Abstract

Plasma immunoreactive prostaglandin E (iPGE) levels during PGE 1 infusion for controlling systemic blood pressure were investigated. Differences in systemic blood pressure changes between halothane-nitrous oxide-oxygen (GOF) anesthesia groups and a neuroleptanesthesia (NLA) group during infusion in hypertensive surgical patients were compared. Plasma iPGE concentration increased from 200 ± 30 pg/ml to 408 ± 55 pg/ml within 5 minutes at the beginning of PGE 1 infusion. After the cessation of PGE 1 infusion, iPGE levels quickly returned to pre-infusion levels, but blood pressure had not recovered to pre-infusion levels within 30 minutes. Blood pressure was well controlled with PGE 1 infusion, but the pressure changes in GOF anesthesia group were significantly larger than those in the NLA group. The results suggest that the long anti-hypertensive action of PGE 1 could be effective to control blood pressure in hypertensive surgical patients during and after surgery.

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