Effect of patient sex on general anaesthesia and recovery

British Journal of Anaesthesia

Volumn 106, Issue 6, 2011, Pages 832-839

  Buchanan, F F ^a   Myles, P S ^a,b   Cicuttini, F ^c  

^a ALFRED HOSPITAL   (Australia)

^b Academic Board of Anaesthesia and Perioperative Medicine   (Australia)

^c MONASH UNIVERSITY   (Australia)

Author keywords

anaesthesia, general; complications; gender; vomiting, nausea

Indexed keywords

DESFLURANE; ESTROGEN; ISOFLURANE; MIDAZOLAM; NEUROMUSCULAR BLOCKING AGENT; NITROUS OXIDE; PROGESTERONE; PROPOFOL; SEVOFLURANE; THIOPENTAL;

ADULT; AGED; ANESTHETIC RECOVERY; ARTICLE; BISPECTRAL INDEX; DEMOGRAPHY; ELECTIVE SURGERY; FEMALE; GENERAL ANESTHESIA; HUMAN; MAJOR CLINICAL STUDY; MALE; PAIN ASSESSMENT; POSTMENOPAUSE; POSTOPERATIVE NAUSEA AND VOMITING; PREMENOPAUSE; PRIORITY JOURNAL; PROGESTERONE BLOOD LEVEL; SEX DIFFERENCE;

EID: 79957512358     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aer094     Document Type: Article

References (41)

1. Holdcroft A. Females and their variability. Anaesthesia 1997; 52: 931-34 (Pubitemid 27455505)
2. Buchanan FF, Myles PS, Cicuttini F. Patient sex and its influence on general anaesthesia. Anaesth Intensive Care 2009; 37: 207-18
3. Pleym H, Spigset O, Kharasch ED, Dale O. Gender differences in drug effects: implications for anaesthetists. Acta Anaesthesiol Scand 2003; 47: 241-59 (Pubitemid 36384661)
4. Goto T, Nakata Y, Morita S. The minimum alveolar concentration of xenon in the elderly is sex-dependent. Anesthesiology 2002; 97: 1129-32 (Pubitemid 35265565)
5. Gan TJ, Glass PS, Sigl J, et al. Women emerge from general anaesthesia with propofol/alfentanil/nitrous oxide faster than men. Anesthesiology 1999; 90: 1283-7 (Pubitemid 29205630)
6. Myles PS, McLeod A, Hunt JO, Fletcher H. Sex differences in speed of emergence differences in speed of emergence and quality of recovery after anaesthesia: cohort study. Br Med J 2001; 322: 710-11 (Pubitemid 32238777)
7. Hoymork SC, Raeder J, Grimsmo B, Steen PA. Bispectral index, serum drug concentrations and emergence associated with individually adjusted target-controlled infusions of remifentanil and propofol for laparoscopic surgery. Br J Anaesth 2003; 91: 773-80 (Pubitemid 37508815)
8. Buchanan FF, Myles PS, Leslie K, Forbes A, Cicuttini F. Gender and recovery after general anaesthesia combined with neuromuscular blocking drugs. Anesth Analg 2006; 102: 291-7 (Pubitemid 43038324)
9. Domino KB, Posner KL, Caplan RA, Cheney FW. Awareness during anaesthesia-a closed claims analysis. Anesthesiology 1999; 90: 1053-61 (Pubitemid 29159763)
10. Ghoneim MM, Block RI, Haffarnan M, Mathews MJ. Awareness during anaesthesia: risk factors, causes and sequelae. A review of reported cases in the literature. Anesth Analg 2009; 108: 529-35
11. Carl P, Hogskilde S, Nielsen JW, et al. Pregnanolone emulsion: a preliminary pharmacokinetic and pharmacodynamic study of a new intravenous anaesthetic agent. Anaesthesia 1990; 45: 189-97 (Pubitemid 20091918)
12. Merryman W, Boiman R, Barnes L, Rothchild I. Progesterone 'anaesthesia' in human subjects. J Clin Endocrinol Metab 1954; 14: 1567-9
13. Bittran D, Purdy RH, Kellogg CK. Anxiolytic effect of progesterone is associated with increases in cortical allopregnanolone and GABAA receptor function. Pharmacol Biochem Behav 1993; 45: 423-8
14. Erden V, Yangin Z, Erkalp K, et al. Increased progesterone production during the luteal phase of menstruation may decrease anaesthetic requirement. Anesth Analg 2005; 101: 1007-11 (Pubitemid 41383062)
15. Gin T, Chan MT. Decreased minimum alveolar concentration of isoflurane in pregnant humans. Anesthesiology 1994; 81: 829-32 (Pubitemid 24332615)
16. Chan MTV, Mainland P, Gin T. Minimum alveolar concentration of halothane and enflurane are decreased in early pregnancy. Anesthesiology 1996; 85: 782-6 (Pubitemid 26346717)
17. Eger EI II, Laster MJ, Gregory GA, Katoh T, Sonner JM. Womenappear to have the same minimum alveolar concentration as men. Anesthesiology 2003; 99: 1059-61 (Pubitemid 37339448)
18. Wadhwa A, Durrani J, Sengupta P, Doufas AG, Sessler DI. Women have the same desfluraneminimumalveolar concentration as men: a prospective study. Anesthesiology 2003; 99: 1062-5 (Pubitemid 37339449)
19. Myles PS, Hunt JO, Moloney JT. Postoperative 'minor' complications. Comparison between men and women. Anaesthesia 1997; 52: 300-6
20. Singh D. Female mate value at a glance: relationship of waist-to-hip to health, fecundity and attractiveness. NeuroEndocrinol Lett 2002; 23(Suppl 4): 81-91
21. Jasienska G, Ziomkiewicz A, Ellison PT, Lipson SF, Thune I. Large breasts and narrow waists indicate high reproductive potential in women. Proc Biol Sci 2004; 22: 1213-7 (Pubitemid 38789312)
22. Walsh RJ. The age of menopause in Australian women. Med J Aust 1978; 215: 181-2
23. Burger HG. The endocrinology of the menopause. J Steroid Biochem Mol Biol 1999; 69: 31-5 (Pubitemid 29305523)
24. Mapleson WW. Effect of age on MAC in humans: a meta-analysis. Br J Anaesth 1996; 76: 179-85
25. White DC. Uses of MAC. Br J Anaesth 2003; 91: 167-9
26. Myles PS, Weitkamp B, Jones K, Melick J, Hensen S. Validity and reliability of a postoperative quality of recovery score: the QoR-40. Br J Anaesth 2000; 84: 11-5 (Pubitemid 30009299)
27. Myles PS, Hunt JO, Fletcher H, Solly R, Kelly S, Woodward D. Relationship between quality of recovery in hospital, and quality of life at three months after cardiac surgery. Anesthesiology 2001; 95: 862-7 (Pubitemid 32939108)
28. Leslie K, Troedel S, Irwin K, et al. Quality of recovery from anaesthesia in neurosurgical patients. Anesthesiology 2003; 99: 1158-65 (Pubitemid 37339463)
29. Moller DH, Glass PSA. Should a patient's gender alter the anaesthetic plan? Curr Opin Anaesthesiol 2003; 16: 379-83 (Pubitemid 36951891)
30. Myles PS, Hunt JO, Fletcher H, Smart J, Jackson T. Propofol, thiopental, sevoflurane and isoflurane: a randomized controlled trial of effectiveness. Anesth Analg 2000; 91: 1163-9
31. Taenzer AH, Clark C, Curry CS. Gender affects report of pain and function after arthroscopic anterior cruciate ligament reconstruction. Anesthesiology 2000; 93: 670-5
32. Harmon D, O'Connor P, Gleasa O, Gardiner J. Menstrual cycle irregularity and the incidence of nausea and vomiting after laparoscopy. Anaesthesia 2000; 55: 1164-7
33. Datta S, Migliozzi RP, Flanagan HL, Krieger N. Chronically administered progesterone decreases halothane requirements in rabbits. Anesth Analg 1989; 68: 46-50 (Pubitemid 19042929)
34. Manber R, Armitage R. Sex, steroids and sleep: a review. Sleep 1999; 22: 540-55
35. Pfaff DW, McEwen BS. Actions of oestrogens and progestins on nerve cells. Science 1983; 219: 808-14 (Pubitemid 13194768)
36. Gee KW, Bolger MB, Brinton RE, Coirini H, McEwen BS. Steroid modulation of the chloride ionophore in rat brain: structureactivity requirements, regional dependence and mechanisms of action. J Pharmacol Exp Ther 1988; 246: 803-12
37. McEwen BS, Alves SE. Etrogen actions in the central nervous system. Endocr Rev 1999; 20: 299-307
38. Rudick CN, Woolley CS. Estradiol induces a phasic Fos response in the hippocampal CA1 and CA3 regions of adult female rats. Hippocampus 2000; 10: 274-83 (Pubitemid 30438663)
39. Woolley CS, Weiland NG, McEwen BS, Schwartzkroin PA. Estradiol increases the sensitivity of hippocampal CA1pyramidal cells to NMDA-receptor mediated synaptic input: correlation with dendritic spine density. J Neurosci 1997; 17: 1848-59 (Pubitemid 27089829)
40. Woolley CS, Schwartzkroin PA. Hormonal effects on the brain. Epilepsia 1998; 39: S2-S8 (Pubitemid 128657175)
41. Rymer J, Morris EP. 'Extracts from Clinical evidence': Menopausal symptoms. Br Med J 2000; 321: 1516-9 (Pubitemid 32011373)