Noninvasive ICG clearance test for estimating hepatic blood flow during halothane and isoflurane anaesthesia

Can J Anaesth. 1995 Mar;42(3):209-12. doi: 10.1007/BF03010678.

Abstract

The purpose of this study was to estimate hepatic blood flow during halothane (HAL) or isoflurane (ISO) anaesthesia with the noninvasive indocyanine green (ICG) clearance test. Twenty-four ASA status I adult patients, scheduled for elective surgery without liver disease, were allocated into four groups. Before surgery, ICG clearance was measured twice in patients before and after 1, 2 MAC HAL-N2O, 1 and 2 MAC ISO-N2O anaesthesia by ICG clearance meter (Sumitomo Electronics, Japan). This method eliminates the blood sampling and delay of the conventional ICG test. The ICG clearance is displayed in two indices: K (ICG disappearance rate) and R15 (ICG retention rate 15 min after 0.5 mg.kg-1 ICG injection). Indirect blood pressure and heart rate were measured simultaneously. Mean arterial pressure (MAP) decreased by 27, 22 and 29% with 2 MAC HAL-N2O, and with 1 and 2 MAC ISO-N2O groups, respectively (P < 0.05). The ICG clearance was less (P < 0.05) in the 2 MAC HAL-N2O group (K, 0.087 min-1) than with either awake (K, 0.131 min-1) or other groups (K, 0.114 and 0.144 min-1, in the 1 MAC HAL and ISO-N2O groups, respectively) in spite of a similar degree of the depletion of MAP in 2 MAC ISO-N2O group (K, 0.124 min-1). We conclude that isoflurane has a more favourable effect on liver circulation than does halothane.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anesthesia, Inhalation*
  • Blood Pressure / drug effects
  • Carbon Dioxide / metabolism
  • Elective Surgical Procedures
  • Halothane / administration & dosage
  • Halothane / pharmacology*
  • Heart Rate / drug effects
  • Humans
  • Indocyanine Green* / analysis
  • Indocyanine Green* / pharmacokinetics
  • Isoflurane / administration & dosage
  • Isoflurane / pharmacology*
  • Liver Circulation / drug effects*
  • Middle Aged
  • Nitrous Oxide
  • Tidal Volume
  • Wakefulness

Substances

  • Carbon Dioxide
  • Isoflurane
  • Indocyanine Green
  • Nitrous Oxide
  • Halothane