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isoflurane + propofol
- Development stage
- Unknown
- Lead developer
- Sedana Medical
- Modality
- Small Molecules
- Administration
- Inhalation, Intravenous
01
Overview
This entry refers to a clinical research context (the MADCO-PC trial, NCT01993836) conducted by **Duke University** that compared two standard anesthetic maintenance strategies: inhalational anesthesia using **isoflurane** and total intravenous anesthesia (TIVA) using **propofol**. The study specifically enrolled elderly patients (aged 60 and older) undergoing major non-cardiac, non-neurological surgeries, including procedures for **lumbar spondylosis**, **cervical spondylosis**, **hip osteoarthritis**, and **knee osteoarthritis**. The primary objective was to determine if the choice of anesthetic agent—isoflurane (a volatile halogenated ether) versus propofol (an alkylphenol)—influences the incidence of postoperative cognitive decline (POCD) and changes in Alzheimer's disease-related biomarkers in the cerebrospinal fluid. Isoflurane acts primarily by modulating GABA-A and glycine receptors and inhibiting NMDA receptors, while propofol acts as a potent positive allosteric modulator of the GABA-A receptor.
- Brand names
- ForaneDiprivan
- Other names
- isoflurane versus propofolMarkers of Alzheimer's Disease and Cognitive Outcomes After Perioperative Care
02
Targets
GABRR (GABA-A receptor subunit rho)GABA-B (Gamma-aminobutyric acid receptor type B)Glycine receptorNMDAR (Glutamate receptor ionotropic, NMDA)
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