The cerebral and systemic hemodynamic and metabolic effects of desflurane-induced hypotension in dogs.

Abstract:

:The cerebral and systemic hemodynamic and metabolic effects of hypotension induced with desflurane were examined in 11 dogs. During a steady-state baseline period under 1 MAC desflurane (7.2%), the following were measured or derived: arterial, pulmonary artery, and pulmonary artery occlusion pressures; arterial, mixed venous, and sagittal sinus blood gases; cardiac index and cerebral blood flow (CBF); whole-body and cerebral O2 consumption; systemic and cerebral vascular resistance; intracranial pressure; and blood glucose and lactate concentrations. After the baseline period, hypotension to a mean arterial pressure (MAP) of 50 mmHg was produced by 15.5% (2.2 MAC), and hypotension to an MAP of 40 mmHg was produced by 17.1% (2.4 MAC) for 1 h. During this hypotensive period all measurements were taken at 5- or 15-min intervals. At the end of the hypotensive period, brain biopsy specimens were taken for measurement of cerebral concentrations of ATP, phosphocreatine, and lactate to determine whether there was any metabolic evidence of cerebral ischemia. Desflurane-induced hypotension produced a significant, 40-50% decrease in cardiac index with a significant change in systemic vascular resistance at the lower blood pressure, but produced little change in heart rate. Even though whole-body O2 consumption did not decrease, adequate peripheral perfusion was maintained with the lower cardiac output, as evidenced by lack of accumulation of blood lactate. Induced hypotension caused a significant, 50 (at MAP = 50 mmHg) to 64% (at MAP = 40 mmHg) decrease in cerebral perfusion pressure, accompanied by a significant, 36 (at MAP = 50 mmHg) to 60% (at MAP = 40 mmHg) decrease in CBF.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Milde LN,Milde JH

doi

10.1097/00000542-199103000-00021

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

513-8

issue

3

eissn

0003-3022

issn

1528-1175

journal_volume

74

pub_type

杂志文章
  • 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

  • Early but no long-term benefit of regional compared with general anesthesia for ambulatory hand surgery.

    abstract:BACKGROUND:The purpose of this study was to determine whether either regional anesthesia (RA) or general anesthesia (GA) provided the best analgesia with the fewest adverse effects up to 2 weeks after ambulatory hand surgery. METHODS:Patients undergoing ambulatory hand surgery were randomly assigned to RA (axillary br...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200408000-00028

    authors: McCartney CJ,Brull R,Chan VW,Katz J,Abbas S,Graham B,Nova H,Rawson R,Anastakis DJ,von Schroeder H

    更新日期:2004-08-01 00:00:00

  • Influence of sevoflurane on the metabolism and renal effects of compound A in rats.

    abstract:BACKGROUND:The sevoflurane degradation product compound A is nephrotoxic in rats. In contrast, patient exposure to compound A during sevoflurane anesthesia has no clinically significant renal effects. The mechanism for this difference is incompletely understood. One possibility is that the metabolism and toxicity of co...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200512000-00012

    authors: Kharasch ED,Schroeder JL,Sheffels P,Liggitt HD

    更新日期:2005-12-01 00:00:00

  • Systemic lidocaine blocks nerve injury-induced hyperalgesia and nociceptor-driven spinal sensitization in the rat.

    abstract:BACKGROUND:Repetitive C-fiber stimulation induces a state of facilitated processing of sensory information in the dorsal horn, while chronic nerve compression gives rise to a hyperalgesic state, characterized by spontaneous neuronal activity generated by voltage-sensitive sodium channels, as well as spinal facilitation...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Abram SE,Yaksh TL

    更新日期:1994-02-01 00:00:00

  • Evaluation of Seldinger technique emergency cricothyroidotomy versus standard surgical cricothyroidotomy in 200 cadavers.

    abstract:BACKGROUND:Percutaneous cricothyroidotomy is a lifesaving procedure for airway obstruction in trauma victims who need airway establishment and cannot be intubated or in whom intubation has failed. METHODS:The purpose of this study was to examine whether there is a training effect using Seldinger technique emergency cr...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200501000-00005

    authors: Schaumann N,Lorenz V,Schellongowski P,Staudinger T,Locker GJ,Burgmann H,Pikula B,Hofbauer R,Schuster E,Frass M

    更新日期:2005-01-01 00:00:00

  • Respiratory Physiology for the Anesthesiologist.

    abstract::Respiratory function is fundamental in the practice of anesthesia. Knowledge of basic physiologic principles of respiration assists in the proper implementation of daily actions of induction and maintenance of general anesthesia, delivery of mechanical ventilation, discontinuation of mechanical and pharmacologic suppo...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/ALN.0000000000002666

    authors: Bigatello L,Pesenti A

    更新日期:2019-06-01 00:00:00

  • Capsaicin combined with local anesthetics preferentially prolongs sensory/nociceptive block in rat sciatic nerve.

    abstract:BACKGROUND:Transient receptor potential vanilloid 1 channels integrate nociceptive stimuli and are predominantly expressed by unmyelinated C-fiber nociceptors, but not low-threshold mechanoreceptive sensory or motor fibers. A recent report showed that the transient receptor potential vanilloid 1 channel agonist capsaic...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31818958f7

    authors: Gerner P,Binshtok AM,Wang CF,Hevelone ND,Bean BP,Woolf CJ,Wang GK

    更新日期:2008-11-01 00:00:00

  • Treatment of air embolism with a special pulmonary artery catheter introducer sheath in sitting dogs.

    abstract::The treatment of venous air embolism by aspiration from central venous catheters is well established. However, some anesthesiologists prefer to use a pulmonary artery catheter to monitor patients undergoing a neurosurgical procedure in the sitting position. While offering certain advantages, pulmonary artery catheters...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198801000-00017

    authors: Bowdle TA,Artru AA

    更新日期:1988-01-01 00:00:00

  • Neurally adjusted ventilatory assist in critically ill postoperative patients: a crossover randomized study.

    abstract:BACKGROUND:Neurally adjusted ventilatory assist (NAVA) is a new mode of mechanical ventilation that delivers ventilatory assist in proportion to the electrical activity of the diaphragm. This study aimed to compare the ventilatory and gas exchange effects between NAVA and pressure support ventilation (PSV) during the w...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181ee2ef1

    authors: Coisel Y,Chanques G,Jung B,Constantin JM,Capdevila X,Matecki S,Grasso S,Jaber S

    更新日期:2010-10-01 00:00:00

  • Proliferation of smooth endoplasmic reticulum and induction of microsomal drug-metabolizing enzymes after ether or halothane.

    abstract::Hepatic drug-metabolizing enzymes and hepatic ultrastructure were studied in rats after two hours of anesthesia with 1 MAC halothane or diethyl ether. Twelve hours after cessation of either anesthetic smooth endoplasmic reticulum was increased in centrilobular but not in periportal hepatocytes. This change persisted a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197805000-00005

    authors: Ross WT Jr,Cardell RR Jr

    更新日期:1978-05-01 00:00:00

  • The effects of halothane on voltage-dependent calcium channels in isolated Langendorff-perfused rat heart.

    abstract:BACKGROUND:Halothane has been previously shown in vitro to decrease both the inward calcium current in isolated cells and the density of calcium antagonist binding sites in cardiac sarcolemmal membranes prepared from several species, including humans, presumably contributing to the negative inotropic effects seen with ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199411000-00015

    authors: Lee DL,Zhang J,Blanck TJ

    更新日期:1994-11-01 00:00:00

  • Halothane and the beating response and ATP turnover rate of heart cells in tissue culture.

    abstract::The effects of halothane on the beating response of rat heart cells in tissue culture were studied using an optical-electronic monitoring device. A dose-response curve was obtained over a concentration range to as much as 5 vol per cent halothane. The clinical dosage of 1 vol per cent halothane decreased the inotropic...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197502000-00003

    authors: Stong LJ,Hartzell CR,McCarl RL

    更新日期:1975-02-01 00:00:00

  • Lidocaine blocks the hyperpolarization-activated mixed cation current, I(h), in rat thalamocortical neurons.

    abstract:BACKGROUND:The mechanisms that underlie the supraspinal central nervous system effects of systemic lidocaine are poorly understood and not solely explained by Na(+) channel blockade. Among other potential targets is the hyperpolarization-activated cation current, I(h), which is blocked by lidocaine in peripheral neuron...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31822ddf08

    authors: Putrenko I,Schwarz SK

    更新日期:2011-10-01 00:00:00

  • Lack of nephrotoxicity by 6% hydroxyethyl starch 130/0.4 during hip arthroplasty: a randomized controlled trial.

    abstract:BACKGROUND:Hydroxyethyl starch (HES) is commonly used as plasma expander during surgery but may be nephrotoxic as seen in studies in patients with sepsis. The authors hypothesized that the possible nephrotoxicity of 6% HES 130/0.4 could be revealed by measurements of urinary excretion of neutrophil gelatinase-associate...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000000413

    authors: Kancir AS,Pleckaitiene L,Hansen TB,Ekeløf NP,Pedersen EB

    更新日期:2014-11-01 00:00:00

  • Effects of intramuscular clonidine on hemodynamic and plasma beta-endorphin responses to gynecologic laparoscopy.

    abstract::Ninety women undergoing gynecologic laparoscopy were randomly given clonidine 3 or 4.5 micrograms/kg or saline intramuscularly 45-60 min prior to induction of anesthesia. Anesthesia was induced with thiopental 3.5 mg/kg and maintained with 0.3% end-tidal isoflurane in nitrous oxide and oxygen. The laparoscopy did not ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199005000-00004

    authors: Aho M,Lehtinen AM,Laatikainen T,Korttila K

    更新日期:1990-05-01 00:00:00

  • Protective mechanical ventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function.

    abstract:BACKGROUND:The impact of intraoperative ventilation on postoperative pulmonary complications is not defined. The authors aimed at determining the effectiveness of protective mechanical ventilation during open abdominal surgery on a modified Clinical Pulmonary Infection Score as primary outcome and postoperative pulmona...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e31829102de

    authors: Severgnini P,Selmo G,Lanza C,Chiesa A,Frigerio A,Bacuzzi A,Dionigi G,Novario R,Gregoretti C,de Abreu MG,Schultz MJ,Jaber S,Futier E,Chiaranda M,Pelosi P

    更新日期:2013-06-01 00:00:00

  • 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

  • Hepatic effects of repeated halothane anesthetics in the hypoxic rat model.

    abstract::The hepatic effects of repeated anesthesia of phenobarbital-induced Fischer 344 rats with 1% halothane/14% oxygen were investigated, after anesthetics were administered at either 1-day or 5-day intervals. Urinary excretion of fluoride, a product of reductive halothane metabolism, was increased in the 24-h period follo...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198709000-00013

    authors: Plummer JL,Hall PD,Jenner MA,Cousins MJ

    更新日期:1987-09-01 00:00:00

  • Preoperative orthostatic dysfunction is associated with an increased incidence of postoperative nausea and vomiting.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) occurs frequently after gynecologic surgery. Because hemodynamic condition seems to be influential, women presenting with preoperative orthostatic dysregulation may have an increased risk for PONV. The aim of the present study was to assess the relationship between pr...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200206000-00017

    authors: Pusch F,Berger A,Wildling E,Zimpfer M,Moser M,Sam C,Krafft P

    更新日期:2002-06-01 00:00:00

  • Inhaled anesthetics alter the determinants of coronary collateral blood flow in the dog.

    abstract:BACKGROUND:Whether coronary steal is induced by inhaled anesthetic agents remains controversial in part because multiple factors determine collateral blood flow. METHODS:We used an established model to determine how halothane, isoflurane, and desflurane affect the hemodynamic determinants of coronary collateral blood ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199510000-00020

    authors: Mignella R,Buffington CW

    更新日期:1995-10-01 00:00:00

  • Isoflurane activates intestinal sphingosine kinase to protect against renal ischemia-reperfusion-induced liver and intestine injury.

    abstract:BACKGROUND:Renal ischemia-reperfusion injury (IRI) is a major cause of acute kidney injury and often leads to multiorgan dysfunction and systemic inflammation. Volatile anesthetics have potent antiinflammatory effects. We aimed to determine whether the representative volatile anesthetic isoflurane protects against acut...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3182070c3a

    authors: Kim M,Park SW,Kim M,D'Agati VD,Lee HT

    更新日期:2011-02-01 00:00:00

  • Spinal nitric oxide contributes to the analgesic effect of intrathecal [d-pen2,d-pen5]-enkephalin in normal and diabetic rats.

    abstract:BACKGROUND:Spinal nitric oxide (NO) is important for the analgesic actions of morphine and cholinergic agents. Its role in the analgesic effect of delta-opioid receptor agonists is not known. In the present study, the authors determined the role of spinal endogenous NO in the antinociceptive effect of intrathecal [D-Pe...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200301000-00033

    authors: Chen SR,Pan HL

    更新日期:2003-01-01 00:00:00

  • Exercise produces sensitivity to metocurine.

    abstract::Chronic muscle disuse decreases the sensitivity of skeletal muscle to nondepolarizing relaxants, such as metocurine (MTC). In this study, the authors determined whether chronic conditioning would produce the opposite effect and increase the sensitivity of skeletal muscle to MTC. Five dogs were exercised by daily runni...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198906000-00015

    authors: Gronert GA,White DA,Shafer SL,Matteo RS

    更新日期:1989-06-01 00:00:00

  • Intrathecal pertussis toxin treatment attenuates opioid antinociception and reduces high-affinity state of opioid receptors.

    abstract::The effect of pertussis toxin on opioid antinociception was studied in rats. Intrathecal injection of a single dose of pertussis toxin reduced the antinociceptive effect of PL017, a highly selective mu-opioid agonist, in a dose- and time-dependent manner. The maximal effective dose of pertussis toxin was 1 microgram, ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199210000-00013

    authors: Wong CS,Su YF,Chang KJ,Watkins WD

    更新日期:1992-10-01 00:00:00

  • A comparison of the cerebral protective effects of isoflurane and barbiturates during temporary focal ischemia in primates.

    abstract::Isoflurane has protective properties during experimental global brain ischemia or hypoxia. However, this has not been evaluated in the more common case of focal ischemia, e.g., as caused by middle cerebral artery occlusion (MCAO). The authors therefore compared the effects of isoflurane, thiopental, and N2O/fentanyl a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198704000-00002

    authors: Nehls DG,Todd MM,Spetzler RF,Drummond JC,Thompson RA,Johnson PC

    更新日期:1987-04-01 00:00:00

  • Sonographic visualization and ultrasound-guided block of the third occipital nerve: prospective for a new method to diagnose C2-C3 zygapophysial joint pain.

    abstract:BACKGROUND:Chronic neck pain after whiplash injury is caused by cervical zygapophysial joints in 50% of patients. Diagnostic blocks of nerves supplying the joints are performed using fluoroscopy. The authors' hypothesis was that the third occipital nerve can be visualized and blocked with use of an ultrasound-guided te...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/00000542-200602000-00016

    authors: Eichenberger U,Greher M,Kapral S,Marhofer P,Wiest R,Remonda L,Bogduk N,Curatolo M

    更新日期:2006-02-01 00:00:00

  • Volatile anesthetics depress Ca2+ transients and glutamate release in isolated cerebral synaptosomes.

    abstract:BACKGROUND:The current study was performed to determine whether volatile anesthetics may include as part of their action in the central nervous system the depression of presynaptic transmitter release by alteration in intrasynaptic [Ca2+] ([Ca2+]i). METHODS:Guinea pig cerebrocortical synaptosomes were studied at 37 de...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199509000-00019

    authors: Miao N,Frazer MJ,Lynch C 3rd

    更新日期:1995-09-01 00:00:00

  • Enhanced cerebral blood flow autoregulation in the newborn piglet by d-tubocurarine and pancuronium but not by vecuronium.

    abstract::Neuromuscular blockers may affect cerebral blood flow (CBF) regulation in the newborn. We studied the effects of d-tubocurarine (0.1 mg.kg-1, n = 8), pancuronium (0.1 and 0.4 mg.kg-1, n = 6 and 7), and vecuronium (0.1 and 0.4 mg.kg-1, n = 6 and 7) on CBF measured over the same range of mean systemic blood pressure ([B...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199202000-00013

    authors: Chemtob S,Barna T,Beharry K,Aranda JV,Varma DR

    更新日期:1992-02-01 00:00:00

  • The minimum alveolar concentration (MAC) and hemodynamic effects of halothane, isoflurane, and sevoflurane in newborn swine.

    abstract::To determine the minimum alveolar concentration (MAC) and hemodynamic responses to halothane, isoflurane, and sevoflurane in newborn swine, 36 fasting swine 4-10 days of age were anesthetized with one of the three volatile anesthetics in 100% oxygen. MAC was determined for each swine. Carotid artery and internal jugul...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199010000-00018

    authors: Lerman J,Oyston JP,Gallagher TM,Miyasaka K,Volgyesi GA,Burrows FA

    更新日期:1990-10-01 00:00:00

  • Detecting awareness in children by using an auditory intervention.

    abstract:BACKGROUND:The incidence of awareness has been reported to be higher in children than in adults. Accurately assessing awareness in children is difficult, and the lack of a specific measure of awareness makes it difficult to determine exactly how many and why children are aware. The aim of this study was to determine th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181862a20

    authors: Davidson AJ,Sheppard SJ,Engwerda AL,Wong A,Phelan L,Ironfield CM,Stargatt R

    更新日期:2008-10-01 00:00:00