The pulmonary vascular response to propofol in the isolated perfused rat lung


Erdemli O., Tel B., Gumusel B. , Sahin-Erdemli I.

European Journal of Anaesthesiology, vol.12, no.6, pp.617-623, 1995 (Journal Indexed in SCI Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 6
  • Publication Date: 1995
  • Title of Journal : European Journal of Anaesthesiology
  • Page Numbers: pp.617-623
  • Keywords: Anaesthetics, intravenous, propofol, Ions, ATP-sensitive K+ channels, calcium channel blocker, Lung, blood flow, isolated perfused rat lung

Abstract

This study investigated the effect of propofol on the pulmonary vascular bed of the rat. Propofol (5 x 10-6 to 5 x 10-4 M) did not alter the basal perfusion pressure in isolated rat lungs perfused at a constant flow (0.03 mL g body wt-1 min-1) with Krebs-Henseleit solution. When perfusion pressure was elevated by raising the K+ concentration to 30 mM (depolarizing Krebs-Henseleit solution), propofol decreased it in a concentration-dependent manner. Indomethacin (3 x 10-6 M) and N(G)-nitro-L-arginine methyl ester (10-4 M) did not affect the response to propofol, which excluded the role of cyclo-oxygenase metabolites and nitric oxide, respectively. The ATP-sensitive K+ (K(ATP)+) channel blocker glibenclamide (3 x 10-6 and 10-5 M) inhibited the vasodilator effect of propofol. When lungs were perfused with Ca2+-free depolarizing Krebs-Henseleit solution, 0.1-2.5 mM Ca+2 produced a concentration-dependent presser response. Propofol (5 x 10-5 M) attenuated the vasopressor response to Ca2+ significantly. In conclusion, the activation of K+(ATP) channels is probably the major mechanism of the vasodilator effect of propofol, at clinically relevant concentrations, in the rat lung. The Ca2+ antagonistic property of propofol is evident only at higher concentrations.