1. Cardiorespiratory effects of gamma-hydroxybutyric acid during isoflurane anaesthesia in pigs.
- Author
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Cuypers, Charlotte, Devreese, Mathias, Van Uytfanghe, Katleen, Stove, Christophe, Van Steenkiste, Glenn, and Schauvliege, Stijn
- Subjects
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BLOOD gases analysis , *HEART beat , *STANDARD deviations , *MIDAZOLAM , *ANESTHESIA , *ISOFLURANE - Abstract
To investigate the haemodynamic effects of gamma-hydroxybutyric acid (GHB) in isoflurane-anaesthetized pigs. Experimental, randomized, nonblinded, crossover study. A group of six stress-resistant Landrace pigs (approximately 3 months old; three male, three female; bodyweight 39.2 ± 4 kg, mean ± standard deviation). After premedication (midazolam 0.5 mg kg–1 and ketamine 10 mg kg–1 intramuscularly) and induction [propofol 0.25–0.5 mg kg–1 intravenously (IV)], anaesthesia was maintained with isoflurane in oxygen, and either GHB 250 mg kg–1 IV or an equal volume of saline was administered (minimum washout period 1 week). Systolic (SAP), diastolic (DAP) and mean (MAP) arterial pressures, heart rate and rhythm and respiratory rate were recorded every 5 minutes for 2 hours. Arterial samples were collected for blood gas and pharmacokinetic analyses. Relative changes from baseline were calculated and compared between treatments using a mixed model with time, period and treatment as variables (α < 0.05). Changes from baseline differed significantly between treatments (p < 0.001) for SAP (GHB –1.6 ± 10.7; saline –5.9 ± 14.8 mmHg), DAP (GHB +2.9 ± 9.6; saline –6.5 ± 10.7 mmHg) and MAP (GHB +2.2 ± 10.5; saline –5.7 ± 9.6 mmHg). Statistical analysis of secondary outcomes suggested effects on PaO 2 [GHB –45.2 ± 29.8 mmHg (–6.03 ± 3.97 kPa); saline +24.5 ± 32.4 mmHg (+3.27 ± 4.32 kPa); p < 0.001] and PaCO 2 [GHB –2 ± 10 mmHg (–0.27 ± 1.33 kPa); saline –9 ± 8 mmHg (–1.20 ± 1.07 kPa); p < 0.001]. Mean maximum blood concentration of GHB was 1171.1 ± 229.3 μg mL–1, with volume of distribution 335.3 ± 68.5 mL kg–1, clearance 77.2 ± 19.12 mL kg–1 hour–1 and elimination half-life 3.10 ± 0.80 hours. GHB did not cause severe physiological side effects and may reduce cardiovascular depression. [ABSTRACT FROM AUTHOR]
- Published
- 2025
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