Effects of Enflurane and Isoflurane on Resistance to Reabsorption of Cerebrospinal Fluid in Dogs

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Abstract
Using the technique of ventriculocisternal perfusion, resistance to reabsorption of CSF (Ra) was calculated from determinations of the rate of reabsorption of CSF .ovrhdot.Va at differing CSF pressures in dogs. Ra was examined during prolonged anesthesia (5.0-6.0 h) with enflurane (2.2%, end expired) or isoflurane (1.4%, end expired). Compared with previously reported normal values for Ra in dogs (220-224 cmH2O .cntdot. ml-1 .cntdot. min), enflurane increased Ra to 274 .+-. 4 cmH2O .cntdot. ml-1 .cntdot. min (mean .+-. SEM [standard of the mean]), and isoflurane decreased Ra to 104 .+-. 1 cmH2O .cntdot. ml-1 .cntdot. min. The alterations of CSF dynamics caused by enflurane, namely increase of both Ra and the rate of production of CSF (.ovrhdot.Vf), may contribute to the sustained increase of intracranial pressure observed during prolonged anesthesia with enflurane. The different alterations of CSF dynamics caused by isoflurane, namely decrease of Ra with no change in .ovrhdot.Vf, nay explain, in part, why minimal increase of intracranial pressure is observed during prolonged anesthesia with isoflurane. Because decreased Ra improves spatial compensation by CSF volume for increased intracranial pressure, isoflurane may offer an advantage over enflurane in patients at risk because of increased intracranial pressure.