A comparison of the haemodynamic effects of propofol ('Diprivan') and thiopentone in patients with coronary artery disease.

Abstract:

:Twenty patients scheduled for elective coronary surgery received either propofol ('Diprivan') 1.5 mg/kg in emulsion or thiopentone 2 mg/kg for induction of anaesthesia. Vecuronium was used for neuromuscular blockade. Cardiovascular dynamics were recorded every minute until 6 min after intubation. Anaesthesia with propofol was accompanied by a reduction in arterial pressure, the decrease being severe in two patients. This was largely due to a decrease in systemic vascular resistance. Thiopentone anaesthesia resulted in a smaller decrease in arterial pressure, but a marked increase in arterial pressure followed endotracheal intubation. Although the absence of haemodynamic changes following intubation during propofol anaesthesia is advantageous to the ischaemic myocardium, this has to be balanced by the variable and sometimes severe reduction in arterial pressure that occurred on induction.

journal_name

Postgrad Med J

authors

Patrick MR,Blair IJ,Feneck RO,Sebel PS

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

23-7

eissn

0032-5473

issn

1469-0756

journal_volume

61 Suppl 3

pub_type

临床试验,杂志文章,随机对照试验
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    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.53.622.458

    authors: Jancar J

    更新日期:1977-08-01 00:00:00

  • Variations in the provision of resuscitation equipment: survey of acute hospitals.

    abstract:BACKGROUND:There are wide variations in survival after cardiopulmonary resuscitation. The aim of this survey was to describe how equipment provision of resuscitation trolleys was deployed in a range of clinical ward areas. METHODS:The equipment in randomly selected resuscitation trolleys in all 14 South West Thames Re...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.1136/pgmj.2004.026930

    authors: Hogh L,Kane I,Bhalla A,Ward MC

    更新日期:2005-06-01 00:00:00

  • Early diffusion weighted imaging and expression of heat shock protein 70 in newborn pigs with hypoxic ischaemic encephalopathy.

    abstract:OBJECTIVE:To establish a cerebral hypoxia ischaemic model in piglets and to explore the early diffusion weighted imaging (DWI) as well as the expression of heat shock protein 70 (HSP70) with hypoxic ischaemic encephalopathy (HIE). METHODS:Twenty four 3 day old piglets were permanently ligated common carotid arteries b...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.2004.030114

    authors: Cheng Y,Liu GR,Guan JT,Guo YL,Li YK,Wu RH

    更新日期:2005-09-01 00:00:00

  • Eosinophilic gastroenteritis mimicking pancreatic cancer.

    abstract::Eosinophilic gastroenteritis is a condition characterised by eosinophilic infiltration of the gastrointestinal tract. Biliary obstruction is an unusual presentation. A case where the initial investigations were consistent with carcinoma of the head of pancreas but the resection specimen showed no malignancy is present...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.922.498

    authors: Christopher V,Thompson MH,Hughes S

    更新日期:2002-08-01 00:00:00

  • Why paleomedicine is useful for medical education.

    abstract::What is the place of medico-historical cases in the professional practice of the disciplinary field of medicine and biology? How can these patients from the past be used for teaching and continuing medical education? How to justify their place in biomedical publications? In this article, we explain all the legitimacy ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2020-137804

    authors: Charlier P,Donnell S,Lippi D,Nerlich A,Asensi V,Perciaccante A,Appenzeller O,Bianucci R

    更新日期:2021-02-01 00:00:00

  • Republished: obesity and colorectal cancer.

    abstract::Excess body weight, as defined by the body mass index (BMI), has been associated with several diseases and includes subjects who are overweight (BMI≥25-29.9 kg/m(2)) or obese (BMI≥30 kg/m(2)). Overweight and obesity constitute the fifth leading risk for overall mortality, accounting for at least 2.8 million adult deat...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2013-304701rep

    authors: Bardou M,Barkun AN,Martel M

    更新日期:2013-09-01 00:00:00

  • Heatstroke and rhabdomyolysis presenting as fulminant hepatic failure.

    abstract::Heatstroke following vigorous exercise is reported in a young male. Severe hepatic and renal failure resulted but the patient completely recovered following treatment by active measures to reduce his core temperature. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.748.157

    authors: Fidler S,Fagan E,Williams R,Dewhurst I,Cory CE

    更新日期:1988-02-01 00:00:00

  • Timing of intervention in acute pancreatitis.

    abstract::This review examines the appropriate timing of intervention in acute pancreatitis. In gallstone pancreatitis, it is now clear that cholecystectomy during the primary admission carries no greater risk of complications than delayed cholecystectomy and enables earlier recovery to normal activity. This course of action pr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.69.813.509

    authors: Johnson CD

    更新日期:1993-07-01 00:00:00

  • 'Malignant' macroscopic appearance of an inflammatory testicular lesion--a reminder for surgeons.

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    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.57.666.259

    authors: Sternberg A,Mor C,Servadio C,Reiss R

    更新日期:1981-04-01 00:00:00

  • The association of hereditary neuropathies and heritable skeletal disorders.

    abstract::We describe two patients with associations of hereditary neuropathies and heritable skeletal disorders not previously reported. The first patient had Marfan's syndrome and hereditary motor and sensory neuropathy Type 1. The second patient had Ehlers-Danlos syndrome, Klippel-Feil syndrome and tomaculous neuropathy. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.71.834.245

    authors: Chattopadhyay AK,Kandler RH,Sharrack B

    更新日期:1995-04-01 00:00:00

  • Paraplegia due to thoracic disc herniation.

    abstract::Disc herniation at the thoracic the spine level is more common than generally thought. Localisation of pain may be vague and may erroneously point to cardiopulmonary, gastrointestinal, genito-urinary or even psychiatric disease. Magnetic resonance imaging is the investigation of choice, especially if spinal cord compr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.73.861.423

    authors: Pal B,Johnson A

    更新日期:1997-07-01 00:00:00

  • Chest pain--indigestion or impending heart attack?

    abstract::A high proportion (40%) of patients with definite myocardial ischaemia who were questioned on admission to a Cardiac Monitoring Unit had experienced preceding chest pain which had been misinterpreted by both the patients themselves and doctors as 'indigestion' and which had often been inappropriately treated. 'Indiges...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.60.703.338

    authors: Simpson FG,Kay J,Aber CP

    更新日期:1984-05-01 00:00:00

  • Changes in the prevalence of HBV infection in pregnant women in Turkey between 1995 and 2015: a 20-year evaluation.

    abstract:OBJECTIVE:To determine changes in hepatitis B virus (HBV) prevalence across three different time periods in pregnant women. METHODS:This was a retrospective study of pregnant women attending four healthcare centres between January 1995 and May 2015. Data for serum hepatitis B surface antigen (HBsAg) and anti-HBs level...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2015-133876

    authors: Furuncuoglu Y,Bolukbas FF,Bolukbas C,Torun P,Ozturk R

    更新日期:2016-09-01 00:00:00

  • Views of UK doctors in training on the timing of choosing a clinical specialty: quantitative and qualitative analysis of surveys 3 years after graduation.

    abstract:BACKGROUND:Workforce studies show a declining proportion of UK junior doctors proceeding directly to specialist training, with many taking career breaks. Doctors may be choosing to delay this important career decision. AIM:To assess doctors' views on the timing of choosing a clinical specialty. METHODS:Surveys of two...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2017-135460

    authors: Lachish S,Goldacre MJ,Lambert TW

    更新日期:2018-11-01 00:00:00

  • Shaken baby syndrome.

    abstract::Shaken baby syndrome is the most common cause of death or serious neurological injury resulting from child abuse. It is specific to infancy, when children have unique anatomic features. Subdural and retinal haemorrhages are markers of shaking injury. An American radiologist, John Caffey, coined the name whiplash shake...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pmj.78.926.732

    authors: Blumenthal I

    更新日期:2002-12-01 00:00:00

  • Ileo-caecal tuberculosis in immigrants.

    abstract::Four cases of ileo-caecal tuberculosis in Asian immigrants were seen in a 6-month period at The London Hospital. Although rare in Caucasians, this condition is an important cause of gastrointestinal symptoms in this ethnic group. Definitive diagnosis can frequently be made only by histological examination and culture ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.54.632.410

    authors: Croker J,Record CO,Wright JT

    更新日期:1978-06-01 00:00:00

  • First use of G-CSF in chlorpromazine-induced agranulocytosis: a report of two cases.

    abstract::Chlorpromazine-induced agranulocytosis is an uncommon disorder associated with a high frequency of fatality. We describe two patients with chlorpromazine-induced granulocytosis in whom granulocyte colony stimulating factor (G-CSF) administration enhanced the speed of neutrophil recovery. No toxicity was noted with G-C...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.817.885

    authors: Kendra JR,Rugman FP,Flaherty TA,Myers A,Horsfield N,Barton A,Russell L

    更新日期:1993-11-01 00:00:00

  • Chest pain and non-respiratory symptoms in acute asthma.

    abstract::The frequency and characteristics of chest pain and non-respiratory symptoms were investigated in patients admitted with acute asthma. One hundred patients with a mean admission peak flow rate of 38% normal or predicted were interviewed using a questionnaire. Chest pain occurred in 76% and was characteristically a dul...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.76.897.413

    authors: Edmondstone WM

    更新日期:2000-07-01 00:00:00

  • Synovial plicae of the knee joint: the role of advanced MRI.

    abstract::Synovial plicae are normal anatomical structures of the knee that may become symptomatic. MRI is an established technique for evaluating the anatomy of the knee, and it is a valuable tool for detecting plicae because of its high resolution resulting in increased tissue characterisation. At MRI, knee plicae appear as l...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2013-132176

    authors: Vassiou K,Vlychou M,Zibis A,Nikolopoulou A,Fezoulidis I,Arvanitis D

    更新日期:2015-01-01 00:00:00

  • How, and when, can I restrain a patient?

    abstract::The need to restrain service users will vary according to the area of practice within which practitioners are employed. Many of the principles that relate to the issue of restraining service users are, however, applicable to all, or most, health and social care settings. While the emphasis should be on pre-emptive act...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pmj.2003.007302

    authors: Horsburgh D

    更新日期:2004-01-01 00:00:00

  • A double-blind crossover trial of domperidone in chronic postprandial dyspepsia.

    abstract::A doubld-blind crossover study of oral domperidone (10 mg t.d.s.) involving 48 patients suffering from chronic postprandial dyspepsia, showed a significant relief of symptoms on active treatment compared to placebo. The trial lasted eight weeks, the crossover in medication taking place at four weeks. Side effects were...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Englert W,Schlich D

    更新日期:1979-01-01 00:00:00

  • The effect of oestradiol valerate and cyclic oestradiol valerate/DL-norgestrel on calcium metabolism.

    abstract::Fasting plasma and urinary calcium and urinary hydroxyproline are known to rise at the menopause, reflecting increased bone resorption. Oestradiol valerate and cyclic oestradiol valerate/DL-norgestrel are shown to reduce this evidence of increased bone loss. It is concluded that these preparations will be effective in...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Crilly RG,Marshall DH,Nordin BE

    更新日期:1978-01-01 00:00:00

  • Cryoglobulinaemic vasculitis: classification and clinical and therapeutic aspects.

    abstract::Cryoglobulinaemia may cause cutaneous vasculitis and glomerulonephritis, potentially leading to end stage renal failure. An important proportion of cryoglobulinaemias are secondary to hepatitis C virus infection. Emerging antiviral treatment options offer a chance for causal therapy of these cases of cryoglobulinaemia...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2006.046078

    authors: Braun GS,Horster S,Wagner KS,Ihrler S,Schmid H

    更新日期:2007-02-01 00:00:00

  • Cardiac troponin: more than meets the eye.

    abstract::Exercise is known to have a vast array of health benefits. It may however confer delirious effects on most body systems, with the cardiovascular system taking particular prominence. Athletes in particular are known to be at a higher risk for sudden cardiac death as a result of several cardiac adaptations which take pl...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2017-134984

    authors: Abela M,Sammut L

    更新日期:2017-12-01 00:00:00

  • Gonococcal tysonitis.

    abstract::A case of gonococcal urethritis with bilateral tysonitis is discussed. The patient was treated successfully with oral tetracycline 500 mg 6 hourly for 10 days, with a complete resolution. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.62.731.869

    authors: Abdul Gaffoor PM

    更新日期:1986-09-01 00:00:00

  • A review of amlodipine in myocardial ischaemia.

    abstract::Amlodipine is a dihydropyridine calcium antagonist with a unique pharmacokinetic profile providing advantages over other therapies of its kind. It has been shown to possess high oral absorption, long elimination half-life, smooth onset of action and long duration of pharmacodynamic activity. These properties result in...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Taylor SH

    更新日期:1991-01-01 00:00:00

  • Mediastinal carcinoid tumour with unusual manifestations.

    abstract::A rare case of mediastinal carcinoid tumour with superior vena cava obstruction, and osteolytic as well as osteoblastic secondaries in the bones is described. The relevant literature is reviewed. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.65.763.327

    authors: Aggarwal P,Sharma SK,Chattopadhyay TK,Mukhopadhyay AK

    更新日期:1989-05-01 00:00:00

  • In vitro fertilization of hamster eggs as a test system for drug effect on spermatozoa--lack of clomipramine effect.

    abstract::Clomipramine may affect reproduction in male rats and dogs, while other psychotropic drugs can affect sperm motility in vitro. This study investigates the motility of hamster sperm and the fertilization of hamster eggs in vitro with epididymal sperm from alpha-chlorohydrin-pretreated males, and after preincubation wit...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Stein DM,Schnieden H

    更新日期:1980-01-01 00:00:00

  • Cerebellar disturbance in psittacosis.

    abstract::A previously fit man developed psittacosis with marked cerebellar symptoms and signs. He was febrile but not confused, and he responded rapidly to treatment with erythromycin. Even if respiratory symptoms are minimal, psittacosis and other atypical pneumonias should be considered in any patient presenting with fever a...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.751.382

    authors: Shee CD

    更新日期:1988-05-01 00:00:00

  • Hyperosmolar non-ketotic diabetic coma and rhabdomyolysis.

    abstract::Rhabdomyolysis is a rare but potentially fatal complication of hyperosmolar states. We report a case of severe hyperosmolar non-ketotic diabetic coma causing rhabdomyolysis in a young man. Despite very high levels of creatine kinase there was no detectable myoglobinuria. Creatine kinase estimation should be a standard...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.70.819.44

    authors: Trump D,O'Hanlon S,Rinsler M,Sharp P

    更新日期:1994-01-01 00:00:00