Propofol anesthesia compared to awake reduces infarct size in rats.

Abstract:

BACKGROUND:Propofol has not been studied directly in animals subject to cerebral ischemia in the conscious state. Strokes are usually induced in animals while they are anesthetized, making it difficult to eliminate anesthetic interactions as a complicating factor. Therefore, to compare the neuroprotective effects of propofol to the unanesthetized state, experiments were performed using a model that induces a stroke in the conscious rat. METHODS:Cerebral ischemia was induced in awake Wistar rats by a local intracerebral injection of the potent vasoconstrictor endothelin. Four days before the strokes were induced, a guide cannula was implanted for the injection of endothelin. On the day of the experiment, endothelin (6.0 pmol in 3 microl) was injected into the striatum. Propofol (25 or 15 mg. kg-1. h-1) or intralipid (vehicle) were infused for 4 h starting immediately after the endothelin injection. In another series, the propofol infusion was begun 1 h after the endothelin injection and continued for 4 h. Three days later, the animals were killed, and the brains were sectioned and stained. RESULTS:The propofol group (25 mg. kg-1. h-1) had a significantly reduced infarct size (0.7 +/- 0.21 mm3, first 4 h; 0.27 +/- 0.07 mm3, started 1 h after initiation of infarct) compared with the intralipid controls (3.40 +/- 0.53 mm3). To exclude a direct interaction between propofol and endothelin, in thiobutabarbital anesthetized rats, endothelin-induced cerebral vasoconstriction was examined using videomicroscopy, with or without propofol. Propofol had no effect on the magnitude or time course of the endothelin-induced vasoconstriction. CONCLUSIONS:The results show that concurrent or delayed administration of propofol is neuroprotective.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Gelb AW,Bayona NA,Wilson JX,Cechetto DF

doi

10.1097/00000542-200205000-00023

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

1183-90

issue

5

eissn

0003-3022

issn

1528-1175

pii

00000542-200205000-00023

journal_volume

96

pub_type

杂志文章
  • Regional gas exchange and cellular metabolic activity in ventilator-induced lung injury.

    abstract:BACKGROUND:Alveolar overdistension and repetitive derecruitment-recruitment contribute to ventilator-induced lung injury (VILI). The authors investigated (1) whether inflammatory cell activation due to VILI was assessable by positron emission tomography and (2) whether cell activation due to dynamic overdistension alon...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/01.anes.0000264748.86145.ac

    authors: Musch G,Venegas JG,Bellani G,Winkler T,Schroeder T,Petersen B,Harris RS,Melo MF

    更新日期:2007-04-01 00:00:00

  • Identifying and Treating Opioid Side Effects: The Development of Methylnaltrexone.

    abstract::Methylnaltrexone Reverses Chronic Opioid-induced Constipation: A Randomized, Controlled Trial. By Yuan CS, Foss JF, O'Connor M, Osinski J, Karrison T, Moss J, Roizen MF. JAMA 2000; 130:142-8. Reprinted with permission. CONTEXT:Constipation is the most common chronic adverse effect of opioid pain medications in patien...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000002428

    authors: Moss J

    更新日期:2019-01-01 00:00:00

  • Bacterial reduction by cell salvage washing and leukocyte depletion filtration.

    abstract:BACKGROUND:Blood conservation techniques are being increasingly used because of the increased cost and lack of availability of allogeneic blood. Cell salvage offers great blood savings opportunities but is thought to be contraindicated in a number of areas (e.g., blood contaminated with bacteria). Several outcome studi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200309000-00021

    authors: Waters JH,Tuohy MJ,Hobson DF,Procop G

    更新日期:2003-09-01 00:00:00

  • Disuse atrophy with resistance to pancuronium.

    abstract::To determine whether disuse atrophy of skeletal muscle results in resistance to pancuronium, the dose response to pancuronium was determined simultaneously in both gastrocnemius muscles of six dogs that had one hind limb immobilized in a plaster cast for one month. Muscle responses were evoked during pentobarbital-nit...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198111000-00012

    authors: Gronert GA

    更新日期:1981-11-01 00:00:00

  • Absence of abundant binding sites for anesthetics in rabbit brain: an in vivo NMR study.

    abstract::Using magnetic resonance spectroscopy, the authors tested whether cerebral concentrations of inhaled anesthetics do not increase proportionately at inspired concentrations exceeding 3% 1) because anesthetics bind to and saturate specific sites in the brain or 2) because anesthetic-induced depression of ventilation lim...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199009000-00014

    authors: Lockhart SH,Cohen Y,Yasuda N,Kim F,Litt L,Eger EI 2nd,Chang LH,James T

    更新日期:1990-09-01 00:00:00

  • Supervised Machine-learning Predictive Analytics for Prediction of Postinduction Hypotension.

    abstract:WHAT WE ALREADY KNOW ABOUT THIS TOPIC:WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Hypotension is a risk factor for adverse perioperative outcomes. Machine-learning methods allow large amounts of data for development of robust predictive analytics. The authors hypothesized that machine-learning methods can prov...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002374

    authors: Kendale S,Kulkarni P,Rosenberg AD,Wang J

    更新日期:2018-10-01 00:00:00

  • Diphenylhydramine increases ventilatory drive during alfentanil infusion.

    abstract:BACKGROUND:Diphenhydramine is used as an antipruritic and antiemetic in patients receiving opioids. Whether it might exacerbate opioid-induced ventilatory depression has not been determined. METHODS:The ventilatory response to carbon dioxide during hyperoxia and the ventilatory response to hypoxia during hypercapnia (...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199809000-00013

    authors: Babenco HD,Blouin RT,Conard PF,Gross JB

    更新日期:1998-09-01 00:00:00

  • Preserved memory function during bispectral index-guided anesthesia with sevoflurane for major orthopedic surgery.

    abstract:BACKGROUND:Memory function under anesthesia is undesired but may arise from light hypnosis as well as stress-enhanced learning during surgery. The bispectral index (BIS, Aspect Medical Systems, Norwood, MA) is a monitor of hypnotic state that can help to avoid light hypnosis (i.e., BIS above 60). This study tested the ...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181b05f0b

    authors: Kerssens C,Gaither JR,Sebel PS

    更新日期:2009-09-01 00:00:00

  • Lumbosacral cerebrospinal fluid volume is the primary determinant of sensory block extent and duration during spinal anesthesia.

    abstract:UNLABELLED:BACKGROUND. Injection of local anesthetic into cerebrospinal fluid (CSF) produces anesthesia of unpredictable extent and duration. Although many factors have been identified that affect the extent of spinal anesthesia, correlations are relatively poor and the extent of spread remains unpredictable. This stud...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199807000-00007

    authors: Carpenter RL,Hogan QH,Liu SS,Crane B,Moore J

    更新日期:1998-07-01 00:00:00

  • Role of the O-linked β-N-acetylglucosamine in the cardioprotection induced by isoflurane.

    abstract:BACKGROUND:Cardiac protection by volatile anesthetic-induced preconditioning and ischemic preconditioning have similar signaling pathways. Recently, it was reported that augmentation of protein modified with O-linked β-N-acetylglucosamine (O-GlcNAc) contributes to cardiac protection. This study investigated the role of...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31822fcede

    authors: Hirose K,Tsutsumi YM,Tsutsumi R,Shono M,Katayama E,Kinoshita M,Tanaka K,Oshita S

    更新日期:2011-11-01 00:00:00

  • Liability associated with obstetric anesthesia: a closed claims analysis.

    abstract:BACKGROUND:Obstetrics carries high medical liability risk. Maternal death and newborn death/brain damage were the most common complications in obstetric anesthesia malpractice claims before 1990. As the liability profile may have changed over the past two decades, the authors reviewed recent obstetric claims in the Ame...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318190e16a

    authors: Davies JM,Posner KL,Lee LA,Cheney FW,Domino KB

    更新日期:2009-01-01 00:00:00

  • Acute normovolemic hemodilution in the pig is associated with renal tissue edema, impaired renal microvascular oxygenation, and functional loss.

    abstract:BACKGROUND:The authors investigated the impact of acute normovolemic hemodilution (ANH) on intrarenal oxygenation and its functional short-term consequences in pigs. METHODS:Renal microvascular oxygenation (µPO2) was measured in cortex, outer and inner medulla via three implanted optical fibers by oxygen-dependent que...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31829bd9bc

    authors: Konrad FM,Mik EG,Bodmer SI,Ates NB,Willems HF,Klingel K,de Geus HR,Stolker RJ,Johannes T

    更新日期:2013-08-01 00:00:00

  • Of Penguins, Pinnipeds, and Poisons: Anesthesia on Elephant Island.

    abstract::Although Ernest Shackleton's Endurance Antarctic expedition of 1914 to 1916 is a famous epic of survival, the medical achievements of the two expedition doctors have received little formal examination. Marooned on Elephant Island after the expedition ship sank, Drs. Macklin and McIlroy administered a chloroform anesth...

    journal_title:Anesthesiology

    pub_type: 历史文章,杂志文章

    doi:10.1097/ALN.0000000000001151

    authors: Firth PG

    更新日期:2016-07-01 00:00:00

  • Functional brain imaging during anesthesia in humans: effects of halothane on global and regional cerebral glucose metabolism.

    abstract:BACKGROUND:Propofol and isoflurane anesthesia were studied previously with functional brain imaging in humans to begin identifying key brain areas involved with mediating anesthetic-induced unconsciousness. The authors describe an additional positron emission tomography study of halothane's in vivo cerebral metabolic e...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199903000-00011

    authors: Alkire MT,Pomfrett CJ,Haier RJ,Gianzero MV,Chan CM,Jacobsen BP,Fallon JH

    更新日期:1999-03-01 00:00:00

  • Glucose management in patients undergoing operation for insulinoma removal.

    abstract::Medical records of 38 patients undergoing anesthesia and surgery for removal of an insulinoma were reviewed to determine 1) the safety of avoiding intraoperative glucose, 2) the appropriate frequency of plasma glucose analysis, and 3) the accuracy of using rebound hyperglycemia as an indication of tumor removal. Plasm...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198311000-00001

    authors: Muir JJ,Endres SM,Offord K,van Heerden JA,Tinker JH

    更新日期:1983-11-01 00:00:00

  • Barbiturate anesthetics inhibit thromboxane-, potassium-, but not angiotensin-induced pulmonary vasoconstriction.

    abstract::Administration of the oxidant lipid peroxide tertiary butyl hydroperoxide (t-bu-OOH) in the isolated rabbit lung leads to acute pulmonary vasoconstriction, which is caused by the synthesis of thromboxane. The inhalational anesthetics, halothane, nitrous oxide, and cyclopropane, markedly enhance t-bu-OOH-induced pulmon...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198905000-00012

    authors: McShane AJ,Crowley K,Shayevitz JR,Michael JR,Adkinson NF Jr,Traystman RJ,Gurtner GH

    更新日期:1989-05-01 00:00:00

  • A 1966 Anesthetic Administered by Robert D. Dripps, M.D., Demonstrated His Experimental Style of Clinical Care.

    abstract::Robert D. Dripps, M.D. (1911 to 1973), helped found academic anesthesiology. Newly reviewed teaching slides from the University of Pennsylvania (Philadelphia, Pennsylvania) contain six anesthesia records from 1965 to 1967 that involved Dripps. They illustrate the clinical philosophy he taught-to consider administratio...

    journal_title:Anesthesiology

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/ALN.0000000000001109

    authors: Johnstone RE,Fleisher LA

    更新日期:2016-06-01 00:00:00

  • Platelet function and adrenoceptors during and after induced hypotension using nitroprusside.

    abstract:BACKGROUND:Hypotension induced by sodium nitroprusside can minimize intraoperative blood loss. The release of endogenous catecholamines can influence adrenoceptors of platelets and thus might change the ability of platelets to aggregate. METHODS:Forty patients undergoing nasal septum, tympanoplastic, or sphenoid sinus...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199612000-00014

    authors: Dietrich GV,Heesen M,Boldt J,Hempelmann G

    更新日期:1996-12-01 00:00:00

  • Midazolam: effects on amnesia and anxiety in children.

    abstract:BACKGROUND:The minimum time interval between administration of oral midazolam and separation of children from their parents that ensures good anterograde amnesia has not been previously determined. This is of particular importance in a busy operating room setting where schedule delays secondary to midazolam administrat...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200009000-00016

    authors: Kain ZN,Hofstadter MB,Mayes LC,Krivutza DM,Alexander G,Wang SM,Reznick JS

    更新日期:2000-09-01 00:00:00

  • Physiologic and antinociceptive effects of intrathecal resiniferatoxin in a canine bone cancer model.

    abstract:BACKGROUND:Resiniferatoxin is a potent capsaicin analog. Intrathecal administration leads to selective, prolonged opening of the transient receptor potential V1 ion channel, which is localized mainly to C-fiber primary afferent nociceptive sensory neurons. Following work in laboratory animals, the authors explored the ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200511000-00020

    authors: Brown DC,Iadarola MJ,Perkowski SZ,Erin H,Shofer F,Laszlo KJ,Olah Z,Mannes AJ

    更新日期:2005-11-01 00:00:00

  • Cerebrovascular and cerebral metabolic effects of N2O in unrestrained rats.

    abstract::There is controversy about whether N2O increases cerebral blood flow and cortical oxygen consumption (CMRO2) in rats. Cortical and subcortical blood flow and CMRO2 were measured in awake, unrestrained rats while awake and during 70% N2O administration using radioactive microspheres. In the awake state, cortical and su...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199008000-00014

    authors: Baughman VL,Hoffman WE,Miletich DJ,Albrecht RF

    更新日期:1990-08-01 00:00:00

  • The actions of halothane, ibuprofen and BW755C on hypoxic pulmonary vasoconstriction.

    abstract::The effect of halothane on the pressor responses to hypoxia (3% O2, 5% CO2, balance N2) and to Angiotensin II (Ang II) (0.2 microgram) has been compared in an in vitro perfused and ventilated rat lung preparation in the presence and absence of agents known to block the lipoxygenase (BW755C) and/or the cyclooxygenase (...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198704000-00015

    authors: Marshall C,Kim SD,Marshall BE

    更新日期:1987-04-01 00:00:00

  • Sevoflurane Enhances Proliferation, Metastatic Potential of Cervical Cancer Cells via the Histone Deacetylase 6 Modulation In Vitro.

    abstract:BACKGROUND:Sevoflurane is commonly used for cervical cancer surgery, but its effect on cervical cancer cell biology remains unclear. This mechanistic study explores how sevoflurane affects the proliferation and metastatic potential of immortalized cervical cancer cell lines. METHODS:Cultured cervical cancer Caski and ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003129

    authors: Zhang W,Sheng B,Chen S,Zhao H,Wu L,Sun Y,Cui J,Zhu X,Ma D

    更新日期:2020-06-01 00:00:00

  • Safety assessment and pharmacokinetics of intrathecal methylprednisolone acetate in dogs.

    abstract:BACKGROUND:Intrathecal methylprednisolone acetate (MPA) has been used in patients with chronic pain syndromes. Its safety has been debated after reports of adverse events. No systematic preclinical evaluation of MPA has been reported. In the current study, the acute and long-term effects of intrathecal MPA on dog spina...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31823cf035

    authors: Rijsdijk M,van Wijck AJ,Kalkman CJ,Meulenhoff PC,Grafe MR,Steinauer J,Yaksh TL

    更新日期:2012-01-01 00:00:00

  • Long-term pain and activity during recovery from major thoracotomy using thoracic epidural analgesia.

    abstract:BACKGROUND:Pain following thoracotomy can persist for years with an undetermined impact on quality of life. Factors hypothesized to modulate this painful experience include analgesic regimen, gender, and type of incision. METHODS:A total of 157 generally healthy patients of both genders scheduled for segmentectomy, lo...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200211000-00029

    authors: Ochroch EA,Gottschalk A,Augostides J,Carson KA,Kent L,Malayaman N,Kaiser LR,Aukburg SJ

    更新日期:2002-11-01 00:00:00

  • Evaluation of the Alaris Auditory Evoked Potential Index as an indicator of anesthetic depth in preschool children during induction of anesthesia with sevoflurane and remifentanil.

    abstract:BACKGROUND:Autoregressive modeling with exogenous input of middle latency auditory evoked potentials (A-Line autoregressive index [AAI]) has been proposed for monitoring depth of anesthesia in adults. The aim of this study was to evaluate the performance of the AAI during induction of anesthesia with sevoflurane and re...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200408000-00008

    authors: Weber F,Bein T,Hobbhahn J,Taeger K

    更新日期:2004-08-01 00:00:00

  • Mechanisms of direct inhibitory action of ketamine on vascular smooth muscle in mesenteric resistance arteries.

    abstract:BACKGROUND:Ketamine was previously suggested to relax vascular smooth muscle by reducing the intracellular Ca2+ concentration ([Ca2+]i). However, no direct evidence is available to indicate that ketamine reduces the [Ca2+]i in vascular smooth muscle of systemic resistance arteries. METHODS:Endothelium-intact or -denud...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200108000-00030

    authors: Akata T,Izumi K,Nakashima M

    更新日期:2001-08-01 00:00:00

  • Inhibition by ether of glucose-stimulated insulin secretion in isolated pieces of rat pancreas.

    abstract::Addition of glucose (16.7 mM) to isolated pieces of rat pancreas increased insulin secretion 5.4-fold over basal secretion rates. Ether at 1, 1.5 and 2 MAC inhibited this insulinogenic effect of glucose in a dose-related manner by 5, 18 (P less than 0.01) and 29 (P less than 0.01) per cent, respectively. ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197907000-00007

    authors: Gingerich RL,Paradise RR,Wright PH

    更新日期:1979-07-01 00:00:00

  • Ability of the bispectral index, autoregressive modelling with exogenous input-derived auditory evoked potentials, and predicted propofol concentrations to measure patient responsiveness during anesthesia with propofol and remifentanil.

    abstract:BACKGROUND:This study was conducted to compare the performance accuracy of the independent variables Bispectral Index (BIS), A-Line ARX index (AAI), and predicted propofol effect-site concentration (CePROP) to measure the dependent variables of loss of responses to different stimulation defined as loss of response to v...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200310000-00010

    authors: Struys MM,Vereecke H,Moerman A,Jensen EW,Verhaeghen D,De Neve N,Dumortier FJ,Mortier EP

    更新日期:2003-10-01 00:00:00

  • Does a Platelet Transfusion Independently Affect Bleeding and Adverse Outcomes in Cardiac Surgery?

    abstract:BACKGROUND:Conflicting results have been reported concerning the effect of platelet transfusion on several outcomes. The aim of this study was to assess the independent effect of a single early intraoperative platelet transfusion on bleeding and adverse outcomes in cardiac surgery patients. METHODS:For this observatio...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001518

    authors: van Hout FM,Hogervorst EK,Rosseel PM,van der Bom JG,Bentala M,van Dorp EL,van Geloven N,Brand A,van der Meer NJ,van de Watering LM

    更新日期:2017-03-01 00:00:00