Comparison between glycopyrrolate and atropine in a mixture with neostigmine for reversal of neuromuscular blockade. Studies in patients following open heart surgery.

Abstract:

:Atropine and glycopyrrolate were compared in a mixture with neostigmine for reversal of neuromuscular blockade in patients undergoing open heart surgery. In patients not receiving beta-blocking drugs, glycopyrrolate was shown to possess advantages over atropine in terms of a lower initial increase in heart rate, better protection against the muscarinic effects of neostigmine, and smaller increases in rate-pressure product. The concomitant administration of beta-adrenergic blocking therapy significantly attenuated the effect of reversal on heart rate and the differences between atropine and glycopyrrolate were not significant. There was no difference in the incidence of arrhythmias between patients who received beta-blocking drugs and those who did not.

journal_name

Br J Anaesth

authors

Salem MG,Richardson JC,Meadows GA,Lamplugh G,Lai KM

doi

10.1093/bja/57.2.184

subject

Has Abstract

pub_date

1985-02-01 00:00:00

pages

184-7

issue

2

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)41489-9

journal_volume

57

pub_type

杂志文章
  • Serum cholinesterase: effect on the action of suxamethonium following administration to a patient with cholinesterase deficiency.

    abstract::Purified serum cholinesterase 90 mg was administered to a patient with cholinesterase deficiency. The effect on the action of suxamethonium was studied. The half-life (44.7 h), time constant (64.5 h), rate constant (0.0155 h-1) and distribution volume (2740 ml) of the cholinesterase activity were determined. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/49.3.269

    authors: Schuh FT

    更新日期:1977-03-01 00:00:00

  • A preliminary investigation of the renal and hepatic excretion of gallamine triethiodide in man.

    abstract::The fate of gallamine triethiodide has been investigated in patients undergoing cholecystectomy with choledochostomy (group I), pelvic operations (group II) and orthopaedic operations (group III). Following a single i.v. injection of gallamine 2.5 mg kg(-1) the disappearance of the drug from the serum occurred in thre...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/50.4.345

    authors: Agoston S,Vermeer GA,Kersten UW,Scaf AH

    更新日期:1978-04-01 00:00:00

  • The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia.

    abstract:BACKGROUND:Anaesthetic drugs act at sites within the brain that undergo profound changes during typical ageing. We postulated that anaesthesia-induced brain dynamics observed in the EEG change with age. METHODS:We analysed the EEG in 155 patients aged 18-90 yr who received propofol (n=60) or sevoflurane (n=95) as the ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aev213

    authors: Purdon PL,Pavone KJ,Akeju O,Smith AC,Sampson AL,Lee J,Zhou DW,Solt K,Brown EN

    更新日期:2015-07-01 00:00:00

  • The proseal laryngeal mask: results of a descriptive trial with experience of 300 cases.

    abstract:BACKGROUND:The ProSeal laryngeal mask airway (PLMA) is a new laryngeal mask device with a modified cuff and a drainage tube. METHODS:We assessed the PLMA in 300 anaesthetized adults either paralysed or breathing spontaneously. We assessed insertion characteristics, airway seal pressures, haemodynamic response to inser...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/88.4.534

    authors: Evans NR,Gardner SV,James MF,King JA,Roux P,Bennett P,Nattrass R,Llewellyn R,Visu D

    更新日期:2002-04-01 00:00:00

  • Changing body position alters the location of the spinal cord within the vertebral canal: a magnetic resonance imaging study.

    abstract:BACKGROUND:The influence of changes in body position relevant to neuraxial blockade on the location of the spinal cord and related neural structures has not been fully quantified. Our aim was to determine the changes, if any, that occur in the location of the spinal cord tip [equivalent to the tip of the conus medullar...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aen295

    authors: Ranger MR,Irwin GJ,Bunbury KM,Peutrell JM

    更新日期:2008-12-01 00:00:00

  • Efficacy of varying concentrations of hyaluronidase in peribulbar anaesthesia.

    abstract::We have compared the efficacy of adding varying concentrations of hyaluronidase to a standard mixture of 2% lidocaine and 1% ropivacaine to provide peribulbar anaesthesia for cataract surgery. We used (i) the time to adequate anaesthesia for surgery and (ii) ocular and eyelid movement scores at 8 min after block as cl...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/86.6.876

    authors: Mantovani C,Bryant AE,Nicholson G

    更新日期:2001-06-01 00:00:00

  • Effect of sevoflurane anaesthesia on plasma concentrations of glutathione S-transferase.

    abstract::To assess the effect of sevoflurane anaesthesia on hepatocellular integrity, we measured plasma concentrations of glutathione S-transferase (GST) before anaesthesia and 1, 3, 6 and 24 h after the end of anaesthesia in 41 healthy, Japanese patients undergoing elective, body surface surgery. Sevoflurane (approximately 1...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/77.3.404

    authors: Ray DC,Bomont R,Mizushima A,Kugimiya T,Forbes Howie A,Beckett GJ

    更新日期:1996-09-01 00:00:00

  • A dose-response study with nalbuphine hydrochloride for pain in patients after upper abdominal surgery.

    abstract::Six male patients were studied on the morning following upper abdominal surgery for highly selective vagotomy. Nalbuphine hydrochloride was infused i.v. at different rates that increased progressively in each hour over a 4-h period. In the last 15 min of each hour, the plasma nalbuphine concentrations were almost stea...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/59.11.1356

    authors: Pugh GC,Drummond GB

    更新日期:1987-11-01 00:00:00

  • Remifentanil does not impair left ventricular systolic and diastolic function in young healthy patients.

    abstract:BACKGROUND:Experimental studies and investigations in patients with cardiac diseases suggest that opioids at clinical concentrations have no important direct effect on myocardial relaxation and contractility. In vivo data on the effect of remifentanil on myocardial function in humans are scarce. This study aimed to inv...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeq414

    authors: Bolliger D,Seeberger MD,Kasper J,Skarvan K,Seeberger E,Lurati Buse G,Buser P,Filipovic M

    更新日期:2011-04-01 00:00:00

  • Neuromuscular and cardiovascular effects of atracurium during nitrous oxide-fentanyl and nitrous oxide-isoflurane anaesthesia.

    abstract::The neuromuscular and cardiovascular effects of atracurium were compared during nitrous oxide-isoflurane and nitrous oxide-fentanyl anaesthesia in healthy surgical patients. The dose-response curve was shifted significantly to the left during nitrous oxide-isoflurane anaesthesia (ED50 0.068 mg kg-1) as compared with n...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Rupp SM,Fahey MR,Miller RD

    更新日期:1983-01-01 00:00:00

  • Use of post-tetanic count in assessment of a repetitive vecuronium-induced neuromuscular block.

    abstract::In order to evaluate the use of the post-tetanic count (PTC) method during repetitive administration of vecuronium, we studied 20 patients allocated randomly to one of two groups: 10 patients received droperidol-fentanyl anaesthesia (control group); 10 other patients were given droperidol-fentanyl anaesthesia modified...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/65.4.487

    authors: Eriksson LI,Lennmarken C,Staun P,Viby-Mogensen J

    更新日期:1990-10-01 00:00:00

  • Electrical stimulation in chronic low-back pain.

    abstract::Since 1972, 367 patients with chronic low-back pain have been treated by electrical stimulation (e.s.). Patients with herniated disc lesions and spondylitis and allied conditions were included. Following e.s. 75-100% pain relief was obtained by 53% of the patients 50% pain relief by 27% and there was no improvement in...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/49.6.629

    authors: Rutkowski B,Niedzialkowska T,Otto J

    更新日期:1977-06-01 00:00:00

  • Preliminary evaluation of a new prototype laryngeal mask in children.

    abstract::We have assessed a prototype laryngeal mask airway (pLMA) in 50 anaesthetized children for ease of insertion, oropharyngeal leak pressures, gastric insufflation and fibreoptic position. The pLMA has a second smaller mask, which rests against the upper oesophageal sphincter, and a second cuff to increase the seal press...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/82.1.132

    authors: Lopez-Gil M,Brimacombe J,Brain AI

    更新日期:1999-01-01 00:00:00

  • Comparison of success rates, learning curves, and inter-subject performance variability of robot-assisted and manual ultrasound-guided nerve block needle guidance in simulation.

    abstract:BACKGROUND:This study focuses on a recently developed robotic nerve block system and its impact on learning regional anaesthesia skills. We compared success rates, learning curves, performance times, and inter-subject performance variability of robot-assisted vs manual ultrasound (US)-guided nerve block needle guidance...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aet440

    authors: Morse J,Terrasini N,Wehbe M,Philippona C,Zaouter C,Cyr S,Hemmerling TM

    更新日期:2014-06-01 00:00:00

  • Binding of tubocurarine, fazadinium, pancuronium and Org NC 45 to serum proteins in normal man and in patients with cirrhosis.

    abstract::The protein binding of four non-depolarizing neuromuscular blocking drugs-tubocurarine, fazadinium, pancuronium and Org NC45-was measured, in serum from normal patients and from patients with cirrhosis of the liver, by an ultracentrifugation method. The fraction bound to serum protein in normal patients was 56% for tu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/54.5.513

    authors: Duvaldestin P,Henzel D

    更新日期:1982-05-01 00:00:00

  • Sepsis and cytokines: current status.

    abstract::Sepsis is a constellation of clinical signs and symptoms resulting from excessive systemic host inflammatory response to infection. This inflammatory response is largely mediated by cytokines, which are released into the systemic circulation. Plasma concentrations of specific cytokines, TNF alpha, IL-1 beta, IL-6 and ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/77.1.110

    authors: Blackwell TS,Christman JW

    更新日期:1996-07-01 00:00:00

  • Atropine and glycopyrronium show similar binding patterns to M2 (cardiac) and M3 (submandibular gland) muscarinic receptor subtypes in the rat.

    abstract::Atropine and glycopyrronium are frequently used for premedication to reduce oral and respiratory secretions and prevent bradycardia. Glycopyrronium is said to have similar antisialagogue effects, but is less likely to cause significant tachycardia than atropine. Different antimuscarinic receptor selectivity patterns c...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/74.5.549

    authors: Gomez A,Bellido I,Sanchez de la Cuesta F

    更新日期:1995-05-01 00:00:00

  • Anaesthetic properties of dimethylthiourea.

    abstract::We have examined dimethylthiourea, a potent scavenger of free radicals, for its anaesthetic properties in mice and rats. In mice, dimethylthiourea abolished the righting reflex at intraperitoneal doses greater than 1.5 mg g-1 bodyweight; in rats, it decreased the MAC value for isoflurane in a dose-dependent fashion. D...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/70.4.456

    authors: Koblin DD,Laster MJ,Liu J

    更新日期:1993-04-01 00:00:00

  • Components of the inspiratory-arterial isoflurane partial pressure difference.

    abstract::We have measured the partial pressure of isoflurane simultaneously in inspired gas (PIiso), end-expired gas (PE'iso), mixed-expired gas (PEiso), arterial (Paiso) and mixed venous blood (Pviso) in six patients (aged 57-79 yr) anaesthetized with nitrous oxide, oxygen and isoflurane before surgery and after PE'iso had be...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/70.6.605

    authors: Landon MJ,Matson AM,Royston BD,Hewlett AM,White DC,Nunn JF

    更新日期:1993-06-01 00:00:00

  • Althesin, ketamine and methohexitone at pressure--duration of action of a single i.v. dose.

    abstract::General anaesthesia for emergency surgery in a pressurized habitat is likely to involve the use of i.v. agents. The anaesthetic property of such agents is known to be antagonized by pressure, but the effect on their duration of action is not easily predicted. The recovery of mice from a single i.v. dose of Althesin, k...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/53.5.455

    authors: Shearer AJ,Ross JA,Manson HJ

    更新日期:1981-05-01 00:00:00

  • Perioperative management of the prolonged Q-T interval syndrome.

    abstract::This report describes the anaesthetic management of a ventricular arrhythmia-prone patient with a prolonged Q-T interval for closed reduction and wiring of a mandibular fracture. The patient was premedicated with propranolol and anaesthetized with isoflurane (inhalation). Documentation of heart rate v. Q-T interval re...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/55.4.361

    authors: Medak R,Benumof JL

    更新日期:1983-04-01 00:00:00

  • Use of atracurium during general surgery monitored by the train-of-four stimuli.

    abstract::The use of atracurium in 25 patients undergoing general surgical procedures is described, neuromuscular function being monitored by the "train-of-four" stimuli. An initial dose of atracurium 0.5 mg kg-1 proved to be clinically acceptable, giving good conditions for endotracheal intubation and adequate muscle relaxatio...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/54.12.1243

    authors: Hunter JM,Jones RS,Utting JE

    更新日期:1982-12-01 00:00:00

  • Gasless laparoscopic cholecystectomy: comparison of postoperative recovery with conventional technique.

    abstract::We have compared, in a randomized study in 26 patients, immediate and late postoperative recovery after elective laparoscopic cholecystectomy using the gasless, mechanical abdominal wall lift method with conventional carbon dioxide pneumoperitoneum. After the gasless method, tracheal extubation was performed significa...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/77.5.576

    authors: Koivusalo AM,Kellokumpu I,Lindgren L

    更新日期:1996-11-01 00:00:00

  • Quantitative EEG in assessment of anaesthetic depth: comparative study of methodology.

    abstract::Methodology for assessment of depth of anaesthesia based on analysis of the electroencephalogram (EEG) is controversial. Techniques range from display of single measures, for example median value of the frequency spectrum, to dedicated pattern recognition systems based on measures of several EEG features. We have comp...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/77.2.172

    authors: Thomsen CE,Prior PF

    更新日期:1996-08-01 00:00:00

  • Contralateral effect of amitriptyline and bupivacaine for sciatic nerve block in an animal model of inflammation.

    abstract:BACKGROUND:Using a carrageenan inflammation rat model, we evaluated two experimental approaches to prolong sciatic nerve block on contralateral hyperalgesia. Method. We performed ipsilateral sciatic nerve block on the inflamed hind paw with bupivacaine-loaded microspheres suspended in dexamethasone (bupivacaine 12.5 mg...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aeh264

    authors: Estebe JP,Gentili ME,Le Corre P,Leduc C,Moulinoux JP,Ecoffey C

    更新日期:2004-11-01 00:00:00

  • Effect of airway occlusion on respiratory timing during anaesthesia with enflurane or halothane.

    abstract::Eighteen patients were studied, during operations under subarachnoid or extradural anaesthesia combined with general anaesthesia, to assess the influence of occlusion of inspiration on the duration of inspiration, and the likelihood of a relationship between lung volume and duration of inspiration. Ten patients breath...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/56.3.215

    authors: Drummond GB

    更新日期:1984-03-01 00:00:00

  • Respiratory complications and hypoxic episodes during inhalation induction with isoflurane in children.

    abstract::We have studied the incidence of respiratory complications and hypoxic episodes during inhalation induction with isoflurane in 75 healthy unpremedicated children. Problems occurred less frequently when 4% isoflurane in oxygen was used from the outset than with traditional techniques using nitrous oxide and a gradually...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/66.3.327

    authors: Warde D,Nagi H,Raftery S

    更新日期:1991-03-01 00:00:00

  • Double-blind evaluation of a lignocaine-prilocaine cream (EMLA) in children. Effect on the pain associated with venous cannulation.

    abstract::The effect of the topical application of a lignocaine-prilocaine cream (EMLA) on the pain of venous cannulation was tested in a double-blind manner. Sixty boys and girls between the ages of 4 and 10 yr who were to undergo surgery participated in the study. No analgesic premedication was given and the venous cannulatio...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/58.11.1242

    authors: Maunuksela EL,Korpela R

    更新日期:1986-11-01 00:00:00

  • The evolution of robotic surgery: surgical and anaesthetic aspects.

    abstract::Robotic surgery pushes the frontiers of innovation in healthcare technology towards improved clinical outcomes. We discuss the evolution to five generations of robotic surgical platforms including stereotactic, endoscopic, bioinspired, microbots on the millimetre scale, and the future development of autonomous systems...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aex383

    authors: Ashrafian H,Clancy O,Grover V,Darzi A

    更新日期:2017-12-01 00:00:00

  • Prospectively assessed neurodevelopmental outcomes in studies of anaesthetic neurotoxicity in children: a systematic review and meta-analysis.

    abstract:BACKGROUND:Whether exposure to a single general anaesthetic (GA) in early childhood causes long-term neurodevelopmental problems remains unclear. METHODS:PubMed/MEDLINE, Embase, CINAHL, Web of Science, and the Cochrane Library were searched from inception to October 2019. Studies evaluating neurodevelopmental outcomes...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/j.bja.2020.10.022

    authors: Ing C,Jackson WM,Zaccariello MJ,Goldberg TE,McCann ME,Grobler A,Davidson A,Sun L,Li G,Warner DO

    更新日期:2021-02-01 00:00:00