High-Dose Propofol Reduces S-100 beta Protein and Neuron-Specific Enolase Levels in Patients Undergoing Cardiac Surgery

作者：Ma, Gang; Chen, Jinhua; Meng, Xiangkun; Deng, Liqin; Gao, Yuhua; Meng, Jinhai^*

来源：Journal of Cardiothoracic and Vascular Anesthesia, 2013, 27(3): 510-515.

DOI：10.1053/j.jvca.2012.10.013

• cerebral protection
• propofol
• target-controlled infusion
• cardiac surgery

Objectives: In a variety of experimental models, propofol has been shown to protect the brain. It was hypothesized that a clinically achievable high dose of propofol would induce cerebral protective effects in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). The authors investigated the effects of different target plasma concentrations of propofol on cerebral injury by measuring serum S-100 beta protein and neuron-specific enolase (NSE) levels in patients undergoing single-valve replacement with CPB.
Design: A prospective, randomized study.
Setting: A university hospital.
Participants: Forty-two patients undergoing single-valve replacement with CPB.
Interventions: Patients were randomly divided into 3 groups (n = 14 each). Each group received a target-controlled infusion of propofol with plasma concentrations of 1.8 mu g/mL (low dose, Group-L), 2.4 mu g/mL (medium dose, Group-M), or 3.2 mu g/mL (high dose, Group-H). The propofol target concentrations were unchanged throughout the surgery.
Measurements and Main Results: In all 3 groups of patients, at all time points after CPB, the plasma S-100 beta protein and NSE levels, which served as biochemical markers of brain damage, were significantly higher than the preoperative levels (p < 0.05). Group-H showed significant decreases in S-100 beta protein and NSE compared with Group-L (p < 0.05).
Conclusion: In the range of commonly used clinical concentrations, administration of a high dose of propofol during CPB attenuated the biochemical markers of brain damage as compared with low-dose propofol anesthesia.

• 出版日期2013-6
• 单位宁夏医科大学