Evidence map›Paper›PMID 39451165›Full record

Trial reportAnaesthesiology intensive therapy2024

Do volatile anaesthetics depress urine output?

Robert Hahn

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Anaesthesiology intensive therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Robert HahnKarolinska Institutet at Danderyd Hospital (KIDS), Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUrine output is markedly reduced by isoflurane, but it is unclear whether the decrease is a specific effect of volatile anaesthetics. Therefore, this study compared the diuretic response to crystalloid volume loading during surgical procedures performed with volatile anaesthetics or intravenous anaesthesia. MATERIAL AND

methodsData from two clinical trials in which patients were randomized between isoflurane and propofol anaesthesia (open thyroid surgery, n = 29) and between sevoflurane and propofol anaesthesia (open hysterectomy; n = 25) were analysed. Urine volume was measured and the diuretic response to volume loading with 1.7-1.8 L of Ringer's solution over 30 min was studied by population volume kinetic analysis. The kinetic method used 631 measurements of plasma dilution based on blood haemoglobin and plasma albumin and 138 measurements of urine output to quantify the diuretic response to volume loading in the four study groups.

resultsThe urine output after 150 min of thyroid surgery was 132 (77-231) mL in the propofol group and 218 (80-394) mL in the isoflurane group ( P = 0.50; median and interquartile range). The corresponding volumes were 50 (45-65) mL for propofol and 60 (34-71) mL for sevoflurane at 90 min in the hysterectomy patients ( P = 0.81). The kinetic analysis, which corrected for differences in infused volume, body weight, and plasma volume expansion, did not reveal any statistically significant differences in diuretic response to volume loading between the two inhaled anaesthetics and intravenous anaesthesia.

conclusionsIsoflurane and sevoflurane did not affect urine output more strongly than propofol.

Indexed as

Anesthetics, InhalationAnesthetics, IntravenousHysterectomyIsofluranePropofolSevofluraneAdultAgedCrystalloid SolutionsFemaleHumansMaleMiddle AgedThyroidectomyUrinationAnesthetics, InhalationAnesthetics, IntravenousCrystalloid SolutionsIsofluranePropofolSevofluraneIsoflurane and sevoflurane did not affect urine output more strongly than propofol

Identifiers

PMID39451165
PMCPMC11484486

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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.