Effects of prolonged N2O and barbiturate anesthesia on brain metabolism and pH in the dog. 1980

T I Musch, and A Pelligrino, and J A Dempsey

The brain acid-base status and metabolites were measured in 17 mongrel dogs that were anesthetized with pentobartital (20-25 mg/kg initially and 2-4 mg/kg every 2 h thereafer), or initially anesthetized with sodium pentothal (20 mg/kg) and placed on nitrous oxide (70% N2O-30% 02) for 5-51/2 h under normoxic, normocapnic conditions. In comparison with the awake, unrestrained state, both anesthetics caused a significant metabolic acidosis in both plasma and cisternal CSF. No significant differences between anesthetics were found with: (1) acid-base status in plasma or brain ECF and ICF; (2) cerebral tissue energy charge potential; or (3) creatine and phosphocreatine levels and the creatine to phosphocreatine ratios. No differences were found in the ATP to ADP ratios, but lactate to pyruvate ratios were significantly lower. Within pentobarbital anesthesia, citrate levels were higher, while other TCA metabolites measured were lower. Further, the citrate to alpha-ketoglutarate and malate to oxaloacetate ratios were significantly increased. We propose that pentobarbital anesthesia lowers metabolic activity in brain tissue and the primary site of 'crossover' inhibition is between citrate and alpha-ketoglutarate.

UI MeSH Term Description Entries
D007773 Lactates Salts or esters of LACTIC ACID containing the general formula CH3CHOHCOOR.
D009609 Nitrous Oxide Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream. Laughing Gas,Nitrogen Protoxide,Gas, Laughing,Oxide, Nitrous
D001769 Blood The body fluid that circulates in the vascular system (BLOOD VESSELS). Whole blood includes PLASMA and BLOOD CELLS.
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
D002555 Cerebrospinal Fluid A watery fluid that is continuously produced in the CHOROID PLEXUS and circulates around the surface of the BRAIN; SPINAL CORD; and in the CEREBRAL VENTRICLES. Cerebro Spinal Fluid,Cerebro Spinal Fluids,Cerebrospinal Fluids,Fluid, Cerebro Spinal,Fluid, Cerebrospinal,Fluids, Cerebro Spinal,Fluids, Cerebrospinal,Spinal Fluid, Cerebro,Spinal Fluids, Cerebro
D002951 Citrates Derivatives of CITRIC ACID.
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D006863 Hydrogen-Ion Concentration The normality of a solution with respect to HYDROGEN ions; H+. It is related to acidity measurements in most cases by pH pH,Concentration, Hydrogen-Ion,Concentrations, Hydrogen-Ion,Hydrogen Ion Concentration,Hydrogen-Ion Concentrations
D000136 Acid-Base Equilibrium The balance between acids and bases in the BODY FLUIDS. The pH (HYDROGEN-ION CONCENTRATION) of the arterial BLOOD provides an index for the total body acid-base balance. Anion Gap,Acid-Base Balance,Acid Base Balance,Acid Base Equilibrium,Anion Gaps,Balance, Acid-Base,Equilibrium, Acid-Base,Gap, Anion,Gaps, Anion
D000244 Adenosine Diphosphate Adenosine 5'-(trihydrogen diphosphate). An adenine nucleotide containing two phosphate groups esterified to the sugar moiety at the 5'-position. ADP,Adenosine Pyrophosphate,Magnesium ADP,MgADP,Adenosine 5'-Pyrophosphate,5'-Pyrophosphate, Adenosine,ADP, Magnesium,Adenosine 5' Pyrophosphate,Diphosphate, Adenosine,Pyrophosphate, Adenosine

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