Changes in endothelin in plasma in patients undergoing coronary artery bypass grafting under high dose fentanyl anesthesia

We measured plasma endothelin-1 (ET) in 10 patients undergoing coronary artery bypass grafting under high dose fentanyl (107.0 +/- 11.9 micrograms.kg-1, mean +/- SD) anesthesia. Arterial blood samples were obtained: 1) before induction of anesthesia (control), 2) just before the start of cardiopulmo...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 41; no. 3; p. 381
Main Authors Sato, M, Takino, Y
Format Journal Article
LanguageJapanese
Published Japan 01.03.1992
Subjects
Aged
Anesthesia, General
Coronary Artery Bypass
Endothelins - blood
Fentanyl - administration & dosage
Humans
Male
Middle Aged
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Summary:We measured plasma endothelin-1 (ET) in 10 patients undergoing coronary artery bypass grafting under high dose fentanyl (107.0 +/- 11.9 micrograms.kg-1, mean +/- SD) anesthesia. Arterial blood samples were obtained: 1) before induction of anesthesia (control), 2) just before the start of cardiopulmonary bypass (CPB), and 3) just before the end of CPB. ET levels were analyzed by radioimmunoassay based on double antibody method using Silica ODS suspension. ET concentrations in period 1, 2, and 3 were 1.8 +/- 0.7, 3.4 +/- 1.1 and 3.1 +/- 1.3 pg.ml-1 (mean +/- SD), respectively. There were significant differences between the control value and the values obtained at periods 2 and 3 (P less than 0.05). The elevation in ET level before CPB suggests the existence of hidden coronary ischemia despite the absence of detectable sign indicating myocardial oxygen supply demand imbalance. It was also suggested that, under high dose fentanyl anesthesia, stress evoked by CPB might not affect plasma ET concentration.
ISSN:0021-4892