Comparison of the Effects of Sevoflurane and Desflurane on Thiol-Disulfide Homeostasis in Patients Undergoing Laparoscopic Cholecystectomy

Autor: Muge Kurtsahin, Levent Ozturk, Merve Ergin, Salim Neselioglu, Cihan Doger, Abdulkadir But, Ayça Tuba Dumanli Özcan, Aysun Ersen Yungul
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Eurasian Journal of Medicine, Vol 51, Iss 1, Pp 70-74 (2019)
ISSN: 1308-8742
1308-8734
Popis: OBJECTIVE: This study aims to compare the effects of different inhalation anesthetics on oxidative status by measuring thiol-disulfide homeostasis in laparoscopic cholecystectomy surgeries. The effect of inhaler agents on thiol-disulfide homeostasis that shows the oxidative status in laparoscopic cholecystectomy is unknown. MATERIALS AND METHODS: In this study, 71 patients planned to undergo laparoscopic cholecystectomy under general anesthesia were included. They were divided into two groups: desflurane (group D, n: 35) and sevoflurane (group S, n: 36). Blood samples were taken before induction (T1), at 30th minute of insufflation (T2) (30th min of ischemia), and at 30th min postdeflation (T3) (30th min of reperfusion). The native thiols (−SH) and total thiols (−SH+ −SS) were determined. The amounts of disulfide (−SS), disulfide/native thiol percent ratios (−SS/−SH), disulfide/total thiol percent ratios (−SS/−SH+−SS), and native thiol/total thiol percent ratios (−SH/−SH+ −SS) were calculated. RESULTS: In the sevoflurane group, preoperative values and intraoperative 30th-minute SS–SH ratio were significantly reduced (p=0.017). In the desflurane group, intraoperative native thiol values and postdeflation levels significantly decreased compared to those in the preoperative values (p
Databáze: OpenAIRE