[Effects of various anesthesia maintenance on serum levels of selenium, copper, zinc, iron and antioxidant capacity].

Abstract:

BACKGROUND AND OBJECTIVES:In this study, we aimed to investigate the effects of sevoflurane, desflurane and propofol maintenances on serum levels of selenium, copper, zinc, iron, malondialdehyde, and glutathion peroxidase measurements, and antioxidant capacity. METHODS:60 patients scheduled for unilateral lower extremity surgery which would be performed with tourniquet under general anesthesia were divided into three groups. Blood samples were collected to determine the baseline serum levels of selenium, copper, zinc, iron, malondialdehyde and glutathion peroxidase. Anesthesia was induced using 2-2.5mgkg(-1) propofol, 1mgkg(-1) lidocaine and 0.6mgkg(-1) rocuronium. In the maintenance of anesthesia, under carrier gas of 50:50% O2:N2O 4Lmin(-1), 1 MAC sevoflorane was administered to Group S and 1 MAC desflurane to Group D; and under carrier gas of 50:50% O2:air 4Lmin(-1) 6mgkgh(-1) propofol and 1μgkgh(-1) fentanyl infusion were administered to Group P. At postoperative blood specimens were collected again. RESULTS:It was observed that only in Group S and P, levels of MDA decreased at postoperative 48th hour; levels of glutathion peroxidase increased in comparison to the baseline values. Selenium levels decreased in Group S and Group P, zinc levels decreased in Group P, and iron levels decreased in all three groups, and copper levels did not change in any groups in the postoperative period. CONCLUSION:According to the markers of malondialdehyde and glutathion peroxidase, it was concluded that maintenance of general anesthesia using propofol and sevoflurane activated the antioxidant system against oxidative stress and using desflurane had no effects on oxidative stress and antioxidant system.

journal_name

Rev Bras Anestesiol

authors

Akın M,Ayoglu H,Okyay D,Ayoglu F,Gür A,Can M,Yurtlu S,Hancı V,Küçükosman G,Turan I

doi

10.1016/j.bjan.2014.04.001

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

51-60

issue

1

eissn

0034-7094

issn

1806-907X

pii

S0034-7094(14)00064-6

journal_volume

65

pub_type

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