Dergiler / Uluslararası Bilim Teknoloji ve Tasarım Dergisi / 2026 / Cilt: 6 Sayı: 1

Investigation of the effects of anesthetic inhalation agents with certain biochemical and hematological parameters

Fatma Arı(BURSA ULUDAG UNIVERSITY)0009-0001-8950-6731
Egemen Dere(Bursa Uludağ Üniversitesi)0000-0001-9572-1051
Sayfa
20–33
Yayın Tarihi
2025-06-30
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Only the enzymes we studied, AST and LDH in women and ALT in men, showed significant results compared to the control group, while Na and K were found to be significant in men (p<0.05).

📌 3 Maddede Bu Makale

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Amaç & Hipotez:In this study, the effects of sevoflurane, desflurane and isoflurane on the personnel working in 4 different hospitals were investigated with some biochemical and hematological parameters.
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Temel Bulgular & Veri:A total of 60 anesthesia technicians working in 42 operating rooms were divided into 3 experimental periods, 6-10, 11-15 and 16-20 years, depending on the duration of exposure to the anesthetic agent. 60 individuals with different professions, in the same age range as the experimental group, were selected as the control group.
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Sonuç & Katkı:Only the enzymes we studied, AST and LDH in women and ALT in men, showed significant results compared to the control group, while Na and K were found to be significant in men (p<0.05).
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Desflurane · enzyme · isoflurane

Özet

In this study, the effects of sevoflurane, desflurane and isoflurane on the personnel working in 4 different hospitals were investigated with some biochemical and hematological parameters. A total of 60 anesthesia technicians working in 42 operating rooms were divided into 3 experimental periods, 6-10, 11-15 and 16-20 years, depending on the duration of exposure to the anesthetic agent. 60 individuals with different professions, in the same age range as the experimental group, were selected as the control group. In blood samples, ALT, AST, ALP, CK, LDH, GST and amylase activities and Na+, K+, CK-MB, glucose, urea, total protein, total bilirubin, total cholesterol, triglyceride, leukocyte, erythrocyte and platelet amounts were measured. Although values outside the normal limits were occasionally observed in the 120 individuals studied, the average of all parameters measured for 1 year was found to be within normal values in both the control and experimental groups. Only the enzymes we studied, AST and LDH in women and ALT in men, showed significant results compared to the control group, while Na and K were found to be significant in men (p<0.05).

Abstract

In this study, the effects of sevoflurane, desflurane and isoflurane on the personnel working in 4 different hospitals were investigated with some biochemical and hematological parameters. A total of 60 anesthesia technicians working in 42 operating rooms were divided into 3 experimental periods, 6-10, 11-15 and 16-20 years, depending on the duration of exposure to the anesthetic agent. 60 individuals with different professions, in the same age range as the experimental group, were selected as the control group. In blood samples, ALT, AST, ALP, CK, LDH, GST and amylase activities and Na+, K+, CK-MB, glucose, urea, total protein, total bilirubin, total cholesterol, triglyceride, leukocyte, erythrocyte and platelet amounts were measured. Although values outside the normal limits were occasionally observed in the 120 individuals studied, the average of all parameters measured for 1 year was found to be within normal values in both the control and experimental groups. Only the enzymes we studied, AST and LDH in women and ALT in men, showed significant results compared to the control group, while Na and K were found to be significant in men (p<0.05).

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Bu Makaleye Atıf Yap

Arı, F., Dere, E. (2025). Investigation of the effects of anesthetic inhalation agents with certain biochemical and hematological parameters. Uluslararası Bilim Teknoloji ve Tasarım Dergisi, Cilt: 6 Sayı: 1, 20–33. https://ajindex.com/articles/1623202

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Kaynakça (41)

  1. Seger C., Cannesson M. Recent advances in the technology of anesthesia F1000Research, 18:9:F1000 Faculty Rev-375(1), (2020). doi:10.12688/f1000research.24059.1
  2. Kiani F., Jorfi S., Soltani F., Ghanbari S., Rezaee R., Mohammadi M.J. Exposure to anesthetic gases in the operating rooms and assessment of non-carcinogenic risk among health care workers. Toxicology Reports 11:1-8, (2023). doi:10.1016/j.toxrep.2023.06.007
  3. Köner Ö. Anesthetic gases do harm to the environment, Is it time for a change? Turk Journal Anaesthesiology and Reanimation. 50:1 6–7, (2022). doi:10.5152/TJAR.2022.7222
  4. Andersen M.P.S., Nielsen O.J., Wallington T.J., Karpichev B., Sander S.P. Assessing the impact on global climate from general anesthetic gases. Anesthesia & Analgesia, 114:5 1081-1085, (2012). doi:10.1213/ANE.0b013e31824d6150
  5. Andemeskel Y., Elsholz T., Gebreyohannes G. Undesirable postoperative anesthesia outcomes at two national referral hospitals: A cross-sectional study in eritrea Anesthesiology Research and Practice, 9 1-8, (2020). doi:10.1155/2020/9792170
  6. Panditrao M.M., Panditrao M.M. Anaesthesia and genetics: still, the uncharted territories. Journal of Anesthesia & Critical Care: Open Access. 4:1 16-19, (2016). doi: 10.15406/jaccoa.2016.04.00123
  7. NIOSH. Waste anesthetic gases-occupational hazards in hospitals. National Institue for Occupational Safety and Healthy 151 1-9, (2007).
  8. Brioni J.D., Varughese S., Ahmed R., Bein B. A clinical review of inhalation anesthesia with sevoflurane: from early research to emerging topics. Journal of Anesthesia. 31:5 764-778, (2017). doi:10.1007/s00540-017-2375-6
  9. Aslan E., Gönen C., Saltürk A., Güzelbulut F. Hepatotoxicity after desflurane anesthesia. Haydarpasa Numune Medical Journal. 58:4 224-226, (2018). doi:10.14744/hnhj.2018.44265
  10. Habig W.H., Pabst M.J., Jakoby W.B. Glutathione S-transferases. Journal of Biological Chemistry. 249:22 7130-7139, 1974.
  11. Shozo S., Yoshitami K., Teruko S., Junko M., Takeshi T., Nozomu Y. The effects of sevoflurane anesthesia on insulin secretion and glucose metabolism in pigs. Anesthesia & Analgesia 84:6 1359-1365,1997. doi:10.1097/00000539-199706000-00034
  12. Weiskopf R.B., Eger E.I., Ionescu P., Yasuda N., Cahalan M.K., Freire B., Peterson N., Lockhart S.H., Rampil I.J., Laster M. Desflurane does not produce hepatic or renal injure in human volunteers. Anesthesia & Analgesia. 74:4 570-576, 1992. doi:10.1213/00000539-199204000-00018.
  13. Fanga X., Xiaa T., Xua F., Wua H., Maa Z., Zhaoa X., Gua X. Isoflurane aggravates peripheral and central insulin resistance in high-fat diet/streptozocin-induced type 2 diabetic mice. Brain research 1727, 2020. doi:10.1016/j.brainres.2019.146511
  14. Özdemir H., Kaymak Ç., Kılınç A.Ş., Uncugil F., Takmaz S.A., Karabıyık L., Dikmen B. The assessment of stress response under desflurane and sevoflurane anesthesia. Turkiye Klinikleri Journal of Anesthesiology Reanimation. 451-457, 2006
  15. Gil A.G., Silvan G., Illera J.C. Pituitary-adrenocortical axis, serum serotonin and biochemical response after halothane or isoflurane anesthesia in rabbits. Labaratory Animals. 41:4 411-419, 2007. doi:10.1258/002367707782314274
  16. Kharasch E.D., Frink E.J., Artru A., Michasowski P., Rooke G.A., Nogami W.N. Long duration low-flow sevoflurane and isoflurane effect on postoperative renal and hepatic function. Anesthesia & Analgesia. 93:6 1511-1520, 2006. doi:10.1097/00000539-200112000-00036.
  17. Soliman R., Yacoub A., Abdellatif M. Comparative effect of desflurane and sevoflurane on liver function tests of patients with impaired hepatic function undergoing cholecystectomy: A randomized clinical study. Indian Journal Anaesthesia. 64:5 383–390, 2020. doi:10.4103/ija.IJA_168_20
  18. Topal A., Gül N., İlçöz Y., Görgül O.S. Hepatic effects of halothane, isoflurane or sevoflurane anesthesia in dogs. Journal of veterinary medicine. A, Physiology, pathology, clinical medicine. 50:10 530-533, 2003. doi: 10.1111/j.1439-0442.2004.00589.x.
  19. Türkan H., Ayfın A., Sayal A. Effect of volatil anesthetics on oxidative stress due to occupational exposure. World Journal of Surgery. 29:4 540-542, 2005. doi: 10.1007/s00268-004-7658-z.
  20. Karakıcık A.Z., Hayat A., Zerin M., Cay M. Effect of intraperitoneally injected selenium and vitamin E in rats anesthetized with halothane. Journal of Trace Elements in Medicine and Biology. 17 33-38, 2003. doi:10.1016/S0946-672X(03)80043-3.
  21. Dikmen B., Ünal Y., Pampal H.K., Nurlu N., Kurtipek O., Canpolat O., Ozoğul C., Kavutcu M. Effects of repeated desflurane and sevoflurane anesthesia on enzymatic free radical scavanger system Molecular and Cellular Biochemistry. 294:1-2 31-36, 2007. doi:10.1007/s11010-006-9207-6. Epub 2006 Nov 29.
  22. Sondergen E., Cederberg J., Vessby B., Baus S. Vitamin E reduced lipid peroxidation in experimental hepatotoxicity in rats. European Journal of Nutrition. 40:1 10-16, 2001. doi:10.1007/pl00007381.
  23. Özer A.B., Özer S. 2007. The effect of likopen on histopatological changes in rats induced by sevoflurane. Fırat Üniversitesi Sağlık Bilimleri Tıp dergisi. 21:3 103-108, 2007.
  24. Oladimeji M.A., Desalu I., Adekola O.O., Akanmu O., Adesida A.A. A Comparison of the Effect of Isoflurane and Propofol on Liver Enzymes. Journal of West African College of Surgeons. 12:2 28–33, 2022. doi:10.4103/jwas.jwas_69_22.
  25. Işık B., Pamukcu Z., Alagöz A., The effect of sevoflurane and isoflurane on cognitive functions in early post-operative period. Inönü University Magazine of faculty of Medicine. 14:5 149-155, 2007.
  26. Hemmerling T., Prietio M.D.I., Basık F., Noiseux N. Desflurane causes more atrial fibrillation and tachycardia after off-pump aorta-coronary bypass grafting (OPCAB) than sevoflurane. Canadian Journal of Anesthesia. 53:1 26414, 2006. doi:10.1007/BF03017017
  27. Cromheeck S., Broecke P.W., Hendrickx E., Meeus R., Hert S.G. Incidence of atrial fibrillation early after cardiac surgery: Can choice of the anesthetic regimen influence the incidence? Acta Anaesthesiologica Belgica. 56:2 147-154, 2005.
  28. De Ruijter, W., Musters R.J.P., Boer C., Steinen G.J.M., Simonides W.S., de Lange J.J. The cardioprotective effect of sevofluranee depends on protein kinase C activation, opening of mitochondrial K(+)ATP channels, and the production of reactive oxygen species. Anesthesia & Analgesia. 97:5 1370-1376, 2003. doi:10.1213/01.ANE.0000081786.74722.DA.
  29. Franks N.P., Lieb W.R. Molecular and cellular mechanism of general anesthesia. Nature. 367 607-614, 1994. doi:10.1038/367607a0.
  30. Boscan P., Watson Z., Steffey E.P. Plasma colloid osmotic pressure and total protein trends in horses during anesthesia. Veterinary Anesthesia Analgesia. 34:4 275-283, 2007. doi:10.1111/j.1467-2995.2006.00326.x.
  31. Wissing H., Kuhn I. The effect of desflurane on liver function markers in infants and children. Acta Anaesth Scandinavica. 44 1149-1153, 2000. doi:10.1034/j.1399-6576.2000.440920.x
  32. Horn N.A., Rossi L. Sevofluranee inhibits unstimulated and agonist. Induced platelet antigen expression and platelet function in whole blood in vitro. Anesthesiology. 95 1220-1225, 2001. doi:10.1097/00000542-200111000-00028
  33. Türkan H., Beyan L., Karabıyık L., Güner D., Kaptan K. The effects of desflurane on human platelet aggregation in vitro. International Journal of Hematology. 80:1 91-93, 2004. doi:10.1532/ijh97.e0309.
  34. Yerer M.B., Aydogan S., Comu F.M., Gender-related alerations in erythrocyte mechanical activities under desflurane or sevoflurane anesthesia. Clinical Hemorheology Microcirculation. 39:1-4 423-427, 2008. doi.org10.3233/CH-2008-1113
  35. Coppens M.J., Versichelen.LF.M., Rolly G., Mortier E.P., Struys M.M. The mechanisms of carbon monoxide production by inhalation agents. Anesthesiology. 61:5 462-468, 2006. doi:10.1111/j.1365-2044.2006.04536.x.
  36. Rosenberg P.H., Varitinnen H. Occupational hazards to reproduction and health in anaesthetics and paediatricians. Acta Anaesthesiologica Scandinavica. 22:3 202-207, 1978. doi:10.1111/aas.1978.22.3.202
  37. Khan K.S., Hayes I., Buggy D.J. Pharmacology of anaesthetic agents II: Inhalation anaesthetic agents. Continuing Education in Anaesthesia Critical Care & Pain, 14:3 106-111, 2013. doi:10.1093/bjaceaccp/mkt038
  38. Nair A.S. Pharmacogenomics of inhalational anesthetic agents. Medical Gas Research. 9:1 52–53, 2019. doi: 10.4103/2045-9912.254641
  39. Sezen G., Demiraran Y., Kocaman A.B., Aksoy A. Subanestezik konsantrasyonlarda solutulan desfluran ve sevofluranın sıçanlarda karaciğer ve böbrek toksisitesi ile davranışları üzerine etkileri. Türk Anestezi ve Reanimasyon Dergisi. 35:2 83-89, 2007.
  40. Miarta A., Lestari M.I., Zulkifli. Waste anesthetic gase: A forgotten problem. Journal Anesthesiology and Clinical Research. 1 15-25, 2020. doi.org/10.37275/jacr.v1i1.134
  41. Coppens M.J., Versichelen.LF.M., Rolly G., Mortier E.P., Struys M.M. The mechanisms of carbon monoxide production by inhalation agents. Anesthesiology. 61:5 462-468, 2006. doi:10.1111/j.1365-2044.2006.04536.x.