Review Article

The Effect of Intravenous Anesthetics on Ischemia-Reperfusion Injury

Table 1

The dosage studies of the intravenous anesthetics on IRI.

AnestheticDosageClinical/animalOrgan/tissueMarkerIRI

Morphine(i) 1–100 µg/kg
(ii) 30 µg
(i) Animal (11)
(ii) Animal (9)
(i) Liver
(ii) Spinal cord
(i) Opioid receptors
(ii) Opioid receptors
(i) Protect
(ii) Exacerbate

Fentanyl5 or 50 µg/kg,Animal (16) Myocard Opioid receptorsProtect

Remifentanil(i) 1 μg/kg
(ii) 5 μg/kg/min
(iii) 1, 5, 10 or 20 µg/kg/min
(i) Animal (14)
(ii) Animal (15)
(iii) Animal (13)
(i) Small intestine
(ii) Brain
(iii) Heart
(i) MDA, IL-6
(ii) ERK, TNF-α
(iii) Opioid receptors
(i) Protect
(ii) Protect
(iii) Protect

Dexmedetomidine(i) 1 microg/kg for 10 minutes, followed by 0.5 microg kg−1 h−1
(iii) 100 μg/kg
(i) Clinical (19)
(ii) Animal (18)
(i) Upperextremity
(ii) Liver
(i) MDA
(ii) No
(i) Protect
(ii) Protect

Propofol
(i) 25 mg/kg/h
(ii) 25 mg/kg
(iii) 0.2 mg kg−1 bolus, followed by infusion at a rate of 2 mg kg−1 h−1
(i) Animal (26)
(ii) Animal (36)
(iii) Clinical (37)
(i) Pulmonary
(ii) Renal
(iii) Knee surgery
(i) No
(ii) MDA
(iii) MDA, IMA
(i) Protect
(ii) Protect
(iii) Protect

Ketamine
(i) 85–200 mg/kg
(ii) 100 mg/kg
(i) Animal (30)
(ii) Animal (29)
(i) Heart
(ii) Intestinal
(i) No
(ii) No
(i) Protect
(ii) Protect

Thiopental 60 mg/kg Animal (34) Coronary No Protect

Pentobarbital60 mg/kgAnimal (34) Coronary NoProtect

Etomidate(i) 20 mg/kg 
(ii) 10 mg/kg
(i) Animal (35)
(ii) Animal (36)
(i) Skeletal muscle
(ii) Renal
(i) MDA
(ii) MDA
(i) Protect
(ii) Protect

Midazolam3 mg/kg Animal (38)MitochondrialNoProtect

Lidocaine 1.5 mg kg−1 bolus and 2.0 mg kg−1 h−1 infusion Clinical (40)Myocardial CK-MB, TnI Protect