Plasma protein binding of thiopental in patients with impaired renal or hepatic function.

Abstract:

:Binding of thiopental to proteins in plasma from healthy, cirrhotic, and uremic subjects was studied using equilibrium dialysis. In plasma from healthy volunteers 28.0 plus or minus 0.9 per cent of thiopental was unbound. In plasma from patients with hepatic disease 53.0 plus or minus 2.1 per cent was unbound, while in patients with renal disease 55.7 plus or minus 1.5 per cent remained unbound. The decreased binding in uremia could not be explained completely by competitive displacement by nitrogenous end products or by hypoalbuminemia, although hypoalbuminemia may account for the decreased binding in cirrhotic patients.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Ghoneim MM,Pandya H

doi

10.1097/00000542-197505000-00007

subject

Has Abstract

pub_date

1975-05-01 00:00:00

pages

545-9

issue

5

eissn

0003-3022

issn

1528-1175

journal_volume

42

pub_type

杂志文章
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    abstract::The authors performed a randomized, prospective trial comparing enflurane, halothane, and isoflurane (each administered with nitrous oxide) to establish which inhaled anesthetic produced the fewest complications and the most rapid induction of anesthesia for children undergoing general anesthesia for diagnostic proced...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-198512000-00015

    authors: Fisher DM,Robinson S,Brett CM,Perin G,Gregory GA

    更新日期:1985-12-01 00:00:00

  • Effect of needle puncture on morphine and lidocaine flux through the spinal meninges of the monkey in vitro. Implications for combined spinal-epidural anesthesia.

    abstract:BACKGROUND:Combined spinal-epidural anesthesia is a technique growing in popularity. However, there have been no attempts to investigate the risk of epidural drug reaching the subarachnoid space in high concentration by passing through the meningeal hole left by the spinal needle. This study begins to address this ques...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199404000-00019

    authors: Bernards CM,Kopacz DJ,Michel MZ

    更新日期:1994-04-01 00:00:00

  • Days Alive and Out of Hospital: Validation of a Patient-centered Outcome for Perioperative Medicine.

    abstract:BACKGROUND:Days alive and out of hospital is a potentially useful patient-centered quality measure for perioperative care in adult surgical patients. However, there has been very limited prior validation of this endpoint with respect to its ability to capture differences in patient-level risk factor profiles and longer...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002701

    authors: Jerath A,Austin PC,Wijeysundera DN

    更新日期:2019-07-01 00:00:00

  • Continuous cardiac output in septic shock by simulating a model of the aortic input impedance: a comparison with bolus injection thermodilution.

    abstract:BACKGROUND:To compare continuous cardiac output obtained by simulation of an aortic input impedance model to bolus injection thermodilution (TDCO) in critically ill patients with septic shock. METHODS:In an open study, mechanically ventilated patients with septic shock were monitored for 1 (32 patients), 2 (15 patient...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199905000-00016

    authors: Jellema WT,Wesseling KH,Groeneveld AB,Stoutenbeek CP,Thijs LG,van Lieshout JJ

    更新日期:1999-05-01 00:00:00

  • Anesthesia Technique and Mortality after Total Hip or Knee Arthroplasty: A Retrospective, Propensity Score-matched Cohort Study.

    abstract:BACKGROUND:This propensity score-matched cohort study evaluates the effect of anesthetic technique on a 30-day mortality after total hip or knee arthroplasty. METHODS:All patients who had hip or knee arthroplasty between January 1, 2003, and December 31, 2014, were evaluated. The principal exposure was spinal versus g...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001248

    authors: Perlas A,Chan VW,Beattie S

    更新日期:2016-10-01 00:00:00

  • Ketanserin pretreatment reverses alfentanil-induced muscle rigidity.

    abstract::Systemic pretreatment with ketanserin, a relatively specific type-2 serotonin receptor antagonist, significantly attenuated the muscle rigidity produced in rats by the potent short-acting opiate agonist alfentanil. Following placement of subcutaneous electrodes in each animal's left gastrocnemius muscle, rigidity was ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198709000-00012

    authors: Weinger MB,Cline EJ,Smith NT,Koob GF

    更新日期:1987-09-01 00:00:00

  • Effects of ondansetron in the prevention of postoperative nausea and vomiting in children.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) is a commonly observed adverse effect of general anesthesia. Recently, ondansetron, a new serotonin3 (5-hydroxytryptamine3) receptor antagonist was shown to be effective in the prophylaxis and prevention of chemotherapy-induced nausea and vomiting in children and adul...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199410000-00006

    authors: Ummenhofer W,Frei FJ,Urwyler A,Kern C,Drewe J

    更新日期:1994-10-01 00:00:00

  • Spinal and systemic action of the alpha 2 receptor agonist dexmedetomidine in dogs. Antinociception and carbon dioxide response.

    abstract:BACKGROUND:alpha 2 Agonists are powerful analgesics after spinal delivery. The current work characterizes the dose-dependent antinociception and effects upon respiratory function of dexmedetomidine after intrathecal, epidural, intravenous, and intracisternal delivery in chronically prepared dogs. METHODS:Dogs were pre...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199405000-00015

    authors: Sabbe MB,Penning JP,Ozaki GT,Yaksh TL

    更新日期:1994-05-01 00:00:00

  • Effect of oxygen treatment on heart rate after abdominal surgery.

    abstract:BACKGROUND:Cardiac complications are common during the postoperative period and may be associated with hypoxemia and tachycardia. Preliminary studies in high-risk patients after operation have shown a possible beneficial effect of oxygen therapy on arterial oxygen saturation and heart rate. METHODS:The authors studied...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199902000-00008

    authors: Rosenberg-Adamsen S,Lie C,Bernhard A,Kehlet H,Rosenberg J

    更新日期:1999-02-01 00:00:00

  • Analysis of strategies to decrease postanesthesia care unit costs.

    abstract:BACKGROUND:The goal of this study was to identify interventions that anesthesiologists can make to decrease total costs of a postanesthesia care unit (PACU). METHODS:Data were collected retrospectively from patients who underwent ambulatory surgery at our tertiary care center. RESULTS:Supplies and medications account...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199501000-00013

    authors: Dexter F,Tinker JH

    更新日期:1995-01-01 00:00:00

  • Use of linear programming to estimate impact of changes in a hospital's operating room time allocation on perioperative variable costs.

    abstract:BACKGROUND:Administrators at hospitals with a fixed annual budget may want to focus surgical services on priority areas to ensure its community receives the best health services possible. However, many hospitals lack the detailed managerial accounting data needed to ensure that such a change does not increase operating...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200203000-00031

    authors: Dexter F,Blake JT,Penning DH,Sloan B,Chung P,Lubarsky DA

    更新日期:2002-03-01 00:00:00

  • Etymology of Letheon: Nineteenth-century Linguistic Effervescence.

    abstract::In late 1846, following his successful public demonstrations of surgical anesthesia, Boston dentist William T. G. Morton selected Letheon as the commercial name for the ether-based "preparation" he had used to produce insensibility to pain. We have not identified a first-hand account of the coinage of Letheon. Althoug...

    journal_title:Anesthesiology

    pub_type: 历史文章,杂志文章

    doi:10.1097/ALN.0000000000002969

    authors: Haridas RP,Gionfriddo M,Bause GS

    更新日期:2019-12-01 00:00:00

  • An Introduction to Causal Diagrams for Anesthesiology Research.

    abstract::Making good decisions in the era of Big Data requires a sophisticated approach to causality. We are acutely aware that association ≠ causation, yet untangling the two remains one of our greatest challenges. This realization has stimulated a Causal Revolution in epidemiology, and the lessons learned are highly relevant...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003193

    authors: Gaskell AL,Sleigh JW

    更新日期:2020-05-01 00:00:00

  • The young lamb can increase cardiovascular performance during isoflurane anesthesia.

    abstract::Cardiac output and myocardial blood flow decrease dramatically in a dose-dependent pattern in the young lamb during isoflurane anesthesia. This raises important questions about the ability of the young lamb to increase myocardial performance if oxygen delivery were compromised by a decrease in oxygen content during an...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198911000-00020

    authors: Brett CM,Teitel DF,Heymann MA,Rudolph AM

    更新日期:1989-11-01 00:00:00

  • Isoflurane and the pulmonary vascular pressure-flow relation at baseline and during sympathetic alpha- and beta-adrenoreceptor activation in chronically instrumented dogs.

    abstract:BACKGROUND:The extent to which isoflurane anesthesia alters systemic vascular regulation has received considerable attention. In contrast, the pulmonary vascular effects of isoflurane have not been elucidated. Our initial objective was to investigate the net effect of isoflurane on the baseline left pulmonary vascular ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199503000-00014

    authors: Lennon PF,Murray PA

    更新日期:1995-03-01 00:00:00

  • Comparison of intravenous or epidural patient-controlled analgesia in the elderly after major abdominal surgery.

    abstract:BACKGROUND:Patient-controlled analgesia (PCA) with intravenous morphine and patient-controlled epidural analgesia (PCEA), using an opioid either alone or in combination with a local anesthetic, are two major advances in the management of pain after major surgery. However, these techniques have been evaluated poorly in ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200002000-00025

    authors: Mann C,Pouzeratte Y,Boccara G,Peccoux C,Vergne C,Brunat G,Domergue J,Millat B,Colson P

    更新日期:2000-02-01 00:00:00

  • Combination of a δ-opioid Receptor Agonist and Loperamide Produces Peripherally-mediated Analgesic Synergy in Mice.

    abstract:BACKGROUND:The long-term use of opioids for analgesia carries significant risk for tolerance, addiction, and diversion. These adverse effects are largely mediated by μ-opioid receptors in the central nervous system. Based on the authors' previous observation that morphine and δ-opioid receptor agonists synergize in spi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002840

    authors: Bruce DJ,Peterson CD,Kitto KF,Akgün E,Lazzaroni S,Portoghese PS,Fairbanks CA,Wilcox GL

    更新日期:2019-09-01 00:00:00

  • Induction of malignant hyperthermia in susceptible swine by 3,4-methylenedioxymethamphetamine ("ecstasy").

    abstract:BACKGROUND:3,4-Methylenedioxymethamphetamine (MDMA, "ecstasy") can mediate acute toxic effects such as muscle rigidity, metabolic acidosis, and hyperthermia. Because of close clinical similarities, an association between MDMA intoxication and malignant hyperthermia (MH) was suggested. The aim of this study was to inves...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200311000-00020

    authors: Fiege M,Wappler F,Weisshorn R,Gerbershagen MU,Menge M,Schulte Am Esch J

    更新日期:2003-11-01 00:00:00

  • Onset of maximum neuromuscular block following succinylcholine or vecuronium in four age groups.

    abstract:BACKGROUND:Increasing age appears to be associated with a slower onset of neuromuscular blockade, but such an effect has not been studied with the same doses of the same drugs across pediatric and adult age groups. METHODS:The authors measured the evoked compound action potential of the adductor pollicis muscle in res...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199308000-00006

    authors: Koscielniak-Nielsen ZJ,Bevan JC,Popovic V,Baxter MR,Donati F,Bevan DR

    更新日期:1993-08-01 00:00:00

  • Effect of sevoflurane on hypoxic pulmonary vasoconstriction in the perfused rabbit lung.

    abstract:BACKGROUND:In vitro studies have shown that isoflurane, enflurane, and halothane inhibit the hypoxic pulmonary vasoconstriction (HPV) with essentially the same potency. The aim of this study is to compare the effects of sevoflurane and isoflurane on HPV in constant-flow perfused rabbit lungs. METHODS:Constant-flow per...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199312000-00026

    authors: Ishibe Y,Gui X,Uno H,Shiokawa Y,Umeda T,Suekane K

    更新日期:1993-12-01 00:00:00

  • Pulmonary shunt and cardiovascular responses to CPAP during nitroprusside-induced hypotension.

    abstract::The effects of continuous positive airway pressure (CPAP) on cardiovascular dynamics and pulmonary shunt (QS/QT) were investigated in 12 dogs before and during sodium nitroprusside infusion that decreased mean arterial blood pressure 40-50 per cent. Before nitroprusside infusion, 5 cm H2O CPAP significantly, P less th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197705000-00008

    authors: Hodges MR,Stanley TH,Johansen RK

    更新日期:1977-05-01 00:00:00

  • Forty-eight hours of postoperative pain relief after total hip arthroplasty with a novel, extended-release epidural morphine formulation.

    abstract:BACKGROUND:Epidural morphine has proven analgesic efficacy in the postoperative period and is widely used. This study evaluated the efficacy of extended-release epidural morphine (EREM; DepoDur; Endo Pharmaceuticals Inc., Chadds Ford, PA; SkyePharma, Inc., San Diego, CA) in providing pain relief for 48 h after surgery....

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000542-200505000-00022

    authors: Viscusi ER,Martin G,Hartrick CT,Singla N,Manvelian G,EREM Study Group.

    更新日期:2005-05-01 00:00:00

  • A two-handed jaw-thrust technique is superior to the one-handed "EC-clamp" technique for mask ventilation in the apneic unconscious person.

    abstract:BACKGROUND:Mask ventilation is considered a "basic" skill for airway management. A one-handed "EC-clamp" technique is most often used after induction of anesthesia with a two-handed jaw-thrust technique reserved for difficult cases. Our aim was to directly compare both techniques with the primary outcome of air exchang...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181ec6414

    authors: Joffe AM,Hetzel S,Liew EC

    更新日期:2010-10-01 00:00:00

  • Fertility, reproduction, and postnatal survival in mice chronically exposed to isoflurane.

    abstract::The effects on fertility and reproductive wastage of 110 female Swiss/Webster mice and postnatal survival of their offspring were examined after exposure to either air, 0.4% isoflurane, or 0.1% isoflurane. Treatments were for 4 h daily for 2 weeks before and during pregnancy. In a second experiment, the effects on fer...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198512000-00017

    authors: Mazze RI

    更新日期:1985-12-01 00:00:00

  • Extracellular histones play an inflammatory role in acid aspiration-induced acute respiratory distress syndrome.

    abstract:BACKGROUND:Systemic inflammation is a key feature in acid aspiration-induced acute respiratory distress syndrome (ARDS), but the factors that trigger inflammation are unclear. The authors hypothesize that extracellular histones, a newly identified inflammatory mediator, play important roles in the pathogenesis of ARDS....

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000429

    authors: Zhang Y,Wen Z,Guan L,Jiang P,Gu T,Zhao J,Lv X,Wen T

    更新日期:2015-01-01 00:00:00

  • Neutrophil elastase inhibitor, ONO-5046, modulates acid-induced lung and systemic injury in rabbits.

    abstract:BACKGROUND:Acid instillation leads to direct lung and to secondary systemic organ injury, probably via activated macrophages and neutrophils. This study investigated the effects of neutrophil elastase on organ injury after unilateral lung acid instillation by administrating a specific neutrophil elastase inhibitor, ONO...

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    pub_type: 杂志文章

    doi:10.1097/00000542-199709000-00025

    authors: Kaneko K,Kudoh I,Hattori S,Yamada H,Ohara M,Wiener-Kronish J,Okumura F

    更新日期:1997-09-01 00:00:00

  • Acute opioid tolerance: intraoperative remifentanil increases postoperative pain and morphine requirement.

    abstract:BACKGROUND:Rapid development of acute opioid tolerance is well established in animals and is more likely to occur with large doses of short-acting drugs. The authors therefore tested the hypothesis that intraoperative remifentanil administration results in acute opioid tolerance that is manifested by increased postoper...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

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  • Ketamine-induced neuroapoptosis in the fetal and neonatal rhesus macaque brain.

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    更新日期:2012-02-01 00:00:00

  • Global health implications of preanesthesia medical examination for ophthalmic surgery.

    abstract:BACKGROUND:Preanesthesia medical examination is a common procedure performed before ophthalmic surgery. The frequency and characteristics of new medical issues and unstable medical conditions revealed by ophthalmic preanesthesia medical examination are unknown. We conducted a prospective observational study to estimate...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31828ea5b2

    authors: Phillips MB,Bendel RE,Crook JE,Diehl NN

    更新日期:2013-05-01 00:00:00

  • Systemic antiinflammatory corticosteroid reduces mechanical pain behavior, sympathetic sprouting, and elevation of proinflammatory cytokines in a rat model of neuropathic pain.

    abstract:BACKGROUND:Chronic pain models are commonly defined as either nerve-injury or inflammation models, but recent work suggests inflammatory processes are important in nerve injury-induced pain. METHODS:In the rat spinal nerve ligation model, the authors examined effects of systemic corticosteroid triamcinolone acetonide ...

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    pub_type: 杂志文章

    doi:10.1097/01.anes.0000278907.37774.8d

    authors: Li H,Xie W,Strong JA,Zhang JM

    更新日期:2007-09-01 00:00:00