The effects of surgical levels of sevoflurane and propofol anaesthesia on heart rate variability

European Journal of Anaesthesiology

Volumn 24, Issue 7, 2007, Pages 626-633

  Maenpaa M ^a   Penttila J ^b   Laitio, T ^a   Kaisti, K ^a   Kuusela, T ^c   Hinkka, S ^c   Scheinin, H ^d  

^a TURKU UNIVERSITY HOSPITAL   (Finland)

^b PÄIJÄT HÄME CENTRAL HOSPITAL   (Finland)

^c UNIVERSITY OF TURKU   (Finland)

^d TURKU PET CENTRE   (Finland)

Author keywords

Anaesthesia inhalational; Anaesthesia intravenous; Cardiovascular physiology, heart rate variability; Propofol; Sevoflurane

Indexed keywords

NITROUS OXIDE; PROPOFOL; SEVOFLURANE; ANESTHETIC AGENT; ETHER DERIVATIVE; INHALATION ANESTHETIC AGENT; INTRAVENOUS ANESTHETIC AGENT;

ADULT; ANESTHESIA INDUCTION; ARTICLE; BISPECTRAL INDEX; CONCENTRATION RESPONSE; CONTROLLED STUDY; DATA ANALYSIS; DRUG BLOOD LEVEL; DRUG EFFECT; ELECTROCARDIOGRAPHY; ENTROPY; HEART RATE VARIABILITY; HUMAN; MALE; MINIMUM LUNG ALVEOLUS CONCENTRATION; NORMAL HUMAN; CLINICAL TRIAL; COMPARATIVE STUDY; DOSE RESPONSE; ELECTROENCEPHALOGRAPHY; FOURIER ANALYSIS; HEART RATE;

ADULT; ANESTHETICS, COMBINED; ANESTHETICS, INHALATION; ANESTHETICS, INTRAVENOUS; DOSE-RESPONSE RELATIONSHIP, DRUG; ELECTROCARDIOGRAPHY, AMBULATORY; ELECTROENCEPHALOGRAPHY; FOURIER ANALYSIS; HEART RATE; HUMANS; MALE; METHYL ETHERS; NITROUS OXIDE; PROPOFOL;

MLCS; MLOWN;

EID: 85047699310     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1017/S0265021507000129     Document Type: Article

References (39)

1. Galletly DC, Buckley DH, Robinson BJ, Corfiatis T. Heart rate variability during propofol anaesthesia. Br J Anaesth 1994; 72: 219-220.
2. Sleigh JW, Donovan J. Comparison of bispectral index, 95% spectral edge frequency and approximate entropy of the EEG, with changes in heart rate variability during induction of general anaesthesia. Br J Anaesth 1999; 82: 666-671.
3. O'Flaherty D. Heart rate variability and anaesthesia. Eur J Anaesthesiol 1993; 10: 419-432.
4. Kanaya N, Hirata N, Kurosawa S et al. Differential effects of propofol and sevoflurane on heart rate variability. Anesthesiology 2003; 98: 34-40.
5. Penttilä J, Helminen A, Jartti T et al. Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: effects of various respiratory patterns. Clin Physiol 2001; 21: 365-376.
6. Kaisti KK, Metsähonkala L, Teräs M et al. Effects of surgical levels of propofol and sevoflurane anesthesia on cerebral blood flow in healthy subjects studied with positron emission tomography. Anesthesiology 2002; 96: 1358-1370.
7. Kaisti KK, Långsjö JW, Aalto S et al. Effects of sevoflurane, propofol, and adjunct nitrous oxide on regional cerebral blood flow, oxygen consumption, and blood volume in humans. Anesthesiology 2003; 99: 603-613.
8. Marsh B, White M, Morton N, Kenny GN. Pharmacokinetic model driven infusion of propofol in children. Br J Anaesth 1991; 67: 41-48.
9. Davidson JA, Macleod AD, Howie JC et al. Effective concentration 50 for propofol with and without 67% nitrous oxide. Acta Anaesthesiol Scand 1993; 37: 458-464.
10. Pincus SM. Approximate entropy as a measure of system complexity. Proc Natl Acad Sci USA 1991; 88: 2297-2301.
11. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J 1996; 17: 354-381.
12. Kleiger RE, Stein PK, Bosner MS, Rottman JN. Time domain measurements of heart rate variability. Cardiol Clin 1992; 10: 487-498.
13. Hayano J, Sakakibara Y, Yamada A et al. Accuracy of assessment of cardiac vagal tone by heart rate variability in normal subjects. Am J Cardiol 1991; 67: 199-204.
14. Kato M, Komatsu T, Kimura T et al. Spectral analysis of heart rate variability during isoflurane anesthesia. Anesthesiology 1992; 77: 669-674.
15. Alkire MT, Pomfrett CJD. Toward a monitor of depth: bispectral index (BIS) and respiratorory sinus arrhytmia (RSA) both monitor cerebral metabolic reduction during isoflurane anesthesia. Anesthesiology 1997; V87: A421.
16. Pomfrett CJD, Alkire MT. Respiratory sinus arrhythmia as an index of anaesthetic depth in man: evidence from functional imaging studies. J Ph 1999; 518P: 180P.
17. Nakatsuka I, Ochiai R, Takeda J. Changes in heart rate variability in sevoflurane and nitrous oxide anesthesia: effects of respiration and depth of anesthesia. J Clin Anesth 2002; 14: 196-200.
18. Pöyhönen M, Syväoja S, Hartikainen J et al. The effect of carbon dioxide, respiratory rate and tidal volume on human heart rate variability. Acta Anaesthesiol Scand 2004; 48: 93-101.
19. Joo HS, Perks WJ. Sevoflurane versus propofol for anesthetic induction: a meta-analysis. Anesth Analg 2000; 91: 213-219.
20. Keyl C, Schneider A, Dambacher M et al. Dynamic cardiocirculatory control during propofol anesthesia in mechanically ventilated patients. Anesth Analg 2000; 91: 1188-1195.
21. Eckberg DL. Sympathovagal balance: a critical appraisal. Circulation 1997; 96: 3224-3232.
22. Ledowski T, Bein B, Hanss R et al. Neuroendocrine stress response and heart rate variability: a comparison of total intravenous versus balanced anesthesia. Anesth Analg 2005; 101: 1700-1705.
23. Sato M, Tanaka M, Umehara S, Nishikawa T. Baroreflex control of heart rate during and after propofol infusion in humans. Br J Anaesth 2005; 94: 577-581.
24. Nagasaki G, Tanaka M, Nishikawa T. The recovery profile of baroreflex control of heart rate after isoflurane or sevoflurane anesthesia in humans. Anesth Analg 2001; 93: 1127-1131.
25. Ebert TJ, Muzi M. Propofol and autonomic reflex function in humans. Anesth Analg 1994; 78: 369-375.
26. Cooley RL, Montano N, Cogliati C et al. Evidence for a central origin of the low-frequency oscillation in RR-interval variability. Circulation 1998; 98: 556-561.
27. Montano N, Porta A, Malliani A. Evidence for central organization of cardiovascular rhythms. Ann N Y Acad Sci 2001; 940: 299-306.
28. Bernardi L, Leuzzi S, Radaelli A et al. Low-frequency spontaneous fluctuations of R-R interval and blood pressure in conscious humans: a baroreceptor or central phenomenon? Clin Sci (Lond) 1994; 87: 649-654.
29. Vanoli E, Adamson PB, Ba L et al. Heart rate variability during specific sleep stages. A comparison of healthy subjects with patients after myocardial infarction. Circulation 1995; 91: 1918-1922.
30. Pikkujämsä SM, Mäkikallio TH, Sourander LB et al. Cardiac interbeat interval dynamics from childhood to senescence: comparison of conventional and new measures based on fractals and chaos theory. Circulation 1999; 100: 393-399.
31. Singer DH, Baumgarten CM, Ten Eick RE. Cellular electrophysiology of ventricular and other dysrhythmias: studies on diseased and ischemic heart. Prog Cardiovasc Dis 1981; 24: 97-156.
32. Vikman S, Mäkikallio TH, Yli-Mäyry S et al. Altered complexity and correlation properties of R-R interval dynamics before the spontaneous onset of paroxysmal atrial fibrillation. Circulation 1999; 100: 2079-2084.
33. Penttilä J, Helminen A, Jartti T et al. Effect of cardiac vagal outflow on complexity and fractal correlation properties of heart rate dynamics. Auton Autacoid Pharmacol 2003; 23: 173-179.
34. Yeregani VK, Srinivasan K, Vempati S et al. Fractal dimension of heart rate time series: an effective measure of autonomic function. J Appl Physiol 1993; 75: 2429-2438.
35. Pomeranz B, Macaulay RJ, Caudill MA et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol 1985; 248: H151-H153.
36. Fragen RJ, Dunn KL. The minimum alveolar concentration (MAC) of sevoflurane with and without nitrous oxide in elderly versus young adults. J Clin Anesth 1996; 8: 352-356.
37. Puri GD. Paradoxical changes in bispectral index during nitrous oxide administration. Br J Anaesth 2001; 86: 141-142.
38. Pomfrett CJ. Heart rate variability, BIS and 'depth of anaesthesia'. Br J Anaesth 1999; 82: 659-662.
39. Goldberger AL, Amaral LA, Hausdorff JM et al. Fractal dynamics in physiology: alterations with disease and aging. Proc Natl Acad Sci USA 2002; 99(Suppl 1): 2466-2472.