IsofluraneSevofluraneAnesthesiaHepaticDesfluraneAnesthetic agents151677EtherLiverHepatitisConcentrationsLipid metabolismEnergy MetabolismMetabolitesAnestheticsInhibitExposureInhalationalHepatotoxicityEthanolAssessed in the absenceMoleculeDoseAdultsAbsorptionDrug2001EffectsConcentrationPotassiumDiseasesPatientsInductionDrugsCompartmentExperimentsDosageDirectCaused by increasedStudiesType
Isoflurane6
- Concern for hepatitis resulted in a dramatic reduction in the use of halothane for adults and it was replaced in the 1980s by enflurane and isoflurane. (wikipedia.org)
- Attempts to find anesthetics with less metabolism led to halogenated ethers such as enflurane and isoflurane. (wikipedia.org)
- Preischemia plasma glucose increased with increasing anesthetic concentration and was highest in the isoflurane groups, varying from a low (±SD) of 7.19±1.79 μmol/ml in the 0.5 MAC halothane group to a high of 12.68±3.65 μmol/ml in the 2.0 MAC isoflurane group. (psu.edu)
- Standard general anaesthesia involves volatile anaesthetics (VAs), such as isoflurane (I), sevoflurane (S), and halothane (H) as an alternative to intravenous application. (sciendo.com)
- The inhalation anaesthetics, namely sevoflurane (Sevorane ® ), isoflurane (Forane ® ), and halothane (Halothane ® ) were procured from Abbott Laboratories (Queenborough, UK). (sciendo.com)
- The triggering drugs are succinylcholine (a paralyzing drug/muscle relaxant) and the potent inhaled anesthetic gases sevoflurane, desflurane, isoflurane, or halothane. (theanesthesiaconsultant.com)
Sevoflurane2
- Currently, halothane is rarely used in economically developed nations due to the availability of newer and safer volatile anesthetics, such as enflurane and sevoflurane . (medscape.com)
- Sevoflurane or Halothane. (anesthesiageneral.com)
Anesthesia2
- Since the risk of halothane hepatitis in children was substantially lower than in adults, halothane continued to be used in pediatrics in the 1990s as it was especially useful for inhalation induction of anesthesia. (wikipedia.org)
- A synergism between labetalol HCl and halothane anesthesia has been shown (see PRECAUTIONS: Drug Interactions ). (druglib.com)
Hepatic3
- The National Halothane Study, a retrospective analysis, reviewed the incidence and mortality rates of postoperative hepatic necrosis from 1959-1962. (medscape.com)
- No specific therapy is available for either fulminant hepatic necrosis or mild hepatotoxicity due to halothane. (medscape.com)
- The ratio of rT3 to T3 is a valuable biomarker of the metabolism and function of thyroid hormones because the process of 5' monodeiodination that converts T4 to T3 and rT3 to 3,3'-T2 is inhibited in a number of non-thyroidal conditions such as fasting, anorexia nervosa, malnutrition, diabetes mellitus, stress, severe trauma or infection, hemorrhagic shock, hepatic dysfunction, pulmonary diseases and others. (biovendor.com)
Desflurane1
- desflurane increases levels of norepinephrine by decreasing metabolism. (medscape.com)
Anesthetic agents3
- HALOTHANE and the volatile anesthetic agents can modulate ion channel function or ion transport in different tissues. (asahq.org)
- With this technique, the effect of various anesthetic agents (ether, halothane, tetracaine) upon riboflavin metabolism has been studied by the authors. (medric.or.kr)
- The inciting cause of an episode may be linked to a sensitivity to certain anesthetic agents (mainly halothane) or stress. (wagwalking.com)
1516771
Ether2
- Chemically, halothane is an alkyl halide (not an ether like many other anesthetics). (wikipedia.org)
- Halothane and ether have a significant effect. (anesthesiageneral.com)
Liver13
- In rare cases, repeated exposure to halothane in adults was noted to result in severe liver injury. (wikipedia.org)
- The resulting syndrome was referred to as halothane hepatitis, immunoallergic in origin, and is thought to result from the metabolism of halothane to trifluoroacetic acid via oxidative reactions in the liver. (wikipedia.org)
- About 20% of inhaled halothane is metabolized by the liver and these products are excreted in the urine. (wikipedia.org)
- Halothane metabolism: immunochemical evidence for molecular mimicry of trifluoroacetylated liver protein adducts by constitutive polypeptides. (aspetjournals.org)
- Although considered safe, VAs have been reported to cause different adverse effects in patients and occupationally exposed personnel, depending on the dose, treatment duration (exposure and number of exposures), and their metabolism and toxicokinetic activity in the liver, kidney, or brain ( 7 - 9 ). (sciendo.com)
- The expression "first pass metabolism" (FPM) refers to the metabolism that an ingested compound undergoes in its passage through the gut and liver before reaching the systemic circulation. (biomedcentral.com)
- A recent review has described the confusion that has resulted from applying this definition to human ethanol pharmacokinetics, a compound that has extremely non-linear liver metabolism [ 1 ]. (biomedcentral.com)
- Consider the case where GI absorption is occurring at a time when the systemic drug concentration is so high that the liver metabolism is completely saturated and the metabolic rate is constant, independent of concentration. (biomedcentral.com)
- Clearly, at this time, the rate of drug metabolism for an oral input must be identical to that for an IV input so that FPM must be zero, even though a large fraction of the absorbed drug may be metabolized in its first pass through the liver. (biomedcentral.com)
- Diseases affecting the metabolism and excretion of bilirubin in the liver. (labpedia.net)
- To better understand the role of dietary FA on metabolic diseases, for the first time, a study to identify key transcription factors (TF) involved in lipid metabolism and inflammatory response by transcriptome analysis from liver samples of animal models was performed. (nature.com)
- Hepatocytes (liver parenchymal cells) perform the liver's metabolic functions: Formation and excretion of bile as a component of bilirubin metabolism. (msdmanuals.com)
- Overview of bilirubin metabolism The liver is a metabolically complex organ. (msdmanuals.com)
Hepatitis4
- In rare cases, cirrhosis may develop following halothane hepatitis. (medscape.com)
- However, the findings in halothane hepatitis are indistinguishable from those of fulminant viral hepatitis . (medscape.com)
- Because halothane hepatitis is a diagnosis of exclusion, ruling out other causes is essential. (medscape.com)
- Incidence of "halothane hepatitis" is allegedly higher in obese patients. (medicine-handbook.com)
Concentrations4
- Epithelial type II cells from adult rat lungs were exposed to halothane concentrations of 1, 2, and 4% from 0.5-4 h. (asahq.org)
- The decrease in sodium, potassium-adenosine triphosphatase activity was maximal for 30 min of exposure and reached 50, 42, and 56% for halothane concentrations of 1, 2, and 4%, respectively, and did not change for longer exposure times. (asahq.org)
- Regardless of the route of exposure, chloroform is excreted from the body primarily as expired carbon dioxide, although at higher concentrations, where metabolism is saturated, appreciable levels of parent compound may be exhaled as well (Brown et al. (cdc.gov)
- Zapp, M, Kofke, WA & Davis, DW 1992, ' Comparison of the effects of volatile anesthetics in varying concentrations on brain energy metabolism with brain ischemia in rats ', Neurochemical Research , vol. 17, no. 4, pp. 301-305. (psu.edu)
Lipid metabolism3
- These findings demonstrated that key TF related to lipid metabolism could be modulated by dietary inclusion of soybean oil. (nature.com)
- AICAR may improve insulin sensitivity and lipid metabolism via its possible anti-inflammatory role in different metabolic pathways. (biotechpeptides.com)
- [7] It has been hypothesized that AMPK, a key regulator of glucose and lipid metabolism, may mediate many of the beneficial effects of physical activity on these processes. (biotechpeptides.com)
Energy Metabolism1
- 2001) How understanding the control of energy metabolism can help investigation of mitochondrial dysfunction, regulation and pharmacology. (tradingsignalsforex.com)
Metabolites2
- A gas chromatograph/mass spectrometry technique was developed to identify and quantify the volatile metabolites of halothane produced in patients and in-vitro incubations. (cdc.gov)
- Extracellular levels of striatal dopamine and its metabolites 3,4-dihydroxyphenylacetic acid and homovanillic acid were monitored bilaterally in the halothane-anaesthetized grafted rat, both under basal conditions, and also following low (0.05 mg/kg) and high (0.5 mg/kg) doses of the dopamine receptor agonist apomorphine. (ox.ac.uk)
Anesthetics3
- Using voltage-clamp techniques, the authors examined the effect of two general anesthetics (ketamine and halothane) on a rat brain potassium channel of known amino acid sequence, and further assessed whether the inhibition of the channel is altered by a partial deletion of the C-terminal sequence of this channel. (silverchair.com)
- Anesthetics, volatile: halothane. (silverchair.com)
- In conclusion, the effects of anesthetics upon riboflavin metabolism are insignificant. (medric.or.kr)
Inhibit2
- [1,2] Recently, however, halothane was shown to inhibit Na/calcium (Ca) exchanger and Ca channels in heart cells [3] and to decrease ion transport in canine tracheal epithelium, an effect that may contribute to decreased mucous clearance in the perioperative period. (asahq.org)
- Although both ketamine and halothane inhibit potassium currents through the Kv2.1 channel, their mechanisms of action at this potential target may be different. (silverchair.com)
Exposure4
- Type I (mild) halothane hepatotoxicity occurs within hours of halothane exposure. (medscape.com)
- Type II (fulminant) halothane hepatotoxicity usually occurs 5-7 days following exposure, although it can be delayed by up to 4 weeks. (medscape.com)
- Exposure of epithelial type II cells to halothane reduced the activity of sodium, potassium-adenosine triphosphatase, and amiloride-sensitive Na channels, whereas Na cotransporters were unchanged. (asahq.org)
- [1-3] Because of the hypnotic effects of these agents, attention has focused mainly on the central nervous system, and several studies have reported that halothane exposure depressed voltage-gated sodium (Na) channels and potassium (K) channels. (asahq.org)
Inhalational1
- Inhalational agents: metabolism of inhalational agents is increased over non-obese pts. (medicine-handbook.com)
Hepatotoxicity7
- Based on this study, the risk of fatal halothane hepatotoxicity was estimated to be 1 in 35,000. (medscape.com)
- Halothane hepatotoxicity is more likely to occur in lower resource settings where halothane continues to be used. (medscape.com)
- Halothane hepatotoxicity is a diagnosis of exclusion. (medscape.com)
- Physical findings in type II halothane hepatotoxicity include delayed pyrexia (up to 75% of patients). (medscape.com)
- Eosinophilia occurs in 8-32% of patients with type II halothane hepatotoxicity. (medscape.com)
- Serum autoantibodies may be present in 30-44% of patients with type II halothane hepatotoxicity. (medscape.com)
- Two major types of hepatotoxicity are associated with halothane administration. (medscape.com)
Ethanol4
- Metabolism of chloroform occurs primarily by cytochrome p-450-dependent pathways, with CYP2E1 (ethanol-inducible) being the primary isozyme responsible (Wang et al. (cdc.gov)
- The classical definition of first pass metabolism (FPM) based on the differences in the area under the curve (AUC) for identical intravenous and oral doses is invalid if the metabolism is non-linear (e.g. ethanol). (biomedcentral.com)
- Gastric ethanol metabolism is not significant. (biomedcentral.com)
- Respiratory which inhalation dosimetric relationships contribute to this tract uptake of halothane, acetone, ethanol and diacetyl was species difference in regional airway injury is not known, but measured in male F344 rat to obtain data for model validation. (cdc.gov)
Assessed in the absence1
Molecule2
- Halothane is a chiral molecule that is used as a racemic mixture. (wikipedia.org)
- The last-mentioned case usually depends on metabolism in other parts of the molecule. (awametox.com)
Dose3
- 1990). Interspecies differences in the rate of chloroform conversion were observed in mice, rats, and squirrel monkeys, with species differences in metabolism being highly dose-dependant. (cdc.gov)
- Thus, local blood flow, metabolism, and reaction, by lowering the Dose response is the most fundamental concept of toxicology. (cdc.gov)
- Ketamine and halothane reduced Kv2.1 and delta C318 peak current amplitude in a dose-dependent and reversible fashion. (silverchair.com)
Adults1
- Given this risk, halothane is not recommended for use in adults. (medscape.com)
Absorption1
- H. Mahmoud (*) ropathies such as absorption, distribution, metabolism. (themauimiracle.org)
Drug3
- Efforts were undertaken to develop a synthetic system in which drug metabolism can be studied using highly purified single forms of cytochrome-P-450 proteins in a membrane environment of exactly defined composition and physical properties. (cdc.gov)
- Drug metabolism principles- Phase I and Phase II. (amrita.edu)
- Factors affecting drug metabolism including stereo chemical aspects. (amrita.edu)
20011
- Usp, 2001) demonstrated that patients have been used in halothane. (themauimiracle.org)
Effects4
- Anesthetic Metabolism - Toxic Effects in OR Personnel. (cdc.gov)
- The purpose of this study was to examine the effects of halothane on Na transport activities. (asahq.org)
- The Effects of Halothane on Arterial Pressure. (silverchair.com)
- Omega-3 fatty acids: metabolism and biological effects Basel, Switzerland Birkhauser Verlag. (westminster.ac.uk)
Concentration1
- The concentration of rT3 could be high in patients on the following medications: amiodarone, dexamethasone, propylthiouracil, ipodate, propranolol, and the anesthetic halothane. (biovendor.com)
Potassium1
Diseases1
- Acute intermittent porphyria (AIP) is one of the porphyrias, a group of diseases involving defects in heme metabolism and that results in excessive secretion of porphyrins and porphyrin precursors. (medscape.com)
Patients1
- Seven of the 9 patients had received halothane. (medscape.com)
Induction1
- Halothane given with succinylcholine for induction anesthetic is associated with masseter spasm. (medscape.com)
Drugs1
- Halothane anesthetic drugs. (labpedia.net)
Compartment1
- and/or metabolism being allowed in each tissue compartment. (cdc.gov)
Experiments2
- In some experiments, cells that were exposed to 1% halothane for 1 h were allowed to recover after replacement of the medium for 15 and 30 min. (asahq.org)
- [5] The experiments were apparently conducted using isolated working hearts from halothane-anesthetized murine models. (biotechpeptides.com)
Dosage1
- The explanations for vindication typically include low dosage or a very low degree of metabolism that involves the relevant substructure. (awametox.com)
Direct1
- stream (and ultimate removal from airway tissue), local metabolism, and/or direct reaction with tissue substrates. (cdc.gov)
Caused by increased1
- These changes are caused by increased metabolism within muscle cells. (theanesthesiaconsultant.com)
Studies2
- [4] Taken together, these studies suggest that halothane interferes with ion transport in many different cell types. (asahq.org)
- Raadpleeg ook literatuurlijsten gerandomiseerde studies van niet-toxische middelen en behandelingen van arts-bioloog drs. (kanker-actueel.nl)
Type2
- Halothane alters surfactant biosynthesis and metabolism of alveolar type II cells. (asahq.org)
- Use dependence of ketamine and halothane action was observed in both Kv2.1 and the mutant channel, attributable to augmentation of C-type inactivation. (silverchair.com)