Blood–gas partition coefficient

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Blood–gas partition coefficient, also known as Ostwald coefficient for blood–gas,[1] is a term used in pharmacology to describe the solubility of inhaled general anesthetics in blood.[2] The coefficient is defined as the ratio of the concentration in blood to the concentration in gas that is in contact with that blood, when the partial pressure in both compartments is equal. The coefficient, thence, has no units. The concentration of the anesthetic in blood includes the portion that is undissolved in plasma and the portion that is dissolved (bound to plasma proteins). The more soluble the inhaled anesthetic is in blood compared to in air, the more it binds to plasma proteins in the blood and the higher the blood–gas partition coefficient.

It is inversely related to induction rate.

Newer anesthetics (such as desflurane) typically have smaller blood-gas partition coefficients than older ones (such as ether); these are preferred because they lead to faster onset of anesthesia and faster emergence from anesthesia once application of the anesthetic is stopped.[3][4] If an anesthetic has a high coefficient, then a large amount of it will have to be taken up in the body's blood before being passed on to the fatty (lipid) tissues of the brain where it can exert its effect.

The potency of an anesthetic is associated with its lipid solubility which is measured by its oil/gas partition coefficient.[5]

==Inhalational anaesthetics== [6]

Anesthetic MAC (%) Blood/Gas Partition Coefficient (at 37° C) Oil/gas Partition Coefficient (at 37° C)
Nitrous oxide 105 0.47 1.4
Halothane 0.74 2.54
Isoflurane (Forane) 1.15 1.4 99
Sevoflurane (Ultane) 2 0.6 50
Desflurane (Suprane) 5.8 0.42 18.7

References[edit]

  1. ^ "Ostwald solubility coefficient". Drugs.com. Retrieved 1 February 2014. 
  2. ^ Magee, Patrick; Tooley, Mark (22 September 2011). The Physics, Clinical Measurement and Equipment of Anaesthetic Practice for the FRCA. Oxford University Press. p. 133. ISBN 978-0-19-959515-0. 
  3. ^ Grossherr, M; Hengstenberg, A; Dibbelt, L; Igl, BW; Noel, R; Knesebeck, Av; Schmucker, P; Gehring, H (Oct 2009). "Blood gas partition coefficient and pulmonary extraction ratio for propofol in goats and pigs.". Xenobiotica; the fate of foreign compounds in biological systems 39 (10): 782–7. doi:10.1080/00498250903056109. PMID 19548775. 
  4. ^ Bergadano, A; Lauber, R; Zbinden, A; Schatzmann, U; Moens, Y (Aug 2003). "Blood/gas partition coefficients of halothane, isoflurane and sevoflurane in horse blood". British journal of anaesthesia 91 (2): 276–8. doi:10.1093/bja/aeg151. PMID 12878628. 
  5. ^ Battino, Rubin (1984). "The Ostwald coefficient of gas solubility". Fluid Phase Equilibria 15 (3): 231–240. doi:10.1016/0378-3812(84)87009-0. 
  6. ^ Nagelhout, J.J. (2014). Pharmacokinetics of Inhalation Anesthetics. Nurse anesthesia (5th ed., ). p. 79.