The effect of naloxone on the hemodynamics of the newborn piglet with septic shock.

Abstract:

:Naloxone has been shown to reverse the hemodynamic sequelae of experimental septic shock in adult animal models. Its effectiveness in the newborn has not been studied. To further investigate the efficacy of naloxone, we instrumented 18 piglets for continuous measurement of mean arterial pressure, mean pulmonary arterial pressure, central venous pressure, heart rate, left ventricular pressure, contractility, cardiac output, and O2. Oxygen consumption, systemic vascular resistance, and pulmonary vascular resistance were calculated. Following a stabilization period, group B beta-hemolytic Streptococci were infused over 30 min. Following the infusion, naloxone (1 mg/kg) was given followed by a continuous infusion of 1 mg/kg/h in nine treatment animals. Nine control animals were given an equal volume of saline. Both groups developed significant increases in mean pulmonary arterial pressure followed by a return to baseline. Oxygen consumption, cardiac output, contractility and mean arterial pressure decreased in both groups. Treatment with naloxone was associated with a cessation in the fall in the mean arterial pressure and the contractility. The difference in mean arterial pressure and contractility between groups was significant. The naloxone group had significantly improved 5-h survival. We speculate that naloxone may reverse some of the hemodynamic sequelae and improve survival in newborns with septic shock.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Miller RR,Menke JA,Hansen NB,Zwick DL,Bickers RG,Nowicki PT

doi

10.1203/00006450-198608000-00001

subject

Has Abstract

pub_date

1986-08-01 00:00:00

pages

707-10

issue

8

eissn

0031-3998

issn

1530-0447

journal_volume

20

pub_type

杂志文章
  • NeoDoppler: New ultrasound technology for continous cerebral circulation monitoring in neonates.

    abstract:BACKGROUND:There is a strong need for continuous cerebral circulation monitoring in neonatal care, since suboptimal cerebral blood flow may lead to brain injuries in preterm infants and other critically ill neonates. NeoDoppler is a novel ultrasound system, which can be gently fixed to the anterior fontanel and measure...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-019-0535-0

    authors: Vik SD,Torp H,Follestad T,Støen R,Nyrnes SA

    更新日期:2020-01-01 00:00:00

  • Effects of a period of asphyxia during birth on spatial learning in the rat.

    abstract::The present study aimed to test whether an acute period of asphyxia during birth in the rat results in long-term alterations in CNS function. Morphologic studies have indicated that the hippocampus is particularly vulnerable to perinatal anoxia. Thus, the present study tested adult rats, which had undergone acute birt...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199504000-00018

    authors: Boksa P,Krishnamurthy A,Brooks W

    更新日期:1995-04-01 00:00:00

  • Ethylmalonic aciduria is associated with an amino acid variant of short chain acyl-coenzyme A dehydrogenase.

    abstract::Ethylmalonic aciduria is a common biochemical finding in patients with inborn errors of short chain fatty acid beta-oxidation. The urinary excretion of ethylmalonic acid (EMA) may stem from decreased oxidation by short chain acyl-CoA dehydrogenase (SCAD) of butyryl-CoA, which is alternatively metabolized by propionyl-...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199606000-00021

    authors: Corydon MJ,Gregersen N,Lehnert W,Ribes A,Rinaldo P,Kmoch S,Christensen E,Kristensen TJ,Andresen BS,Bross P,Winter V,Martinez G,Neve S,Jensen TG,Bolund L,Kølvraa S

    更新日期:1996-06-01 00:00:00

  • Developmental expression of calcitriol receptors, 9-kilodalton calcium-binding protein, and calcidiol 24-hydroxylase in human intestine.

    abstract::Human intestinal mucosa consists of highly active epithelial cells in continual renewal and differentiation processes located at different portions of the villi. The crypt contains abundant replicating cells which, upon reaching the villus tip, acquire their fully differentiated state. Besides its well recognized role...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199611000-00004

    authors: Delvin EE,Lopez V,Levy E,Ménard D

    更新日期:1996-11-01 00:00:00

  • Dairy product intake decreases bone resorption following a 12-week diet and exercise intervention in overweight and obese adolescent girls.

    abstract:BACKGROUND:We examined whether increased dairy intake was associated with changes in the levels of bone-related biochemical markers in overweight/obese adolescent girls undergoing a 12-week diet and exercise intervention. METHODS:Thirty-five girls were assigned to a low dairy group (LDa; 0-2 servings/day; n = 16) or a...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-0834-5

    authors: Josse AR,Ludwa IA,Kouvelioti R,Calleja M,Falk B,Ward WE,Klentrou P

    更新日期:2020-12-01 00:00:00

  • Effect of racemic epinephrine on ventilatory function in the neonate postextubation.

    abstract::The use of nebulized racemic epinephrine to improve ventilatory function in the newborn postextubation was studied. Forty-five infants intubated for more than 3 days were randomized to receive racemic epinephrine by nebulization immediately postextubation or to receive only warmed, humidified gas. Measurements of air ...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1203/00006450-198704000-00012

    authors: Courtney SE,Wachtl JP,Hopson JF,Siervogel RM

    更新日期:1987-04-01 00:00:00

  • Increased red cell aggregation does not reduce uteroplacental blood flow in the awake, hemoconcentrated, late-pregnant guinea pig.

    abstract::The effect of increased red blood cell aggregation on uteroplacental blood flow was studied in 11 awake, late-pregnant guinea pigs. The aggregation of the red cells was increased by administering high molecular weight dextran (HMWD) to the previously hemoconcentrated animal. The purpose of the hemoconcentration before...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199201000-00017

    authors: Verkeste CM,Boekkooi PF,Saxena PR,Peeters LL

    更新日期:1992-01-01 00:00:00

  • Selective losses of brainstem catecholamine neurons after hypoxia-ischemia in the immature rat pup.

    abstract::Hypoxic-ischemic (HI) injury in the preterm neonate incurs numerous functional deficits, however little is known about the neurochemically-defined brain nuclei that may underpin them. Key candidates are the brainstem catecholamine neurons. Using an immature animal model, the postnatal day (P)-3 (P3) rat pup, we invest...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e3181659774

    authors: Buller KM,Wixey JA,Pathipati P,Carty M,Colditz PB,Williams CE,Scheepens A

    更新日期:2008-04-01 00:00:00

  • Fetal leptin influences birth weight in twins with discordant growth.

    abstract::The objective of this study was to determine the plasma leptin concentrations in twin pregnancies in relation to chorionicity and discordant fetal growth. We studied 53 twin pregnancies of which 26 had growth discordance of > or =20% and 27 were concordant for growth (discordance of < or =10%). Paired maternal and fet...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200105000-00010

    authors: Sooranna SR,Ward S,Bajoria R

    更新日期:2001-05-01 00:00:00

  • Vitamin K-dependent carboxylase activity in fetal rat lung: developmental effects of dexamethasone and triiodothyronine.

    abstract::Dexamethasone (Dex) and triiodothyronine (T3) were administered to pregnant rats during late gestation to evaluate potential developmental effects on fetal lung vitamin K-dependent carboxylation. Maternal rats were injected on the 2 d before study with Dex (0.2 mg/kg intraperitoneally), with T3 (0.7, 3.5, or 7 mg/kg i...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198905000-00021

    authors: Gallaher KJ,Rannels DE,Rannels SR

    更新日期:1989-05-01 00:00:00

  • Novel red cell indices indicating reduced availability of iron are associated with high erythropoietin concentration and low ph level in the venous cord blood of newborns.

    abstract::There is evidence that an elevated erythropoietin (EPO) concentration is associated with signs of iron deficient erythropoiesis. The aim of this study was to evaluate the iron status by means of novel cellular indices and serum iron markers and to determine whether these are associated with EPO and pH in the venous co...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e318179957d

    authors: Ervasti M,Sankilampi U,Heinonen S,Punnonen K

    更新日期:2008-08-01 00:00:00

  • Immune deficiency in fetal alcohol syndrome.

    abstract::In a review of 13 documented cases of fetal alcohol syndrome (FAS), an increased incidence of life-threatening bacterial infections as well as a propensity to minor infections was observed. Five of 13 patients had had at least one episode of pneumonia, two had meningitis, and one had sepsis. A comprehensive immunologi...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198106000-00005

    authors: Johnson S,Knight R,Marmer DJ,Steele RW

    更新日期:1981-06-01 00:00:00

  • Glucosylsphingosine accumulation in mice and patients with type 2 Gaucher disease begins early in gestation.

    abstract::Gaucher disease, the most common of the sphingolipidoses, results from the inherited deficiency of the enzyme glucocerebrosidase (EC 3.2.1.45). Although type 2 (acute neuronopathic) Gaucher disease is associated with rapidly progressive and fatal neurologic deterioration, the pathophysiologic mechanisms leading to the...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200008000-00018

    authors: Orvisky E,Sidransky E,McKinney CE,Lamarca ME,Samimi R,Krasnewich D,Martin BM,Ginns EI

    更新日期:2000-08-01 00:00:00

  • Caffeine administration modulates TGF-β signaling but does not attenuate blunted alveolarization in a hyperoxia-based mouse model of bronchopulmonary dysplasia.

    abstract:BACKGROUND:Caffeine is widely used to manage apnea of prematurity, and reduces the incidence of bronchopulmonary dysplasia (BPD). Deregulated transforming growth factor (TGF)-β signaling underlies arrested postnatal lung maturation in BPD. It is unclear whether caffeine impacts TGF-β signaling or postnatal lung develop...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2017.21

    authors: Rath P,Nardiello C,Surate Solaligue DE,Agius R,Mižíková I,Hühn S,Mayer K,Vadász I,Herold S,Runkel F,Seeger W,Morty RE

    更新日期:2017-05-01 00:00:00

  • Immune response to herpes simplex virus in patients with recurrent herpes labialis. II. Relationship between interferon production and cytotoxic responses.

    abstract::The relationship between the development of cytotoxic cellular immune response to herpes simplex virus type I (HSV-1)-infected autologous cells and the production of interferon (IFN) was studied using in vitro secondary sensitization of peripheral blood leukocytes in subjects with recurrent herpes labialis (RHL) and i...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198609000-00020

    authors: Tsutsumi H,Bernstein JM,Riepenhoff-Talty M,Ogra PL

    更新日期:1986-09-01 00:00:00

  • Effect of human milk or formula on gastric function and fat digestion in the premature infant.

    abstract::The effect of diet, human milk or formula, on gastric function (lipase and pepsin activity, pH, and volume) and intragastric digestion of fat was assessed in 28 appropriate for gestational age preterm infants (gestational age, 28.9 +/- 1.4, 29.1 +/- 0.9, 29.5 +/- 0.6 wk; birth weight, 1.00 +/- 0.14 to 1.18 +/- 0.07 kg...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1203/00006450-199609000-00011

    authors: Armand M,Hamosh M,Mehta NR,Angelus PA,Philpott JR,Henderson TR,Dwyer NK,Lairon D,Hamosh P

    更新日期:1996-09-01 00:00:00

  • Perioperative levels of total IgE correlate with outcomes of prolonged mechanical ventilation after cardiopulmonary bypass in pediatric patients.

    abstract:BACKGROUND:Although cardiopulmonary bypass (CPB) has been previously studied as risking infection and inflammatory responses, few studies evaluate the relationship of preoperative high total immunoglobulin E (tIgE) to outcomes in pediatric patients predisposed to atopy undergoing cardiac surgery with CPB. METHODS:Seru...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-018-0048-2

    authors: Li Y,Zhu L,Chen J,Singson MTG,Rui X,Li N,Zhou L,Liu J

    更新日期:2018-11-01 00:00:00

  • Cultured skin fibroblasts derived from patients with mucolipidosis 4 are auto-fluorescent.

    abstract::Mucolipidosis 4 (ML4) is an autosomal recessive disorder with both lipid and mucopolysaccharide storage. The disease is characterized by severe visual impairment and psychomotor retardation. In our effort to find a phenotypic marker for ML4 fibroblasts, living cells were stained with fluorescent compounds. The stainin...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199506000-00003

    authors: Goldin E,Blanchette-Mackie EJ,Dwyer NK,Pentchev PG,Brady RO

    更新日期:1995-06-01 00:00:00

  • Effect of increased lung expansion on surfactant protein mRNA levels in lambs.

    abstract::Increased fetal lung expansion profoundly inhibits surfactant protein gene expression and stimulates cellular proliferation in the fetal lung. Our aim was to determine whether increased expansion of the lung after birth, by the application of a continuous positive airway pressure (CPAP) for 12 h, inhibits surfactant p...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-200112000-00015

    authors: Lines AL,Davey MG,Harding R,Hooper SB

    更新日期:2001-12-01 00:00:00

  • Novel kinetic insights into treatment of unconjugated hyperbilirubinemia: phototherapy and orlistat treatment in Gunn rats.

    abstract::Treatment with phototherapy or with the lipase inhibitor orlistat decreases plasma unconjugated bilirubin (UCB) concentrations in hyperbilirubinemic Gunn rats. We investigated the mechanism(s) underlying the effects of orlistat, phototherapy, and combined treatment, using steady-state 3H-UCB kinetics. After three week...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.pdr.0000203180.79636.98

    authors: Hafkamp AM,Havinga R,Ostrow JD,Tiribelli C,Pascolo L,Sinaasappel M,Verkade HJ

    更新日期:2006-04-01 00:00:00

  • Bone histomorphometry in children with newly diagnosed acute lymphoblastic leukemia.

    abstract::The objective of this study was to obtain insight into bone formation and resorption in children with newly diagnosed untreated acute lymphoblastic leukemia (ALL). In 23 consecutive children with ALL, a bone biopsy was taken from the crista iliaca posterior under ketamine anesthesia, together with the diagnostic marro...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000090929.16450.DE

    authors: Leeuw JA,Koudstaal J,Wiersema-Buist J,Kamps WA,Timens W

    更新日期:2003-12-01 00:00:00

  • Brainstem bilirubin toxicity in the newborn primate may be promoted and reversed by modulating PCO2.

    abstract::The auditory brainstem response (ABR) was monitored during infusion of bilirubin in six ventilated newborn rhesus monkeys (138-145 d gestation) while acute changes in pH were produced by varying inspired CO2. Prolonged respiratory acidosis without bilirubin infusion produced minimal changes in the ABR (one animal). CO...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199307000-00002

    authors: Wennberg RP,Gospe SM Jr,Rhine WD,Seyal M,Saeed D,Sosa G

    更新日期:1993-07-01 00:00:00

  • Human milk immunomodulatory proteins are related to development of infant body composition during the first year of lactation.

    abstract:BACKGROUND:To investigate relationships between infant body composition (BC) and human milk (HM) immunomodulatory proteins (IMPs) during the first 12 months of lactation. METHODS:BC of breastfeeding dyads (n = 20) was measured with ultrasound skinfolds (infants) and bioimpedance spectroscopy (infants/mothers) at 2, 5,...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-0961-z

    authors: Gridneva Z,Lai CT,Rea A,Tie WJ,Ward LC,Murray K,Hartmann PE,Geddes DT

    更新日期:2020-05-21 00:00:00

  • Cardiac ion channel gene mutations in sudden infant death syndrome.

    abstract::Sudden infant death syndrome (SIDS) is multifactorial and may result from the interaction of a number of environmental, genetic, and developmental factors. We studied three major genes causing long QT syndrome in 42 Japanese SIDS victims and found five mutations, KCNQ1-K598R, KCNH2-T895M, SCN5A-F532C, SCN5A-G1084S, an...

    journal_title:Pediatric research

    pub_type: 杂志文章,多中心研究

    doi:10.1203/PDR.0b013e3181841eca

    authors: Otagiri T,Kijima K,Osawa M,Ishii K,Makita N,Matoba R,Umetsu K,Hayasaka K

    更新日期:2008-11-01 00:00:00

  • Yeast opsonisation and complement in children with liver disease. Analysis of 69 cases.

    abstract::Opsonisation of heat-killed bakers yeast and C3 and C4 concentrations were determined in sera from 69 children with liver disease and 39 controls as simple screening procedures for abnormalities in the complement system. Where significant defects in these moieties were encountered, the activity of the following was me...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198304000-00014

    authors: Larcher VF,Wyke RJ,Vergani D,Mowat AP,Williams R

    更新日期:1983-04-01 00:00:00

  • Association between pesticide usage during pregnancy and neonatal hyperbilirubinemia requiring treatment: the Japan Environment and Children's Study.

    abstract:BACKGROUND:Maternal exposure to pesticides during pregnancy may cause oxidative hemolysis leading to neonatal hyperbilirubinemia. This investigation examined for associations between maternal use of pesticides or repellents during pregnancy and neonatal hyperbilirubinemia requiring phototherapy. METHODS:We used the da...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-1100-6

    authors: Shibazaki T,Motoki N,Misawa Y,Ohira S,Inaba Y,Kanai M,Kurita H,Nakazawa Y,Tsukahara T,Nomiyama T,Japan Environment & Children’s Study (JECS) Group.

    更新日期:2020-08-05 00:00:00

  • Evaluation of two kinds of smallpox vaccine: CVI-78 and calf lymph vaccine. I. Clinical and serologic response to primary vaccination.

    abstract::A comparative study of two smallpox vaccines, standard calf lymph vaccine, and an attenuated vaccine, CVI-78, was performed in 95 children. Primary vaccination with CVI-78 resulted in a more attenuated response than primary vaccination with standard vaccine. Sixty-one percent of those vaccinated with CVI-78 and 96 per...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197508000-00002

    authors: Wesley RB,Speers WC,Neff JM,Ruben FL,Lourie B

    更新日期:1975-08-01 00:00:00

  • Fructose-induced hyperuricemia: observations in normal children and in patients with hereditary fructose intolerance and galactosemia.

    abstract::After the infusion of fructose, 0.25 g/kg body wt, the mean peak plasma uric acid level was 5.4 +/- 0.7 (SEM) mg/100 ml in six normal children and was not significantly increased compared with that of the mean basal value of 4.1 +/- 0.5 mg/100 ml. The mean blood inorganic phosphate (Pi) levels were significantly less ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-197510000-00005

    authors: Kogut MD,Roe TF,Ng W,Nonnel GN

    更新日期:1975-10-01 00:00:00

  • Lipoprotein changes in relation to body mass index in Native American adolescents.

    abstract::In view of their known high incidence of noninsulin dependent diabetes (NIDDM), we sought to determine whether Native American (Plains Indian) children and adolescents show evidence of risk factors for both NIDDM and cardiovascular disease. Children and adolescents between the ages of 4 and 19 y were recruited, and fi...

    journal_title:Pediatric research

    pub_type: 临床试验,杂志文章

    doi:10.1203/00006450-199607000-00014

    authors: Blackett PR,Taylor T,Russell D,Lu M,Fesmire J,Lee ET

    更新日期:1996-07-01 00:00:00

  • Spontaneous premature birth as a target of genomic research.

    abstract::Spontaneous preterm birth is a serious and common pregnancy complication associated with hormonal dysregulation, infection, inflammation, immunity, rupture of fetal membranes, stress, bleeding, and uterine distention. Heredity is 25-40% and mostly involves the maternal genome, with contribution of the fetal genome. Si...

    journal_title:Pediatric research

    pub_type: 杂志文章,评审

    doi:10.1038/s41390-018-0180-z

    authors: Hallman M,Haapalainen A,Huusko JM,Karjalainen MK,Zhang G,Muglia LJ,Rämet M

    更新日期:2019-03-01 00:00:00