Lumbar epidural anaesthesia prevented prostaglandin E1 - induced diuretic effect in enflurane anaesthetized patients

Hiroshi Yamaguchi, Izumi Hamkuni, Shuji Dohi, Seiji Watanabe, Hiroshi Naito

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4 Scopus citations

Abstract

Prostaglandin E1, (PGE,) is used to induce deliberate hypotension during anaesthesia. The purpose of this study was to compare the PGE1 induced diuretic effect in anaesthetized patients with and without lumbar epidural anaesthesia. The changes in haemodynamic variables, urinary flow, one-hour creatinine clearance (Ccr), and fractional excretion of sodium (FENa) during injection of PGE1, or a vehicle were compared in 42 surgical patients during enflurane anaesthesia with lumbar epidural anaesthesia (EPI group) with those in 44 surgical patients during enflurane anaesthesia alone (GA group). Patients in the GA group demonstrated increases in urinary flow (114 ± 46%) (mean ± SE), Ccr (74 ± 26%), and FENa (54 ± 23%) during PGE1, infusion, which were not observed in the patients in the EPI group. Mean arterial pressure decreased during PGE1, infusion from 92 ± 3 to 70 ± 2 mmHg in the GA group (P < 0.01) and from 85 ± 2 to 65 ± 1 mmHg in the EPI group (P < 0.01). Plasma antidiuretic hormone concentration during surgery was 12.5 ± 2.6 U. L-1 in the GA group and 2.3 ± 0.8 U· L-1 in the EPI group (P < 0.001). It is concluded that PGE1 induced diuresis was prevented by lumbar epidural anaesthesia.

Original languageEnglish (US)
Pages (from-to)619-624
Number of pages6
JournalCanadian Journal of Anaesthesia
Volume40
Issue number7
DOIs
StatePublished - Jul 1 1993

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Keywords

  • Hormpnes: prostaglandins
  • anaesthetic techniques: hypotension, epidural
  • kidney: diuresis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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