Polymorphonuclear leukocytes (PMNL) About a century ago Platania J observed an intensification of bacterial infections in laboratory animals caused by anaesthetic drugs. He regarded a disturbance of the nervous system as the reason for his discovery. This opinion, however, was not shared by all scientists, some of whom had the idea that anaesthetics might inhibit the bactericidal effect of the blood. A few years later Graham 2 discovered a suppression of phagocytosis of bacteria by polymorphonuclear leukocytes (PMNL) caused by ether. Since then, several studies have been conducted concerning the influence of anaesthetic agents on PMNL function. A current survey was published by Kress and Eberlein. 3 However, there are few findings regarding the effect of propofol. In particular, its influence on the confrontation between PMNL and human pathogenic bacteria has not been examined up to now. This induced us to investigate the effects of propofol and its solvent intralipid on phagocytosis and killing of Staphylococcus aureus and Escherichia coli, in vitro.
MethodsPermission to conduct the study was obtained from the Ethics Committee of the Medical Faculty of JustusLiebig-University Giessen.
Blood samplesVenous blood samples (1.5 mg ethylenediaminetetraaceticdipotassium ml-I; Sigma, Deisenhofen) were obtained from ten healthy male volunteers (age: 29 +4 yr; body weight: 75 4-8 kg; height: 1.80 + 0.05 m (mean and SD).
Isolation of PMNLThe PMNL were isolated using a method described by CAN J ANAESTH 1994 / 41:5 / pp 446--9