Skip to main content
British Medical Journal logoLink to British Medical Journal
letter
. 1970 Mar 14;1(5697):668–671. doi: 10.1136/bmj.1.5697.668

Multiple Halothane Exposure and Hepatic Bromsulphthalein Clearance

J F Biebuyck, S J Saunders, G G Harrison, A B Bull
PMCID: PMC1700553  PMID: 5443969

Abstract

Multiple exposures to halothane have been shown to have delayed effects on bromsulphthalein (B.S.P.) clearance. Rats were exposed to repeated halothane anaesthetics, and their livers were subsequently isolated and perfused. B.S.P. retention in the perfusate of these isolated livers was greatly increased one to three weeks after the last halothane exposure. In similarly pretreated animals at the same time period the B.S.P.—glutathione conjugating enzyme activity in homogenates of the livers was found to be depressed. These findings did not occur after multiple diethyl ether exposures or following a single exposure to halothane.

Full text

PDF
671

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BRINDLE G. F., GILBERT R. G., MILLAR R. A. The use of fluothane in anaesthesia for neurosurgery: a preliminary report. Can Anaesth Soc J. 1957 Jul;4(3):265–281. doi: 10.1007/BF03014425. [DOI] [PubMed] [Google Scholar]
  2. BURNAP T. K., GALLA S. J., VANDAM L. D. Anesthetic, circulatory and respiratory effects of fluothane. Anesthesiology. 1958 May-Jun;19(3):307–320. doi: 10.1097/00000542-195805000-00001. [DOI] [PubMed] [Google Scholar]
  3. CARSON J. S., HARKNESS T. T., HAMPTON L. J., CHASE H. F. Clinical experiences with fluothane; a new nonexplosive anesthetic. Ann Surg. 1959 Jan;149(1):100–106. doi: 10.1097/00000658-195901000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. COMBES B., STAKELUM G. S. A liver enzyme that conjugates sulfobromophthalein sodium with glutathione. J Clin Invest. 1961 Jun;40:981–988. doi: 10.1172/JCI104337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. COMBES B., STAKELUM G. S. Maturation of the sulfobromophthalein sodium-glutathione conjugating system in rat liver. J Clin Invest. 1962 Apr;41:750–757. doi: 10.1172/JCI104533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Crawford J. S., Hooi H. W. Binding of bromsulphthalein by serum albumin from pregnant women, neonates and subjects on oral contraceptives. Br J Anaesth. 1968 Oct;40(10):723–729. doi: 10.1093/bja/40.10.723. [DOI] [PubMed] [Google Scholar]
  7. DUNCAN W. A., RAVENTOS J. The pharmacokinetics of halothane (fluothane) anaesthesia. Br J Anaesth. 1959 Jul;31:302–315. doi: 10.1093/bja/31.7.302. [DOI] [PubMed] [Google Scholar]
  8. FISHER M. M., KERLY M. AMINO ACID METABOLISM IN THE PERFUSED RAT LIVER. J Physiol. 1964 Nov;174:273–294. doi: 10.1113/jphysiol.1964.sp007487. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. GRIFFITHS H. W. EFFECTS OF CHLOROFORM AND HALOTHANE ANESTHESIA ON LIVER FUNCTION IN MAN. Lancet. 1964 Feb 1;1(7327):246–247. doi: 10.1016/s0140-6736(64)92350-5. [DOI] [PubMed] [Google Scholar]
  10. GRUNERT R. R., PHILLIPS P. H. A modification of the nitroprusside method of analysis for glutathione. Arch Biochem. 1951 Feb;30(2):217–225. [PubMed] [Google Scholar]
  11. Griner P. F. Hepatitis after repeated exposure to halothane. Case report and brief review. Ann Intern Med. 1966 Oct;65(4):753–757. doi: 10.7326/0003-4819-65-4-753. [DOI] [PubMed] [Google Scholar]
  12. Hull M. W., Reilly M. G. Effect of repeated halothane anesthesia on sheep. Am J Vet Res. 1968 Jun;29(6):1161–1165. [PubMed] [Google Scholar]
  13. Klatskin G., Kimberg D. V. Recurrent hepatitis attributable to halothane sensitization in an anesthetist. N Engl J Med. 1969 Mar 6;280(10):515–522. doi: 10.1056/NEJM196903062801001. [DOI] [PubMed] [Google Scholar]
  14. Levi A. J., Gatmaitan Z., Arias I. M. Deficiency of hepatic organic anion-binding protein as a possible cause of non-haemolytic unconjugated hyperbilirubinaemia in the newborn. Lancet. 1969 Jul 19;2(7612):139–140. doi: 10.1016/s0140-6736(69)92444-1. [DOI] [PubMed] [Google Scholar]
  15. MILLER L. L., BLY C. G., WATSON M. L., BALE W. F. The dominant role of the liver in plasma protein synthesis; a direct study of the isolated perfused rat liver with the aid of lysine-epsilon-C14. J Exp Med. 1951 Nov;94(5):431–453. doi: 10.1084/jem.94.5.431. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Middleton M. D., Roth G. J., Smuckler E. A., Nyhus L. M. The effect of high concentration of halothane on the isolated perfused bovine liver. Surg Gynecol Obstet. 1966 Apr;122(4):817–825. [PubMed] [Google Scholar]
  17. Morgenstern L., Sacks H. J., Marmer M. J. Postoperative jaundice associated with halothane anesthesia. Surg Gynecol Obstet. 1965 Oct;121(4):728–732. [PubMed] [Google Scholar]
  18. Rehder K., Forbes J., Alter H., Hessler O., Stier A. Halothane biotransformation in man: a quantitative study. Anesthesiology. 1967 Jul-Aug;28(4):711–715. doi: 10.1097/00000542-196707000-00018. [DOI] [PubMed] [Google Scholar]
  19. Rodriguez M., Paronetto F., Schaffner F., Popper H. Antimitochondrial antibodies in jaundice following drug administration. JAMA. 1969 Apr 7;208(1):148–150. [PubMed] [Google Scholar]
  20. SHERLOCK S. HALOTHANE AND THE LIVER. Proc R Soc Med. 1964 Apr;57:305–307. [PMC free article] [PubMed] [Google Scholar]
  21. Stier A., Alter H. Stoffwechselprodukte des Halothane im Urine. Anaesthesist. 1966 May;15(5):154–155. [PubMed] [Google Scholar]
  22. VIRTUE R. W., PAYNE K. W., CARANNA L. J., GORDON G. S., REMBER R. R. Observations during experimental and clinical use of fluothane. Anesthesiology. 1958 Jul-Aug;19(4):478–487. doi: 10.1097/00000542-195807000-00005. [DOI] [PubMed] [Google Scholar]
  23. Zimmerman H. J. The spectrum of hepatotoxicity. Perspect Biol Med. 1968 Autumn;12(1):135–161. doi: 10.1353/pbm.1968.0004. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES