EFFECT OF RADIATION ON RESPONSE TO ANESTHETIC AGENTS

Journal Article · Mon Jul 01 04:00:00 EDT 1963 · New York State Journal of Medicine (U.S.)

OSTI ID:4127667

Zauder, H L; Orkin, L R

An attempt was made to determine if prior irradiation modified the response to anesthesia or if any anesthetic or anesthetics are associated with an abnormally high or low mortality, following irradiation. Swiss mice were irradiated by a conventional radiotherapy machine utilizing 250-kv x rays with 1- mm aluiminum and 0.5 mm copper filtration. The half-value layer was 1.5 mm of copper, and with a target-skin distance of 70 cm; the dose rate in air was 52 r/ min. A dose-response curve, relating mortality at 30 days to the amount of radiation delivered gave an LD/sub 5/ of 350 r, LD/sub 25/ of 450 r, and LD/sub 95/ of 750 r. A chamber for the anesthetization of small animals with a known, reproducible concentration of anesthetic agent was designed providing for constant circulation of the gas mixtures, explosive or nonexplosive. Utilizing this apparatus, groups of mice were andesthetized with 6% divinyl ether, 6% diethyl ether, 1.5% halothane, 1.8% trichlorethylene, and 18% cyclopropane. With the latter, oxygen was added to the chamber in sufficient quandtity to provide a concentration of 20 to 25%. Pentobarbital (Nembutal) 30 mg/kg, thiopental sodium (Pentothal) 70 mg/kg, or meperidine hydrochloride (Demerol) 25 mg/kg was injected intraperitoneally into mice with and without prior x radiation. There was no mortality associated with these dosages in the control animals. All drugs were administered to the irradiated animals on the 1st to 28th day postirradiation. In mice irradiated with an LD/sub 5/ (350 r) and anesthetized subsequently with divinyl ether, diethyl ether, or halothane, an increase in the mortality over control values was observed. This increase was greatest following divinyl ether; its administration 7 or more days following irradiation resulted in the death of 10 to 30% of the animals during the 45-min period of anesthetization. After 350 r, meperidine and pentobarbital did not increase montality, but thiopental increased markedly the number of deaths when administered on the 2nd, 4th, or 21st day postirradiation. After 450 r the mortality rate was increased markedly, but cyclopropane was associated with the least increase. As with the volatile agents, mortality following the parenterally administered agents increased as the dose of radiation increased, but no difference wss demonstrated between pentobarbital and its thio derivative. Sleeping time following both drugs was increased 3-fold over that in controls. The mortality following anesthesia in mice who received 750-r (LD/sub 95/) made it impossible to anesthetize these animals beyond the 7th day postirradiation. Again, a significant number of deaths under anesthesia occurred with divinyl ether, and sleeping time following the barbiturates was prolonged, but not beyond the 3-fold increase which was seen at 450 r. It is concluded that divinyl ether is associated with the highest overall mortality and cyclopropane with the lowest; decreasing the concentration of diethyl ether decreases the mortality. The cause of the increased mortality is unknown, since gross and microscopic examinations of autopsy material failed to reveal any differences accounting for these results. (BBB)

• Research Organization: Yeshiva Univ., New York
• NSA Number: NSA-18-003545
• OSTI ID: 4127667
• Journal Information: New York State Journal of Medicine (U.S.), Journal Name: New York State Journal of Medicine (U.S.) Vol. Vol: 63; ISSN NYSJA
• Country of Publication: Country unknown/Code not available
• Language: English

Related Subjects

ANESTHESIA
ANESTHETICS
BARBITURIC ACID
BIOLOGY AND MEDICINE
CYCLOALKANES
DRUGS
ETHERS
ETHYL RADICALS
ETHYLENE
MICE
MICROSCOPY
NEMBUTAL
ORGANIC CHLORINE COMPOUNDS
ORGANIC SULFUR COMPOUNDS
OXYGEN
PROPANE
RADIATION DOSES
RADIATION EFFECTS
THIOPENTAL
TISSUES
VINYL RADICALS
X RADIATION