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Sevoflurane and cardioprotection
Messina, Italy
* E-mail: lsiracusano@unime.it
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Editor—We read with interest the study by Piriou and colleagues1 who observed limited cardioprotection after 1 MAC sevoflurane in humans undergoing cardiopulmonary bypass (CPB). Julier2 obtained similar results by a higher concentration of sevoflurane (2 MAC) given for 10 min through a vaporizer integrated into the CPB machine. Julier but not Piriou observed PKC translocation in the myocardium, an event related to the protection conferred by preconditioning.3 However, a protective
Lyon, France
* E-mail: piriou@univ-lyon1.fr