso. The Aiso (and/or Jiso) for 2% C(I)iso was approximately double when compared to that for 1% C(I)iso. Except during the initial wash-in period of the functional residual capacity in the first 3 min, the differences between C(I)iso and C(E)iso revealed that the body uptake of isoflurane for 2% C(I)iso was twice that for 1% C(I)iso. These results demonstrate that the pharmacokinetics of isoflurane uptake in the brain is time-dependent for Jiso to equal Aiso, and the midpoint between Aiso and Jiso (likely representing the isoflurane concentration in brain tissue) was dependent on C(I)iso.lld:pubmed
pubmed-article:12928584pubmed:languageenglld:pubmed
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pubmed-article:12928584pubmed:monthOctlld:pubmed
pubmed-article:12928584pubmed:issn0031-7012lld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:HoShung-TaiSTlld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:WongChih-Shun...lld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:WangJhi-Joung...lld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:ChangSun-Yran...lld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:LinChung-Yuan...lld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:LuChih-Cherng...lld:pubmed
pubmed-article:12928584pubmed:authorpubmed-author:HuOliver...lld:pubmed
pubmed-article:12928584pubmed:copyrightInfoCopyright 2003 S. Karger AG, Basellld:pubmed
pubmed-article:12928584pubmed:issnTypePrintlld:pubmed
pubmed-article:12928584pubmed:volume69lld:pubmed
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pubmed-article:12928584pubmed:pagination102-7lld:pubmed
pubmed-article:12928584pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:12928584pubmed:year2003lld:pubmed
pubmed-article:12928584pubmed:articleTitlePharmacokinetics of isoflurane: uptake in the brain.lld:pubmed
pubmed-article:12928584pubmed:affiliationDepartment of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, No. 161, Section 6 Minchuan E. Road, Taipei, Taiwan.lld:pubmed
pubmed-article:12928584pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:12928584pubmed:publicationTypeClinical Triallld:pubmed
pubmed-article:12928584pubmed:publicationTypeControlled Clinical Triallld:pubmed
pubmed-article:12928584pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed