Propofol anaesthesia and metabolic acidosis in children


Özlü O., Özkara H. A., Eris S., Öcal T.

Paediatric Anaesthesia, vol.13, no.1, pp.53-57, 2003 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 13 Issue: 1
  • Publication Date: 2003
  • Doi Number: 10.1046/j.1460-9592.2003.00965.x
  • Journal Name: Paediatric Anaesthesia
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.53-57
  • Keywords: Children, Metabolic acidosis, Propofol
  • Ankara University Affiliated: Yes

Abstract

Background: We aimed to investigate the effect of propofol infusion anaesthesia on acid-base status and liver and myocardial enzyme levels of children during short-term anaesthesia. Methods: Thirty-six children, aged 3-12 years, were randomized into two groups. In group P (n = 18), induction and maintenance were performed with propofol, 3 mg·kg-1 and 20, 15 and 10 mg·kg-1·h-1, respectively. In group H (n = 18) following induction with 5 mg·kg-1 thiopenthal, anaesthesia was maintained with 2-3% halothane. Blood samples were obtained following anaesthesia induction and 30, 60 and 120 min after discontinuation of anaesthesia. Results: There was no difference in lactate dehydrogenase, myocardial creatininephosphokinase, aspartate aminotransferase, alanine amino-transferase and cholesterol levels between and within the groups. All postoperative triglyceride levels were higher and pH levels were lower in group P than group H (P < 0.05) and there was no difference within the groups. Conclusions: In these healthy patients, short-term use of propofol did not result in significant acidaemia, nor alterations in hepatic or myocardial enzyme levels.