Evidence map›Paper›PMID 29931389›Full record

ArticleJournal of anesthesia2018

Interaction between anesthetic conditioning and ischemic preconditioning on metabolic function after hepatic ischemia-reperfusion in rabbits.

Takashige Yamada, Hiromasa Nagata, Shizuko Kosugi, Takeshi Suzuki, Hiroshi Morisaki, Yoshifumi Kotake

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of anesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Takashige YamadaDepartment of Anesthesiology, School of Medicine, Keio University, Tokyo, Japan.
Hiromasa NagataDepartment of Anesthesiology, School of Medicine, Keio University, Tokyo, Japan.
Shizuko KosugiDepartment of Anesthesiology, School of Medicine, Keio University, Tokyo, Japan.
Takeshi SuzukiDepartment of Anesthesiology, School of Medicine, Keio University, Tokyo, Japan.
Hiroshi MorisakiDepartment of Anesthesiology, School of Medicine, Keio University, Tokyo, Japan.
Yoshifumi KotakeDepartment of Anesthesiology, School of Medicine, Keio University, Tokyo, Japan. ykotake@med.toho-u.ac.jp.ORCID 0000-0001-5597-7132
Keio University · JPToho University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth anesthetic-induced and ischemic preconditioning are protective against hepatic ischemia-reperfusion injury. However, the effects of these preventive methods on the metabolic function remain to be elucidated. We investigated the anesthetic conditioning and ischemic preconditioning on the metabolic function of the rabbit model of hepatic ischemia-reperfusion.

methodsAfter approval by the institutional animal care and use committee, 36 Japanese White rabbits underwent partial hepatic ischemia for 90 min either under sevoflurane or propofol anesthesia. All the rabbits underwent 90 min of hepatic ischemia, and half of the rabbits in each group underwent additional 10-min ischemia and 10-min reperfusion before index ischemia. Hepatic microvascular blood flow was intermittently measured during reperfusion period, and galactose clearance, serum aminotransferase activities, and lactate concentrations were determined 180 min after reperfusion.

resultsNeither anesthetic conditioning with sevoflurane nor ischemic preconditioning altered hepatic microvascular blood flow during reperfusion and serum transaminase activities after reperfusion. However, galactose clearance of reperfused liver was significantly higher under sevoflurane anesthesia than propofol (0.016 ± 0.005/min vs. 0.011 ± 0.004/min). Statistically significant interaction between anesthetic choice and application of ischemic preconditioning suggests that the ischemic preconditioning is selectively protective under propofol anesthesia. Increase of blood lactate concentration was significantly suppressed under sevoflurane anesthesia compared to propofol (1.5 ± 0.8 vs. 3.9 ± 1.4 mmol/l) without any statistically significant interaction with the application of ischemic preconditioning.

conclusionSevoflurane attenuated the decrease of galactose clearance and increase of the blood lactate after reperfusion compared to propofol. Application of ischemic preconditioning was significantly protective under propofol anesthesia.

Indexed as

AnesthesiaAnesthetics, InhalationAnimalsDisease Models, AnimalHemodynamicsIschemic PreconditioningLiver DiseasesMalePropofolRabbitsReperfusion InjurySevofluraneAnesthetics, InhalationPropofolSevofluraneIschemia–reperfusionLiverPreconditioningPropofolSevoflurane

Identifiers

PMID29931389
OpenAlexW2808919655

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.