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Mechanisms of Impaired Glucose Tolerance and Insulin Secretion during Isoflurane Anesthesia
Author(s) -
Katsuya Tanaka,
Takashi Kawano,
T Tomino,
Hiroaki Kawano,
Tsuyoshi Okada,
Shuzo Oshita,
Akira Takahashi,
Yutaka Nakaya
Publication year - 2009
Publication title -
anesthesiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.874
H-Index - 234
eISSN - 1528-1175
pISSN - 0003-3022
DOI - 10.1097/aln.0b013e3181bbcb0d
Subject(s) - isoflurane , glibenclamide , medicine , endocrinology , insulin , potassium channel , pentobarbital , anesthetic , diabetes mellitus , anesthesia
Volatile anesthetics impair insulin secretion and glucose utilization; however, the precise mechanism of action that underlies these effects is unknown. The authors hypothesized that isoflurane inhibits glucose-induced inhibition of adenosine triphosphate-sensitive potassium channel activity in pancreatic beta cells, which could result in impaired insulin secretion and glucose tolerance.

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