A comparison of the direct cerebral vasodilating potencies of halothane and isoflurane in the New Zealand white rabbit

J. C. Drummond, M. M. Todd, M. S. Scheller, H. M. Shapiro

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Abstract

Halothane is commonly viewed as a more potent cerebral vasodilator than isoflurane. It was speculated that the lesser vasodilation caused by isoflurane might be the result of the greater reduction in cerebral metabolic rate (CMR) that it causes, and that the relative vasodilating potencies of halothane and isoflurane would be similar if the two agents were administered in a situation that precluded volatile-agent-induced depression of CMR. To test this hypothesis, cerebral blood flow (CBF) and the cerebral metabolic rate for oxygen (CMR(O2)) were measured in two groups of rabbits before and after the administration of 0.75 MAC halothane or isoflurane. One group received a background anesthetic of morphine and N2O, which resulted in an initial CMR(O2) of 3.21 ± 0.17 (SEM) ml·100 g-1·min-1; second group received a background anesthetic of high-dose pentobarbital, which resulted in an initial CMR(O2) of 1.76 ± 0.16 ml·100 g-1·min-1. In rabbits receiving a background of morphine sulfate/N2O, halothane resulted in a significantly greater CBF (65 ± 10 ml·100 g-1·min-1) than did isoflurane (40 ± 5 ml·100 g-1·min-1). Both agents caused a reduction in CMR(O2), but CMR(O2) was significantly less during isoflurane administration. By contrast, with a background of pentobarbital anesthesia, CBF increased by significant and similar amounts with both halothane and isoflurane. With halothane, CBF increased from 22 ± 2 ml·100 g-1·min-1 in the control state to 39 ± 3, and with isoflurane from 24 ± 2 to 38 ± 2 ml·100 g-1·min-1. CMR(O2) was not depressed further by either halothane or isoflurane. These results suggest that the relative effects of halothane and isoflurane on CBF are dependent on the CMR present prior to their administration. When the preexistent CMR is not markedly depressed, isoflurane decreases CMR and causes less cerebral vasodilation than does halothane. When initial CMR is depressed, halothane and isoflurane have similar vasodilating potencies.

Original languageEnglish (US)
Pages (from-to)462-467
Number of pages6
JournalAnesthesiology
Volume65
Issue number5
DOIs
StatePublished - Jan 1 1986

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