The role of histamine in the cardiovascular effects of atracurium.

Abstract:

:We have investigated the effect of a bolus injection of atracurium 0.6 mg kg-1 on the cardiovascular system in 16 patients undergoing aortocoronary bypass surgery. H1- and H2-receptor antagonists were administered to eight patients before the neuromuscular blocker. A standard anaesthetic was used comprising fentanyl, flunitrazepam, etomidate and enflurane. After administration of atracurium, haemodynamic changes and plasma histamine concentrations were measured at frequent intervals. In the first group, who received only atracurium, a brief but marked decrease in SVR and MAP occurred, accompanied by an increase in Cl, together with a marked increase in plasma concentration of histamine. In the second group, who received H1- and H2-receptor block, there was no decrease in MAP and only a small increase in plasma histamine concentration. However, there were significant changes in SVR and Cl similar to those in atracurium group.

journal_name

Br J Anaesth

authors

Adt M,Baumert JH,Reimann HJ

doi

10.1093/bja/68.2.155

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

155-60

issue

2

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)46724-9

journal_volume

68

pub_type

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