Ketanserin pretreatment reverses alfentanil-induced muscle rigidity.

Abstract:

:Systemic pretreatment with ketanserin, a relatively specific type-2 serotonin receptor antagonist, significantly attenuated the muscle rigidity produced in rats by the potent short-acting opiate agonist alfentanil. Following placement of subcutaneous electrodes in each animal's left gastrocnemius muscle, rigidity was assessed by analyzing root-mean-square electromyographic activity. Intraperitoneal ketanserin administration at doses of 0.63 and 2.5 mg/kg prevented the alfentanil-induced increase in electromyographic activity compared with animals pretreated with saline. Chlordiazepoxide at doses up to 10 mg/kg failed to significantly influence the rigidity produced by alfentanil. Despite the absence of rigidity, animals that received ketanserin (greater than 0.31 mg/kg i.p.) followed by alfentanil were motionless, flaccid, and less responsive to external stimuli than were animals receiving alfentanil alone. Rats that received ketanserin and alfentanil exhibited less rearing and exploratory behavior at the end of the 60-min recording period than did animals that received ketanserin alone. These results, in combination with previous work, suggest that muscle rigidity, a clinically relevant side-effect of parenteral narcotic administration, may be partly mediated via serotonergic pathways. Pretreatment with type-2 serotonin antagonists may be clinically useful in attenuating opiate-induced rigidity, although further studies will be necessary to assess the interaction of possibly enhanced CNS, cardiovascular, and respiratory depression.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Weinger MB,Cline EJ,Smith NT,Koob GF

doi

10.1097/00000542-198709000-00012

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

348-54

issue

3

eissn

0003-3022

issn

1528-1175

journal_volume

67

pub_type

杂志文章
  • Impaired nociception and peripheral opioid antinociception in mice lacking both kinin B1 and B2 receptors.

    abstract:BACKGROUND:Kinins (e.g., bradykinin) acting through the constitutively expressed B2 and the injury-induced B1 receptors are involved in pain and hyperalgesia, as previously shown by use of receptor-selective antagonists and single-receptor knockout models. Because the overall contribution of kinins to painful processes...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318242b2ea

    authors: Cayla C,Labuz D,Machelska H,Bader M,Schäfer M,Stein C

    更新日期:2012-02-01 00:00:00

  • Neutrophil adhesion molecule expression is comparable in perinatal rabbits and humans.

    abstract:BACKGROUND:Human newborns, particularly those born before full term, are more susceptible to bacterial infections as a result of impaired host defense mechanisms. Compared with adults, circulating leukocytes from human newborns (preterm and full-term gestations) and newborn rabbits (full-term gestation) have low restin...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199702000-00017

    authors: Ramamoorthy C,Kovarik WD,Winn RK,Harlan JM,Sharar SR

    更新日期:1997-02-01 00:00:00

  • Mechanisms of differential axial blockade in epidural and subarachnoid anesthesia.

    abstract::The mechanisms of persistent differential blocks that accompany subarachnoid and epidural anesthesia are clarified here with the aid of two principles derived from in vitro study of individual myelinated axons: 1) conduction can leap two consecutive blocked nodes but not three, and 2) a fiber length with more than thr...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198905000-00023

    authors: Fink BR

    更新日期:1989-05-01 00:00:00

  • Prophylactic atenolol reduces postoperative myocardial ischemia. McSPI Research Group.

    abstract:BACKGROUND:Perioperative myocardial ischemia occurs in 20-40% of patients at risk for cardiac complications and is associated with a ninefold increase in risk for perioperative cardiac death, myocardial infarction, or unstable angina, and a twofold long-term risk. Perioperative atenolol administration reduces the risk ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199801000-00005

    authors: Wallace A,Layug B,Tateo I,Li J,Hollenberg M,Browner W,Miller D,Mangano DT

    更新日期:1998-01-01 00:00:00

  • Tranexamic acid reduces intraoperative blood loss in pediatric patients undergoing scoliosis surgery.

    abstract:BACKGROUND:Excessive bleeding often occurs during pediatric scoliosis surgery and is attributed to numerous factors, including accelerated fibrinolysis. The authors hypothesized that administration of tranexamic acid would reduce bleeding and transfusion requirements during scoliosis surgery. METHODS:Forty-four patien...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200504000-00006

    authors: Sethna NF,Zurakowski D,Brustowicz RM,Bacsik J,Sullivan LJ,Shapiro F

    更新日期:2005-04-01 00:00:00

  • Roles of aldosterone and oxytocin in abnormalities caused by sevoflurane anesthesia in neonatal rats.

    abstract:BACKGROUND:The authors sought to determine whether subjects with pathophysiological conditions that are characterized by increased concentrations of aldosterone have increased susceptibility to the side effects of neonatal anesthesia with sevoflurane. METHODS:Postnatal day 4-20 (P4-P20) rats were exposed to sevofluran...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318266c62d

    authors: Cao W,Pavlinec C,Gravenstein N,Seubert CN,Martynyuk AE

    更新日期:2012-10-01 00:00:00

  • Patient-controlled epidural analgesia during labor: a comparison of three solutions with a continuous infusion control.

    abstract::This study examined the efficacy of patient-controlled epidural analgesia (PCEA) during labor and compared the suitability of three different PCEA solutions. After establishing effective epidural analgesia with 12 ml of 0.25% bupivacaine, 72 parturients in active labor were randomly assigned to one of four groups: phy...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199001000-00009

    authors: Lysak SZ,Eisenach JC,Dobson CE 2nd

    更新日期:1990-01-01 00:00:00

  • Intraoperative modulation of alveolar macrophage function during isoflurane and propofol anesthesia.

    abstract:BACKGROUND:Alveolar macrophages are a critical part of the defense against pulmonary infection. Thus the authors determined time-dependent changes in alveolar macrophage functions in patients having surgery who were anesthetized with isoflurane or propofol. METHODS:Patients anesthetized with propofol (n = 30) or isofl...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199811000-00012

    authors: Kotani N,Hashimoto H,Sessler DI,Kikuchi A,Suzuki A,Takahashi S,Muraoka M,Matsuki A

    更新日期:1998-11-01 00:00:00

  • Nitrogen analyzer adaptation for use in the presence of halogenated anesthetics.

    abstract::Interposition of activated carbon between a nitrogen analyzer needle valve and gas mixtures containing halothane, methoxyflurane, enflurane, or isoflurane eliminated the interfering effects of these agents, but added sampling delays. Placement of a carbon-filled Swinney adaptor in the sampling line between the needle ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197512000-00014

    authors: Gilmour IJ,Holland R,Craig DB

    更新日期:1975-12-01 00:00:00

  • Drug-induced amnesia is a separate phenomenon from sedation: electrophysiologic evidence.

    abstract:BACKGROUND:Sedative-hypnotic drugs not only increase sedation, but also impair memory as serum concentration increases. These drugs also produce profound changes in the auditory event-related potential (ERP). The ability of various ERP components to predict changes in sedation and memory produced by various drugs was t...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200110000-00018

    authors: Veselis RA,Reinsel RA,Feshchenko VA

    更新日期:2001-10-01 00:00:00

  • Does the brain influence somatic responses to noxious stimuli during isoflurane anesthesia?

    abstract:BACKGROUND:Recent evidence suggests that anesthetic action within the spinal cord is important in suppressing somatic responses to painful stimuli. Whether the brain influences this response is not clear. This study was designed to test the hypothesis that the brain affects anesthetic requirements. METHODS:Six goats w...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199412000-00027

    authors: Borges M,Antognini JF

    更新日期:1994-12-01 00:00:00

  • Can we trust the direct radial artery pressure immediately following cardiopulmonary bypass?

    abstract::Reversal of the usual relationship between aortic and radial artery pressure can occur in patients following cardiopulmonary bypass. Radial systolic (and often radial mean) pressures were lower, relative to aortic pressure, after cardiopulmonary bypass than before bypass in all 18 patients studied. The systolic pressu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198505000-00002

    authors: Stern DH,Gerson JI,Allen FB,Parker FB

    更新日期:1985-05-01 00:00:00

  • Dose-independent pharmacokinetics of fentanyl.

    abstract::Fentanyl is used as an analgesic in small doses (1-2 micrograms X kg-1) and as an anesthetic in very large doses (greater than 150 micrograms X kg-1). It has been demonstrated that the effects of fentanyl correlate with its concentrations in plasma. It is important, therefore, to know whether or not the pharmacokineti...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198312000-00009

    authors: Murphy MR,Hug CC Jr,McClain DA

    更新日期:1983-12-01 00:00:00

  • Hemodynamic interactions of verapamil and isoflurane.

    abstract::The hemodynamic interactions of verapamil and isoflurane were studied in eight dogs. Left ventricular function was analyzed using a right heart bypass preparation to permit rigid hemodynamic control. Hemodynamic studies were performed at 0.7, 1.05, and 1.40% isoflurane before and during the maintenance of two stable l...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198308000-00012

    authors: Kates RA,Kaplan JA,Guyton RA,Dorsey L,Hug CC Jr,Hatcher CR

    更新日期:1983-08-01 00:00:00

  • Isoflurane activates sarcolemmal adenosine triphosphate-sensitive potassium channels in vascular smooth muscle cells: a role for protein kinase A.

    abstract:BACKGROUND:Recent evidence indicates that vascular adenosine triphosphate-sensitive potassium (K(ATP)) channels in vascular smooth muscle cells are critical in the regulation of vascular tonus under both physiologic and pathophysiologic conditions. Studies of the interaction of volatile anesthetics with vascular K(ATP)...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/01.anes.0000265158.47556.73

    authors: Tanaka K,Kawano T,Nakamura A,Nazari H,Kawahito S,Oshita S,Takahashi A,Nakaya Y

    更新日期:2007-05-01 00:00:00

  • Plasma protein binding of thiopental in patients with impaired renal or hepatic function.

    abstract::Binding of thiopental to proteins in plasma from healthy, cirrhotic, and uremic subjects was studied using equilibrium dialysis. In plasma from healthy volunteers 28.0 plus or minus 0.9 per cent of thiopental was unbound. In plasma from patients with hepatic disease 53.0 plus or minus 2.1 per cent was unbound, while i...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197505000-00007

    authors: Ghoneim MM,Pandya H

    更新日期:1975-05-01 00:00:00

  • Isoflurane modulation of neuronal nicotinic acetylcholine receptors expressed in human embryonic kidney cells.

    abstract:BACKGROUND:It is well established that neuronal nicotinic acetylcholine receptors (nAChRs) are sensitive to inhalational anesthetics. The authors previously reported that halothane potently blocked alpha4beta2-type nAChRs of rat cortical neurons. However, the effect of isoflurane, which is widely used clinically, on nA...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200501000-00015

    authors: Yamashita M,Mori T,Nagata K,Yeh JZ,Narahashi T

    更新日期:2005-01-01 00:00:00

  • Comparative hemodynamic depression of sevoflurane versus halothane in infants: an echocardiographic study.

    abstract:BACKGROUND:The cardiovascular side effects of volatile anesthetics are one of the chief causes of postoperative complications in children, and infants seem to be at the greatest risk for this. This study compared cardiovascular changes at equipotent concentrations of sevoflurane and halothane in infants. METHODS:Thirt...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199710000-00012

    authors: Wodey E,Pladys P,Copin C,Lucas MM,Chaumont A,Carre P,Lelong B,Azzis O,Ecoffey C

    更新日期:1997-10-01 00:00:00

  • A randomized controlled trial of adaptive support ventilation mode to wean patients after fast-track cardiac valvular surgery.

    abstract:BACKGROUND:Adaptive support ventilation can speed weaning after coronary artery surgery compared with protocolized weaning using other modes. There are no data to support this mode of weaning after cardiac valvular surgery. Furthermore, control group weaning times have been long, suggesting that the results may reflect...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000000589

    authors: Zhu F,Gomersall CD,Ng SK,Underwood MJ,Lee A

    更新日期:2015-04-01 00:00:00

  • Functional brain imaging during anesthesia in humans: effects of halothane on global and regional cerebral glucose metabolism.

    abstract:BACKGROUND:Propofol and isoflurane anesthesia were studied previously with functional brain imaging in humans to begin identifying key brain areas involved with mediating anesthetic-induced unconsciousness. The authors describe an additional positron emission tomography study of halothane's in vivo cerebral metabolic e...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199903000-00011

    authors: Alkire MT,Pomfrett CJ,Haier RJ,Gianzero MV,Chan CM,Jacobsen BP,Fallon JH

    更新日期:1999-03-01 00:00:00

  • Isoflurane anesthesia and circadian temperature cycles in humans.

    abstract::Cognitive performance in postsurgical patients may be impaired by disturbances of normal circadian rhythm analogous to those produced by rapid transmeridian travel ("jet lag"). We therefore tested the hypothesis that isoflurane anesthesia alone produces a phase-delay in the human circadian temperature rhythm. We monit...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199112000-00010

    authors: Sessler DI,Lee KA,McGuire J

    更新日期:1991-12-01 00:00:00

  • Moderate exposure to allogeneic blood products is not associated with reduced long-term survival after surgery for coronary artery disease.

    abstract:BACKGROUND:It has been suggested that blood transfusion has an adverse effect on long-term health, mainly through immune modulation and tumor promotion. To further assess this concern, the authors have performed a prospective observational study with the hypothesis that after taking perioperative risk factors relevant ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181ab6743

    authors: Weightman WM,Gibbs NM,Sheminant MR,Newman MA,Grey DE

    更新日期:2009-08-01 00:00:00

  • Continuous interscalene analgesia with ropivacaine 2 mg/ml after major shoulder surgery.

    abstract:BACKGROUND:In this open, randomized study, the pharmacokinetics, clinical efficacy, and safety of a 48-h continuous interscalene infusion of 2 mg/ml ropivacaine for postoperative pain relief were investigated in patients undergoing open major shoulder surgery. METHODS:An initial interscalene block with 30 ml ropivacai...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200301000-00023

    authors: Ekatodramis G,Borgeat A,Huledal G,Jeppsson L,Westman L,Sjövall J

    更新日期:2003-01-01 00:00:00

  • Awareness: Monitoring versus remembering what happened.

    abstract:BACKGROUND:Awareness during anesthesia is foremost assessed with postoperative interviews, which may underestimate its incidence. On-line monitors such as the Bispectral Index and patient response to verbal command are not necessarily commonly used. This study investigated response to command during deep sedation (Bisp...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200309000-00011

    authors: Kerssens C,Klein J,Bonke B

    更新日期:2003-09-01 00:00:00

  • The minimum alveolar concentration of isoflurane in patients undergoing bilateral tubal ligation in the postpartum period.

    abstract:BACKGROUND:The minimum alveolar concentration (MAC) of volatile anesthetics is decreased during pregnancy, but MAC in the early postpartum period has not been reported. The aim of this study was to determine the MAC of isoflurane and to evaluate the relation between MAC and serum progesterone and beta-endorphin in pati...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199506000-00007

    authors: Zhou HH,Norman P,DeLima LG,Mehta M,Bass D

    更新日期:1995-06-01 00:00:00

  • Infection during chronic epidural catheterization: diagnosis and treatment.

    abstract::A potentially serious complication of long-term epidural catheterization in cancer patients is infection. The early signs of infection were studied in 350 patients in whom long-term epidural catheters were inserted. Three areas of the catheter track were found to be involved; exit site and superficial catheter track i...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199011000-00018

    authors: Du Pen SL,Peterson DG,Williams A,Bogosian AJ

    更新日期:1990-11-01 00:00:00

  • Postoperative nausea and vomiting. Its etiology, treatment, and prevention.

    abstract::In a recent editorial, Kapur described perioperative nausea and vomiting as "the big 'little problem' following ambulatory surgery."257 Although the actual morbidity associated with nausea is relatively low in health outpatients, it should not be considered an unavoidable part of the perioperative experience. The avai...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/00000542-199207000-00023

    authors: Watcha MF,White PF

    更新日期:1992-07-01 00:00:00

  • Opioid facilitation of rewarding electrical brain stimulation is suppressed in rats with neuropathic pain.

    abstract:INTRODUCTION:Opioids are powerful analgesics, but are also common drugs of abuse. Few studies have examined how neuropathic pain alters the pharmacology of opioids in modulating limbic pathways that underlie abuse liability. METHODS:Rats with or without spinal nerve ligation (SNL) were implanted with electrodes into t...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31820a4edb

    authors: Ewan EE,Martin TJ

    更新日期:2011-03-01 00:00:00

  • Contrast echocardiography: a method to visualize changes in regional myocardial perfusion in the dog model for CABG surgery.

    abstract::The ability of contrast echocardiography to assess regional myocardial perfusion during cardiopulmonary bypass in a dog model for coronary artery bypass surgery was evaluated. Sonicated Renograffin-76 microbubbles (meglumin diatrigoate and sodium diatrigoate) were injected into an aortic root proximal to an aortic occ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Aronson S,Bender E,Feinstein SB,Heidenreich PH,Ellis J,Dick C,Roizen MF,Karp RB

    更新日期:1990-02-01 00:00:00

  • Preemptive intravenous morphine-6-glucuronide is ineffective for postoperative pain relief.

    abstract:BACKGROUND:Morphine-6-glucuronide (M-6-G), a major metabolite of morphine, is reported to be more potent than morphine when administered intrathecally; however, its efficiency remains under debate when administered intravenously. This study was designed to assess the analgesic efficiency of intravenous M-6-G for the tr...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200002000-00015

    authors: Motamed C,Mazoit X,Ghanouchi K,Guirimand F,Abhay K,Lieutaud T,Bensaid S,Fernandez C,Duvaldestin P

    更新日期:2000-02-01 00:00:00