1. Volatile Anesthetic Attenuates Phagocyte Function and Worsens Bacterial Loads in Wounds
- Author
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Sophia Koutsogiannaki, Koichi Yuki, Kazumasa Tazawa, and Rachel Bernier
- Subjects
Adult ,Male ,Cardiac Catheterization ,Staphylococcus aureus ,Adolescent ,Neutrophils ,Phagocytosis ,medicine.medical_treatment ,Inflammation ,Article ,Sepsis ,Mice ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Escherichia coli ,medicine ,Animals ,Humans ,Surgical Wound Infection ,Child ,Propofol ,Whole blood ,Cardiac catheterization ,Isoflurane ,business.industry ,medicine.disease ,Bacterial Load ,Disease Models, Animal ,Intravenous anesthesia ,Child, Preschool ,030220 oncology & carcinogenesis ,Anesthesia ,Anesthetics, Inhalation ,Female ,030211 gastroenterology & hepatology ,Surgery ,medicine.symptom ,business ,Anesthetics, Intravenous ,medicine.drug - Abstract
Background Previously we have shown that volatile anesthetic isoflurane attenuated neutrophil recruitment and phagocytosis in mouse sepsis and skin inflammation models. The objectives of this study were to test ex vivo function of neutrophils in patients who underwent cardiac catheterization under volatile anesthesia versus intravenous anesthesia (IA), and also to assess the effect of anesthesia on surgical site infections (SSIs) using mouse model to understand the clinical relevance of anesthesia-induced immunomodulation. Methods Whole blood from patients who underwent cardiac catheterization procedures either by volatile anesthesia or IA was collected and subjected to phagocytosis assay and a lipopolysaccharide-induced tumor necrosis factor-α assay. Mouse SSI with Staphylococcus aureus USA300 was created, and the effect of isoflurane and propofol exposure (short or long exposure) on bacterial loads was tested. Results Neutrophil phagocytosis was significantly attenuated after the induction of volatile anesthesia in patients, but not by IA. Monocyte phagocytosis was not affected by the anesthesia regimen. Bacterial loads following SSIs were significantly higher in mice receiving long, but not short, isoflurane exposure. Propofol exposure did not affect bacterial loads. Discussion Neutrophil phagocytosis can be affected by the type of anesthesia, and preclinical model of SSIs showed potential clinical relevance. The effects of anesthesia regimen on SSIs in patients needs to be studied extensively in the future.
- Published
- 2019
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