Basal forebrain histaminergic transmission modulates electroencephalographic activity and emergence from isoflurane anesthesia.

Abstract:

BACKGROUND:The tuberomammillary histaminergic neurons are involved in the sedative component of anesthetic action. The nucleus basalis magnocellularis (NBM) in the basal forebrain receives dense excitatory innervation from the tuberomammillary nucleus and is recognized as an important site of sleep-wake regulation. This study investigated whether NBM administration of histaminergic drugs may modulate arousal/emergence from isoflurane anesthesia. METHODS:Microinjections of histaminergic agonists and antagonists were made into the NBM of rats anesthetized with isoflurane. The changes in electroencephalographic activity, including electroencephalographic burst suppression ratio and power spectra, as well as respiratory rate, were recorded under basal conditions and after NBM injection. Time to resumption of righting reflex was recorded as a measure of emergence from anesthesia. RESULTS:The rats displayed a burst suppression electroencephalographic pattern at inhaled isoflurane concentrations of 1.4-2.1%. Application of histamine (1 microg/0.5 microl) to the NBM reversed the electroencephalographic depressant effect of isoflurane; i.e., electroencephalographic activity shifted from the burst suppression pattern toward delta activity at 1.4% isoflurane, and the burst suppression ratio decreased at 2.1% isoflurane. Histamine-evoked activation of electroencephalography was blocked by NBM pretreatment with a H1 receptor antagonist, triprolidine (5 microg/1 microl), but not by a H2 receptor antagonist, cimetidine (25 microg/1 microl). The respiratory rate was significantly increased after histamine injection. NBM application of histamine facilitated, while triprolidine delayed, emergence from isoflurane anesthesia. CONCLUSIONS:Histamine activation of H1 receptors in the NBM induces electroencephalographic arousal and facilitates emergence from isoflurane anesthesia. The basal forebrain histaminergic pathway appears to play a role in modulating arousal/emergence from anesthesia.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Luo T,Leung LS

doi

10.1097/ALN.0b013e3181b061a0

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

725-33

issue

4

eissn

0003-3022

issn

1528-1175

journal_volume

111

pub_type

杂志文章
  • Morphine inhibits acetylcholine release in rat prefrontal cortex when delivered systemically or by microdialysis to basal forebrain.

    abstract:BACKGROUND:Cortical acetylcholine originates in the basal forebrain and is essential for maintaining normal cognition and arousal. Morphine impairs these cholinergically mediated cortical functions. The current study tested the hypothesis that morphine decreases prefrontal cortical acetylcholine release by acting at th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200510000-00016

    authors: Osman NI,Baghdoyan HA,Lydic R

    更新日期:2005-10-01 00:00:00

  • Are all preterm infants younger than 60 weeks postconceptual age at risk for postanesthetic apnea?

    abstract:BACKGROUND:Preterm and ex-preterm infants are at risk for life-threatening apnea after general anesthesia. The authors attempted to define the postconceptual age beyond which apnea is less likely to occur and to identify the factors that predispose to postanesthetic apnea. METHODS:Ninety-one infants younger than 60 we...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199306000-00009

    authors: Malviya S,Swartz J,Lerman J

    更新日期:1993-06-01 00:00:00

  • Effect of intrathecal non-NMDA EAA receptor antagonist LY293558 in rats: a new class of drugs for spinal anesthesia.

    abstract:BACKGROUND:Excitatory amino acid receptors are important for both sensory and motor function in the spinal cord. We studied the effects of intrathecal LY293558, a competitive non-N-methyl-D-aspartate excitatory amino acid receptor antagonist, on motor and sensory function in rats to determine whether drugs blocking the...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200207000-00025

    authors: Von Bergen NH,Subieta A,Brennan TJ

    更新日期:2002-07-01 00:00:00

  • The neuroprotective effect of xenon administration during transient middle cerebral artery occlusion in mice.

    abstract:BACKGROUND:Xenon has been shown to be neuroprotective in several models of in vitro and in vivo neuronal injury. However, its putative neuroprotective properties have not been evaluated in focal cerebral ischemia. The purpose of this study was to determine if xenon offers neuroprotection in a mouse model of middle cere...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200310000-00020

    authors: Homi HM,Yokoo N,Ma D,Warner DS,Franks NP,Maze M,Grocott HP

    更新日期:2003-10-01 00:00:00

  • Preanesthetic medication in children: a comparison of oral transmucosal fentanyl citrate versus placebo.

    abstract::Initial studies have suggested that oral transmucosal fentanyl citrate (OTFC) in a dose of 15-20 micrograms/kg may be a safe and effective preanesthetic medication in children and adults, but this has not been demonstrated in a randomized, double-blind fashion. The purpose of this study was to determine in a randomize...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Feld LH,Champeau MW,van Steennis CA,Scott JC

    更新日期:1989-09-01 00:00:00

  • Soluble complement receptor type 1 inhibited the systemic organ injury caused by acid instillation into a lung.

    abstract:BACKGROUND:Acid aspiration into one lung causes contralateral lung injury and systemic organ injury; this injury is thought to be mediated by the sequestration of activated neutrophils. Recombinant human soluble complement receptor 1 (sCR1) inhibits both the classical and alternative complement pathways; this study inv...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199611000-00021

    authors: Nishizawa H,Yamada H,Miyazaki H,Ohara M,Kaneko K,Yamakawa T,Wiener-Kronish J,Kudoh I

    更新日期:1996-11-01 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

  • The threshold for thermoregulatory vasoconstriction during nitrous oxide/isoflurane anesthesia is lower in elderly than in young patients.

    abstract:BACKGROUND:Thermoregulatory vasoconstriction minimizes further core hypothermia during anesthesia. Elderly patients become more hypothermic during surgery than do younger patients, and take longer to rewarm postoperatively. These data indicate that perianesthetic thermoregulatory responses may be especially impaired in...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199309000-00008

    authors: Kurz A,Plattner O,Sessler DI,Huemer G,Redl G,Lackner F

    更新日期:1993-09-01 00:00:00

  • The effects of extracellular magnesium on myoplasmic [Ca2+] in malignant hyperthermia susceptible swine.

    abstract::It is now well established that the pathophysiology of the malignant hyperthermia (MH) syndrome is related to a malfunction of intracellular calcium homeostasis. Magnesium plays important roles in the basic contractile properties of muscle, and many of its actions are antagonistic to those of calcium. The aim of this ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199007000-00016

    authors: Lopez JR,Sanchez V,Lopez I,Ryan JF,Mendoza M,Sreter FA,Allen PD

    更新日期:1990-07-01 00:00:00

  • Effects of intravenous dexmedetomidine in humans. I. Sedation, ventilation, and metabolic rate.

    abstract::Dexmedetomidine (DMED) is a highly selective centrally acting alpha 2-adrenergic agonist thought to provide significant sedation without appreciable ventilatory effects. This double-blind, placebo-controlled experiment evaluated four dose levels of DMED (0.25, 0.5, 1.0, and 2.0 micrograms/kg intravenously over 2 min) ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199212000-00013

    authors: Belleville JP,Ward DS,Bloor BC,Maze M

    更新日期:1992-12-01 00:00:00

  • Comparison of the effects of etomidate, propofol, and thiopental on respiratory resistance after tracheal intubation.

    abstract:BACKGROUND:Tracheal intubation frequently results in reversible bronchoconstriction. Propofol has been reported to minimize this response in healthy patients and in asthma patients, but may be unsuitable for hemodynamically unstable patients for whom etomidate may be preferable. The current study examined respiratory r...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199606000-00005

    authors: Eames WO,Rooke GA,Wu RS,Bishop MJ

    更新日期:1996-06-01 00:00:00

  • Effect of Bay K 8644 on the magnitude of isoflurane and halothane contracture of skeletal muscle from patients susceptible to malignant hyperthermia.

    abstract::Isoflurane has a lesser ability than halothane to induce contracture in malignant hyperthermia (MH) muscle in vitro. This does not necessarily imply that isoflurane is not as potent an MH trigger as halothane in vivo. A hypothesis was tested that in vitro treatment with Bay K 8644, an activator of both the dihydropyri...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199204000-00010

    authors: Adnet PJ,Krivosic-Horber RM,Adamantidis MM,Haudecoeur G,Reyford H,Imbenotte M

    更新日期:1992-04-01 00:00:00

  • Ulnar neuropathy. Incidence, outcome, and risk factors in sedated or anesthetized patients.

    abstract:BACKGROUND:Ulnar neuropathy is well-recognized as a potential complication of procedures performed on anesthetized patients. However, reported outcomes and risk factors for this problem are based on small series and anecdotes. METHODS:We retrospectively reviewed the perioperative courses of 1,129,692 consecutive patie...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Warner MA,Warner ME,Martin JT

    更新日期:1994-12-01 00:00:00

  • The effect of halothane on the steady-state levels of high-energy phosphates in the neonatal heart.

    abstract::The neonatal heart is especially vulnerable to cardiac depression caused by halothane. The cause of this sensitivity is uncertain. Isolated, perfused, isovolumic, contracting neonatal rabbit hearts were studied using 31P NMR to determine whether changes in concentrations of high energy phosphates (HEP) or intracellula...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198708000-00013

    authors: McAuliffe JJ,Hickey PR

    更新日期:1987-08-01 00:00:00

  • A comparison of tracheal tube tip designs on the passage of an endotracheal tube during oral fiberoptic intubation.

    abstract:BACKGROUND:The design of an endotracheal tube has been shown to influence the passage of the tube through the glottis during fiberoptic intubation. Difficulty in passing the endotracheal tube can occur if the aryepiglottic folds obstruct the passage of the bevel. The relevant aspects of endotracheal tube design include...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200105000-00007

    authors: Greer JR,Smith SP,Strang T

    更新日期:2001-05-01 00:00:00

  • Offset analgesia in neuropathic pain patients and effect of treatment with morphine and ketamine.

    abstract:BACKGROUND:Offset analgesia, in which a disproportionally large amount of analgesia becomes apparent upon a slight decrease in noxious heat stimulation, has not been described previously in patients with chronic pain. METHODS:Offset analgesia responses in 10 patients with neuropathic pain (in both legs) were compared ...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e31822fd03a

    authors: Niesters M,Hoitsma E,Sarton E,Aarts L,Dahan A

    更新日期:2011-11-01 00:00:00

  • Effects of succinylcholine and d-tubocurarine on epinephrine-induced arrhythmias during halothane anesthesia in dogs.

    abstract::The effects of subparalytic doses of succinylcholine and d-tubocurarine on epinephrine-induced cardiac arrhythmias during halothane anesthesia were evaluated in dogs. Succinylcholine markedly increased (P is less than .05) the arrhythmogenicity of epinephrine and d-tubocurarine slightly decreased (P is less than .05) ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197501000-00008

    authors: Tucker WK,Munson ES

    更新日期:1975-01-01 00:00:00

  • Sufentanil disposition. Is it affected by erythromycin administration?

    abstract:BACKGROUND:Because oral erythromycin administration has been associated with reduced elimination of alfentanil, suspicion has been raised about related opioids with similar metabolic pathways. A controlled crossover study of sufentanil pharmacokinetics was undertaken to resolve this issue. METHODS:Six subjects had mea...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Bartkowski RR,Goldberg ME,Huffnagle S,Epstein RH

    更新日期:1993-02-01 00:00:00

  • Astrocytes Protect against Isoflurane Neurotoxicity by Buffering pro-brain-derived Neurotrophic Factor.

    abstract:BACKGROUND:Isoflurane induces cell death in neurons undergoing synaptogenesis via increased production of pro-brain-derived neurotrophic factor (proBDNF) and activation of postsynaptic p75 neurotrophin receptor (p75). Astrocytes express p75, but their role in neuronal p75-mediated cell death remains unclear. The author...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000824

    authors: Stary CM,Sun X,Giffard RG

    更新日期:2015-10-01 00:00:00

  • Pharmacodynamic Interaction of Remifentanil and Dexmedetomidine on Depth of Sedation and Tolerance of Laryngoscopy.

    abstract:BACKGROUND:Dexmedetomidine is a sedative with modest analgesic efficacy, whereas remifentanil is an opioid analgesic with modest sedative potency. Synergy is often observed when sedative-hypnotics are combined with opioid analgesics in anesthetic practice. A three-phase crossover trial was conducted to study the pharma...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/ALN.0000000000002882

    authors: Weerink MAS,Barends CRM,Muskiet ERR,Reyntjens KMEM,Knotnerus FH,Oostra M,van Bocxlaer JFP,Struys MMRF,Colin PJ

    更新日期:2019-11-01 00:00:00

  • Cardiovascular events in the postanesthesia care unit: contribution of risk factors.

    abstract:BACKGROUND:The purpose of this study was to determine the relationship of four postanesthesia care unit (PACU) cardiovascular events to long-term outcomes (unplanned critical care admission or mortality) and to evaluate the contribution of anesthetic management compared with other perioperative factors in predicting th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199604000-00003

    authors: Rose DK,Cohen MM,DeBoer DP

    更新日期:1996-04-01 00:00:00

  • Anesthetics and mild hypothermia similarly prevent hippocampal neuron death in an in vitro model of cerebral ischemia.

    abstract:BACKGROUND:General anesthetics reduce neuron loss following focal cerebral ischemia in rodents. The relative efficacy of this action among different anesthetics clinically used for neuroprotection is uncertain. In addition, it remains unclear how anesthetics compare to neuroprotection afforded by mild hypothermia. This...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200005000-00024

    authors: Popovic R,Liniger R,Bickler PE

    更新日期:2000-05-01 00:00:00

  • Performance of anesthetic depth indexes in rabbits under propofol anesthesia: prediction probabilities and concentration-effect relations.

    abstract:BACKGROUND:The permutation entropy, the approximate entropy, and the index of consciousness are some of the most recently studied electroencephalogram-derived indexes. In this work, a thorough comparison of these indexes was performed using propofol anesthesia in a rabbit model. METHODS:Six rabbits were anesthetized w...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318222ac02

    authors: Silva A,Campos S,Monteiro J,Venâncio C,Costa B,Guedes de Pinho P,Antunes L

    更新日期:2011-08-01 00:00:00

  • Local anesthetic properties of prenylamine.

    abstract:BACKGROUND:Local anesthetics that produce analgesia of long duration with minimal impairment of autonomic functions are highly desirable for pain management in the clinic. Prenylamine is a known calcium channel blocker, but its local anesthetic blocking effects on voltage-gated sodium channels have not been studied thu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200111000-00025

    authors: Mujtaba MG,Gerner P,Wang GK

    更新日期:2001-11-01 00:00:00

  • Ketamine and Etomidate Down-regulate the Hypothalamic-Pituitary-Adrenal Axis in an Endotoxemic Mouse Model.

    abstract:BACKGROUND:We compared the effects of etomidate and ketamine on the hypothalamic-pituitary-adrenal axis during sepsis. METHODS:Mice (n = 5/group) were injected intraperitoneally with lipopolysaccharide (10 mg/kg) and 6 h later randomized to receive ketamine (100 mg/kg), etomidate (30 mg/kg), or saline. At two time poi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001704

    authors: Besnier E,Clavier T,Tonon MC,Selim J,Lefevre-Scelles A,Morin F,Tamion F,Dureuil B,Castel H,Compere V

    更新日期:2017-08-01 00:00:00

  • Response to mivacurium in a patient compound heterozygous for a novel and a known silent mutation in the butyrylcholinesterase gene: genotyping by sequencing.

    abstract:BACKGROUND:Patients who are homozygous for the atypical mutation, compound heterozygous for atypical and silent mutations, or homozygous for silent mutations (SS) respond to mivacurium with extensively prolonged neuromuscular block. Although important, exact phenotyping of these patients is difficult. This article pres...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200109000-00010

    authors: Gätke MR,Ostergaard D,Bundgaard JR,Varin F,Viby-Mogensen J

    更新日期:2001-09-01 00:00:00

  • Intraoperative recruitment maneuver reverses detrimental pneumoperitoneum-induced respiratory effects in healthy weight and obese patients undergoing laparoscopy.

    abstract:BACKGROUND:Pulmonary function is impaired during pneumoperitoneum mainly as a result of atelectasis formation. We studied the effects of 10 cm H2O of positive end-expiratory pressure (PEEP) and PEEP followed by a recruitment maneuver (PEEP+RM) on end-expiratory lung volume (EELV), oxygenation and respiratory mechanics ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181fc640a

    authors: Futier E,Constantin JM,Pelosi P,Chanques G,Kwiatkoskwi F,Jaber S,Bazin JE

    更新日期:2010-12-01 00:00:00

  • Potassium channel-mediated hyperpolarization of mesenteric vascular smooth muscle by isoflurane.

    abstract:BACKGROUND:A primary source of calcium (Ca2+) necessary for excitation contraction in vascular smooth muscle (VSM) is influx via voltage-dependent Ca2+ channels. Thus, force generation in VSM is coupled closely to resting transmembrane potential, which itself is primarily a function of potassium conductance. Previously...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199903000-00021

    authors: Kokita N,Stekiel TA,Yamazaki M,Bosnjak ZJ,Kampine JP,Stekiel WJ

    更新日期:1999-03-01 00:00:00

  • The effect of clonidine on cerebral blood flow velocity, carbon dioxide cerebral vasoreactivity, and response to increased arterial pressure in human volunteers.

    abstract:BACKGROUND:Because patients may be taking clonidine chronically or may be receiving it as a premedication before surgery, the authors investigated its effect on cerebral hemodynamics. METHODS:In nine volunteers, middle cerebral artery mean blood flow velocity (Vm) was measured using transcranial Doppler ultrasonograph...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199709000-00015

    authors: Lee HW,Caldwell JE,Dodson B,Talke P,Howley J

    更新日期:1997-09-01 00:00:00

  • Critical incidents associated with intraoperative exchanges of anesthesia personnel.

    abstract::It is a common practice for anesthesia to substitute for one another, especially for short breaks during long surgical procedures. The assets and liabilities of this practice of relief have not been examined previously. In the course of gathering 1,089 reports of preventable errors and failures associated with anesthe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198206000-00010

    authors: Cooper JB,Long CD,Newbower RS,Philip JH

    更新日期:1982-06-01 00:00:00