Cardiovascular effects of local adrenaline infiltration during neurolept analgesia and adrenergic beta-receptor blockade in man.

Abstract:

:The adrenergic beta-receptor blocking drug, alprenolol, was given together with atropine to 15 patients during neurolept analgesia (NLA) in order to prevent adrenaline-induced cardiac arrhythmias. Four patients operated on without adrenergic beta-receptor blockade formed the control group. Three of them developed tachyarrhythmias, ventricular tachycardia, multifocal ventricular extrasystoles and supraventricular tachycardia. All these arrhythmias were terminated by the adrenergic beta-receptor blocking drug, propranolol. The fourth patient developed a temporary sinus tachycardia which did not require any treatment. The adrenergic beta-receptor blockade induced a slight increase in pulse rate with almost no change in arterial blood pressure. The incidence of arrhythmias due to adrenaline infiltration was much less in this group. There was one supraventricular tachycardia and scattered ventricular extrasystoles in two other patients. NLA alone does not protect the heart against adrenaline-induced arrhythmias. It does, however, seem to be compatible with an adrenergic beta-receptor blockade, which in turn provides partial protection against adrenaline-induced arrhythmias. The occasionally developing arrhythmias can then be terminated with specific adrenergic beta blockers.

authors

Pöntinen PJ

doi

10.1111/j.1399-6576.1978.tb01291.x

subject

Has Abstract

pub_date

1978-01-01 00:00:00

pages

145-53

issue

2

eissn

0001-5172

issn

1399-6576

journal_volume

22

pub_type

杂志文章
  • Calculation of end-tidal carbon dioxide fractions in the Bain system.

    abstract::The validity of the Stenqvist-Sonander formula for calculating the end-expiratory fraction of carbon dioxide (FACO2) in the coaxial Mapleson D (Bain) systems was evaluated using a lung model for simulated spontaneous breathing with an optional respiratory wave form. Two different respiratory flow patterns were used, o...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1989.tb02863.x

    authors: Jonsson LO,Zetterström H

    更新日期:1989-01-01 00:00:00

  • Magnesium-induced recurarisation after reversal of rocuronium-induced neuromuscular block with sugammadex.

    abstract::A 61-year-old woman (57 kg, 171 cm) underwent surgery under general anaesthesia with desflurane 5.8-6.1 vol. % end-tidal, remifentanil 0.2-0.4 μg/kg/min and rocuronium 35 mg (0.61 mg/kg). On return of the second twitch in the train-of-four (TOF) stimulation measured by acceleromyography, sugammadex 120 mg (2.1 mg/kg) ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12461

    authors: Unterbuchner C,Ziegleder R,Graf B,Metterlein T

    更新日期:2015-04-01 00:00:00

  • Venous air embolism retrieval catheters cannot capture bubbles; an air lock is required.

    abstract::Differently designed right atrial venous air embolism retrieval catheters were tested in vitro in clinical simulations to determine if increasing numbers of aspirating orifices enhance the recovery of air bubbles by aspirating through these catheters. Air bubbles of 1.5 to 2.0 mm diameter were directly observed to pas...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1996.tb04431.x

    authors: Gould DS,Gould DB

    更新日期:1996-02-01 00:00:00

  • Losartan increases renal blood flow during isoflurane anesthesia in sheep.

    abstract:BACKGROUND:Inhaled anesthetics cause a transient reversible depression of renal function by direct renal effects or indirectly by changes in neurohumoral systems or cardiovascular performance. When the sympathetic nervous activity is decreased during anesthesia, other vasoactive systems like vasopressin (AVP) and parti...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.450919.x

    authors: Ullman J,Eriksson S,Rundgren M

    更新日期:2001-10-01 00:00:00

  • Hemodynamic effects of vecuronium in patients with coronary artery disease.

    abstract::The hemodynamic effects of vecuronium 0.2 mg/kg were investigated in 11 patients with coronary artery disease. Vecuronium, at a dose double the ED90, produced 90% neuromuscular block in a mean time of 163 +/- 7 s, and was not associated with any significant hemodynamic changes. The results suggest that vecuronium can ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1986.tb02361.x

    authors: Baraka A,Chaya L

    更新日期:1986-01-01 00:00:00

  • Muscle glutathione metabolism during ischemia and reperfusion in patients undergoing aorto-bifemoral bypass surgery.

    abstract:BACKGROUND:After an ischemia time of 1 h during aortic aneurysm surgery, muscle glutathione redox-status is not altered, indicating that this ischemic insult is well within the scavenging capacity of muscle glutathione, the most important endogenous scavenger. In the present study, the impact of elective aorto-bifemora...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01021.x

    authors: Westman B,Johansson G,Söderlund K,Wernerman J,Hammarqvist F

    更新日期:2006-07-01 00:00:00

  • Adenosine infusion during isoflurane-nitrous oxide anaesthesia: indications of perioperative analgesic effect.

    abstract::Adenosine, an endogenous compound with a known antinociceptive effect when administered into the CNS, was applied in nine patients (21-65 years) by the peripheral intravenous route (70-130 micrograms.kg-1.min-1) as a replacement for peroperative opioids during inhalation anaesthesia for surgical procedures not requiri...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1992.tb03526.x

    authors: Sollevi A

    更新日期:1992-08-01 00:00:00

  • Intraperitoneal lidocaine for postoperative pain after laparoscopy.

    abstract:BACKGROUND:A controversy exists over the effectiveness and clinical value of intraperitoneal local anaesthetics for treating pain after laparoscopic cholecystectomy. The use of intraperitoneal lidocaine was evaluated in this study. METHODS:At the end of surgery, 200 ml saline containing 200 mg lidocaine, or the same v...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2000.440310.x

    authors: Elhakim M,Elkott M,Ali NM,Tahoun HM

    更新日期:2000-03-01 00:00:00

  • Hemodynamics and oxygen transport after partial and total blood exchange with pyridoxalated polyhemoglobin in dogs.

    abstract::The effects of a pyridoxalated polyhemoglobin solution (SFH-PLP)n-solution) on cardiovascular hemodynamics and oxygen transport were investigated in a model of partial and total blood exchange in seven dogs. Cardiac output, mean arterial pressure and heart rate were essentially unchanged, even after total blood exchan...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1985.tb02249.x

    authors: Hobbhahn J,Vogel H,Kothe N,Brendel W,Peter K,Jesch F

    更新日期:1985-07-01 00:00:00

  • The cytokine response in a patient undergoing surgery for an ACTH-producing tumor.

    abstract::The administration of glucocorticoids has been used to inhibit the cytokine production in patients undergoing cardiac surgery during cardiopulmonary bypass. In this case report the cytokine response in a 43-year-old man undergoing operation for an ACTH-producing lung tumor is presented. There had been clinical symptom...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04686.x

    authors: Höhndorf K,Toft P,Tønnesen E

    更新日期:1997-02-01 00:00:00

  • Haemodynamic and metabolic effects of resuscitation with Ringer's ethyl pyruvate in the acute phase of porcine endotoxaemic shock.

    abstract:BACKGROUND:Ethyl pyruvate has been shown to possess anti-inflammatory and free radical scavenging properties. However, the haemodynamic effects of ethyl pyruvate have not been studied in detail. We investigated the systemic, regional and microcirculatory haemodynamic and metabolic effects of resuscitation with Ringer's...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01140.x

    authors: Andersson A,Fenhammar J,Frithiof R,Sollevi A,Hjelmqvist H

    更新日期:2006-11-01 00:00:00

  • Anaesthesiological airway management in Denmark: assessment, equipment and documentation.

    abstract:BACKGROUND:Failed intubation remains one cause of anaesthesia-related morbidity and mortality. In a recent survey in Denmark, 20% of respondents reported preventable mishaps in airway management. METHODS:Assessment of the airway, and its documentation, as well as the availability of various equipment to manage a diffi...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-5172.2004.0337.x

    authors: Mellado PF,Thunedborg LP,Swiatek F,Kristensen MS

    更新日期:2004-03-01 00:00:00

  • Diaphragmatic activity during isoflurane anaesthesia in dogs.

    abstract::The effect of isoflurane administration on diaphragmatic activity was investigated in six anaesthetized mechanically ventilated dogs. Diaphragmatic strength was assessed by measuring the transdiaphragmatic pressure (Pdi) generated during supramaximal stimulation of both cervical phrenic nerves at frequencies of 0.5, 1...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1993.tb03710.x

    authors: Ide T,Kochi T,Isono S,Mizuguchi T

    更新日期:1993-04-01 00:00:00

  • Effects of epinephrine and clonidine on plasma concentrations of spinal bupivacaine.

    abstract::ASA II-III patients, scheduled for peripheral vascular surgery, were included in a study designed to assess the effect of spinal epinephrine and clonidine on plasma concentrations of spinally administered 0.5% glucose-free bupivacaine. Patients were allocated randomly to three groups to receive via a spinal catheter 2...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1992.tb03544.x

    authors: Boico O,Bonnet F,Mazoit JX

    更新日期:1992-10-01 00:00:00

  • Stroke volume variation does not predict fluid responsiveness in patients with septic shock on pressure support ventilation.

    abstract:BACKGROUND:Stroke volume variation (SVV)--as measured by the pulse contour cardiac output (PiCCO) system--predicts the cardiac output response to a fluid challenge in patients on controlled ventilation. Whether this applies to patients on pressure support ventilation is unknown. METHODS:Thirty consecutive patients wit...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-6576.2006.01120.x

    authors: Perner A,Faber T

    更新日期:2006-10-01 00:00:00

  • Caudal analgesia for prostate biopsy.

    abstract:BACKGROUND:Although various local anesthesia techniques have been suggested to decrease pain and discomfort during a transrectal ultrasound (TRUS)-guided prostate biopsy, the best method has not yet been defined. The present prospective, double-blind, randomized study aims to investigate the clinical efficacy of 'walki...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2009.02168.x

    authors: Cesur M,Yapanoglu T,Erdem AF,Ozbey I,Alici HA,Aksoy Y

    更新日期:2010-05-01 00:00:00

  • Sevoflurane vs. propofol in post-operative catheter-related bladder discomfort: a prospective randomized study.

    abstract:BACKGROUND:Post-operative catheter-related bladder discomfort (CRBD) causes increased emergence agitation. Muscarinic receptor activation is a major mechanism in CRBD development. Experimental studies showed that sevoflurane has anti-muscarinic effects whereas propofol does not. Our hypothesis was that sevoflurane anae...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12922

    authors: Kim HC,Park HP,Lee J,Jeong MH,Lee KH

    更新日期:2017-08-01 00:00:00

  • Electrophysiological effects of desflurane in children with Wolff-Parkinson-White syndrome: a randomized crossover study.

    abstract:BACKGROUND:We hypothesized that, compared with propofol, desflurane prolongs the antegrade accessory pathway effective refractory period (APERP) in children undergoing radiofrequency catheter ablation for Wolff-Parkinson-White (WPW) syndrome. METHODS:In this randomized crossover study, children aged 4.1-16.1 years und...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.13023

    authors: Hino H,Oda Y,Yoshida Y,Suzuki T,Shimada M,Nishikawa K

    更新日期:2018-02-01 00:00:00

  • Relationship between stroke volume, cardiac output and filling of the heart during tilt.

    abstract:BACKGROUND:Cardiac function curves are widely accepted to apply to humans but are not established for the entire range of filling of the heart that can be elicited during head-up (HUT) and head-down tilt (HDT), taken to represent minimal and maximal physiological filling of the heart, respectively. With the supine rest...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2009.02062.x

    authors: Bundgaard-Nielsen M,Sørensen H,Dalsgaard M,Rasmussen P,Secher NH

    更新日期:2009-11-01 00:00:00

  • Effects of a leucocyte depleting arterial line filter on perioperative proteolytic enzyme and oxygen free radical release in patients undergoing aortocoronary bypass surgery.

    abstract:BACKGROUND:Proteolytic enzymes and oxygen free radicals released from activated leucocytes contribute significantly to the organ dysfunction associated with cardiopulmonary bypass. Leucocyte depletion during extracorporeal circulation should reduce the release of these toxic compounds and thereby improve postbypass myo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.1999.430414.x

    authors: Mair P,Hoermann C,Mair J,Margreiter J,Puschendorf B,Balogh D

    更新日期:1999-04-01 00:00:00

  • Sister chromatid exchanges in lymphocytes in operating room personnel.

    abstract::Sister chromatid exchanges (SCE) and sister chromatid exchange points (SCE-points) were counted in lymphocytes in peripheral blood drawn from hospital personnel exposed to anesthetics as well as from persons not exposed. A total of 38 healthy persons were investigated, representing female nurse anaesthetists, male phy...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1980.tb01498.x

    authors: Husum B,Wulf HC

    更新日期:1980-01-01 00:00:00

  • Preoperative anaesthesia triage with a patient-centred system-A prospective clinical study.

    abstract:BACKGROUND:Increase in day surgery has challenged preoperative anaesthesia with need to identify a few high-risk patients requiring detailed preoperative intervention. We aimed to assess if a nurse-administered Preoperative Patient-centred Anaesthesia System (Pre-PAS) could identify high-risk patients, defined as ASA s...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13678

    authors: Molin C,Rovsing ML,Meyhoff CS

    更新日期:2020-11-01 00:00:00

  • Midazolam does not potentiate the effect of vecuronium in patients.

    abstract::Reports of midazolam interaction with vecuronium in animals prompted us to compare midazolam (0.25 mg kg-1) with thiopentone (5 mg kg-1) for possible interactions with vecuronium in patients, when used for induction of anaesthesia. After the administration of either of the two induction agents, the patients received v...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1989.tb02908.x

    authors: Husby P,Vamnes JS,Rodt SA,Rørvik K,Koller ME,Gramstad L

    更新日期:1989-05-01 00:00:00

  • Washout of sevoflurane from the GE Avance and Amingo Carestation anesthetic machines.

    abstract:BACKGROUND:Inhalational anesthetics must be removed from anesthetic machines to prevent malignant hyperthermia (MH) in susceptible patients or to treat MH occurring during inhalational general anesthesia. This study examines the sevoflurane washout from the GE Avance and Amingo Carestations™. METHODS:The care stations...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2011.02506.x

    authors: Brünner HW,Pohl S,Grond S

    更新日期:2011-10-01 00:00:00

  • Atelectasis and lung function in the postoperative period.

    abstract::Thirteen patients with healthy hearts and lungs, and with a mean age of 68 years, who were scheduled for lower abdominal surgery during isoflurane anaesthesia with muscular paralysis, were investigated with arterial blood gases, spirometry, pulmonary x-ray and computed tomography (CT) of the chest before and during an...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1992.tb03516.x

    authors: Lindberg P,Gunnarsson L,Tokics L,Secher E,Lundquist H,Brismar B,Hedenstierna G

    更新日期:1992-08-01 00:00:00

  • Propofol reduces emesis after sufentanil supplemented anaesthesia in paediatric squint surgery.

    abstract:BACKGROUND:Squint surgery is associated with a high incidence of postoperative emesis. The purpose of this prospective study was to examine the influence of propofol and isoflurane anaesthesia on the incidence of postoperative nausea and vomiting in children. METHODS:Ninety children aged 3-10 years were randomly alloc...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1996.tb04519.x

    authors: Standl T,Wilhelm S,von Knobelsdorff G,Schulte am Esch J

    更新日期:1996-07-01 00:00:00

  • Pneumoperitoneum--a rare complication of cardiopulmonary resuscitation.

    abstract::Pneumoperitoneum following cardiopulmonary resuscitation (CPR) results from a thoracic air leak (pneumothorax, pneumomediastinum) with escape of the air through diaphragmatic apertures (mostly foramen of Winslow) or primary perforation of the gastrointestinal tract (stomach or esophagus). We report three cases of pneu...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1991.tb03279.x

    authors: Hartoko TJ,Demey HE,Rogiers PE,Decoster HL,Nagler JM,Bossaert LL

    更新日期:1991-04-01 00:00:00

  • Effects of droperidol on peripheral vasculature: use of cardiopulmonary bypass as a study model.

    abstract::The effects of droperidol on the systemic vascular resistance (SVR) and the venous capacitance were studied during cardiopulmonary bypass (CPB) in 24 patients. CPB was performed with either pulsatile or non-pulsatile flow. During non-pulsatile flow, droperidol (0.15 mg X kg-1 and 0.30 mg X kg-1) decreased SVR and incr...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1987.tb02586.x

    authors: Videcoq M,Desmonts JM,Marty J,Hazebroucq J,Langlois J

    更新日期:1987-07-01 00:00:00

  • Combined spinal and epidural anesthesia for cesarean section in a parturient with moyamoya disease.

    abstract::We present the case of a parturient with moyamoya disease admitted to the hospital for elective cesarean section. Combined spinal and epidural technique was chosen because it allows better analgesia than epidural anesthesia and more hemodynamic stability than either general or spinal anesthesia. Ropivacaine was the lo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05388.x

    authors: Abouleish E,Wiggins M,Ali V

    更新日期:1998-10-01 00:00:00

  • Epidural ropivacaine and sufentanil and the perioperative stress response after a radical retropubic prostatectomy.

    abstract:BACKGROUND:The effects of an epidural opioid and a local anesthetic on the perioperative stress responses have not been fully investigated in elderly patients undergoing cancer surgery. We hypothesized that the stress response after a radical retropubic prostatectomy (RRP) would be attenuated by epidural ropivacaine an...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2010.02360.x

    authors: Hong JY,Yang SC,Yi J,Kil HK

    更新日期:2011-03-01 00:00:00