N omega-nitro-L-arginine methyl ester prevents cerebral hyperemia by inhaled anesthetics in dogs

Anesth Analg. 1993 Nov;77(5):891-7. doi: 10.1213/00000539-199311000-00004.

Abstract

The mechanism by which halothane, isoflurane, and nitrous oxide increase cerebral blood flow (CBF) is unknown. We assessed the cerebrovascular effects of nitrous oxide (70%; n = 6), isoflurane (1 minimum alveolar anesthetic concentration: 1.4%; n = 6) or halothane (1 minimum alveolar anesthetic concentration: 0.8%; n = 6) before and after blockade of nitric oxide (NO) synthase with 40 mg/kg N omega-nitro-L-arginine methyl ester (L-NAME) intravenously in dogs with baseline pentobarbital anesthesia. Baseline CBF (microspheres) was determined after 1 h of pentobarbital anesthesia. Cerebral perfusion pressure (CPP) was maintained during inhaled anesthetic or L-NAME by either hemorrhage or inflation of an intra-aortic balloon. Before L-NAME, halothane and isoflurane increased CBF (40 +/- 4 to 56 +/- 6 mL.min-1 x 100 g-1 and 43 +/- 6 to 78 +/- 12 mL.min-1 x 100 g-1, respectively) with no change in cerebral oxygen consumption (baseline: halothane, 2.6 +/- 0.2; isoflurane, 2.0 +/- 0.2 mL.min-1 x 100 g-1). On the contrary, nitrous oxide increased CBF similarly (40 +/- 6 to 57 +/- 8 mL.min-1 x 100 g-1), but increased cerebral oxygen consumption (2.2 +/- 0.3 to 3.0 +/- 0.3 mL.min-1 x 100 g-1). L-NAME decreased blood flow in the neurohypophysis by 80% with no change in blood flow in other brain regions. After L-NAME, reexposure to nitrous oxide, halothane, or isoflurane resulted in no change in CBF.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Anesthesia, Inhalation*
  • Animals
  • Arginine / analogs & derivatives*
  • Arginine / therapeutic use
  • Brain / blood supply*
  • Dogs
  • Halothane / adverse effects*
  • Hyperemia / chemically induced*
  • Hyperemia / prevention & control
  • Isoflurane / adverse effects*
  • NG-Nitroarginine Methyl Ester
  • Nitrous Oxide / adverse effects*

Substances

  • Arginine
  • Isoflurane
  • Nitrous Oxide
  • Halothane
  • NG-Nitroarginine Methyl Ester