Effects of CO2 Pneumoperitoneum on Nephrotoxicity of Sevoflurane: An Experimental Study in Rabbits

Articles > Article · 2006

Authors: M. Said Bayar, Semih Küçükgüçlü, Necati Gokmen, Zekerya Dursun, E. Burçin Tuna, Nazif Erkan

Visceral Medicine, International, Scopus, 2006, vol 22, pp 79-84

DOI: 10.1159/000092731

Summary

Background: The purpose of this study is to evaluate the nephrotoxicity of sevoflurane inhalation anesthesia applied during carbon dioxide pneumoperitoneum (CO2- PNP) which is conducted for a laparoscopic surgery treatment. Materials and Methods: 14 New Zealand white rabbits were used in this study. Initially, anesthesia was induced using 3.7% concentrated sevoflurane + 50% O2/N2O. Then, a tracheotomy was performed, and the rabbits were mechanically ventilated. The first group (n = 7) was subjected to CO2-PNP for 90 min with a constant intraabdominal pressure of 12 mm Hg, the second (control group ) (n = 7) was exempted. The serum inorganic fluoride (IF-) concentration was measured. The rabbits were sacrificed after 72 h, and one kidney each was immediately extracted for histopathological examination. Results: Serum IF- concentrations were not different in both groups. Histopathologically, mild renal damage was found in one rabbit in each group. Conclusion: CO2-PNP did not have any additional effect on the nephrotoxicity of sevoflurane.

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