Circulatory effects of short-term hypercapnia during thoracolumbar epidural anaesthesia.

Abstract:

:In ten elderly patients subjected to extensive thoracolumbar epidural anaesthesia, circulatory changes were studied before and during sympathetic stimulation. Induced hypercapnia was used as a sympathetic stimulus. After establishment of the epidural anaesthesia, which extended from T1 to L2, there were decreases in heart rate, mean arterial blood pressure, cardiac output and systemic vascular resistance. Hypercapnia before the epidural block increased heart rate, arterial blood pressure and cardiac output, while hypercapnia after established epidural block induced only a slight increase in arterial blood pressure. The results indicate that in spite of an extensive epidural block, there are some "escaped" sympathetic nerve fibres that can be mobilized during sympathetic stimulation.

authors

Sundberg A,Wattwil M,Wiklund L

doi

10.1111/j.1399-6576.1987.tb02536.x

subject

Has Abstract

pub_date

1987-02-01 00:00:00

pages

139-42

issue

2

eissn

0001-5172

issn

1399-6576

journal_volume

31

pub_type

杂志文章
  • Hemodynamic effects of massive doses of dexamethasone in controlled hypovolemic shock in the dog.

    abstract::The hemodynamic effects of massive doses of dexamethasone in combination with the alpha-adrenergic blocking agent phenoxybenzamine were studied in dogs subjected to hemorrhagic hypotension. Previously it has been shown that the glucocorticoid methylprednisolone, but not the glucocorticoid betamethasone, induces a pron...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1982.tb01758.x

    authors: Hellman A,Häggendal E,Lundberg D

    更新日期:1982-06-01 00:00:00

  • Anesthesia-related mortality and morbidity over a 5-year period in 2,363,038 patients in Japan.

    abstract:BACKGROUND:Statistical data of mortality and morbidity related to anesthesia have not been reported in Japan since World War II. The need to comprehensively examine the events of cardiac arrest as well as mortality prompted the first national study in Japan. METHODS:Confidential questionnaires were sent to all Japan S...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2003.00166.x

    authors: Kawashima Y,Takahashi S,Suzuki M,Morita K,Irita K,Iwao Y,Seo N,Tsuzaki K,Dohi S,Kobayashi T,Goto Y,Suzuki G,Fujii A,Suzuki H,Yokoyama K,Kugimiya T

    更新日期:2003-08-01 00:00:00

  • An interchangeable Mapleson A-E breathing system is practical and cost effective.

    abstract:BACKGROUND:In locations where oxygen and anesthesia gas supplies are limited, and where circle systems are not practical, means to reduce fresh gas flow during maintenance of inhalational anesthesia are of potential value. We investigated whether a common transport breathing apparatus could be modified to allow interch...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2005.00848.x

    authors: Robinson M,Lighthall GK

    更新日期:2006-01-01 00:00:00

  • Multi-detector computed tomography in critically ill patients.

    abstract:BACKGROUND:There is a lack of studies showing the overall impact of multi-detector computed tomography (MDCT) on the treatment of critically ill patients in a general intensive care unit (ICU) setting. METHODS:A prospective observational study on the effects of MDCT on the treatment of patients in a 12-bed medical-sur...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01559.x

    authors: Ahvenjärvi LK,Laurila JJ,Jartti A,Ylipalosaari P,Ala-Kokko TI,Syrjälä HP

    更新日期:2008-04-01 00:00:00

  • Risk factors for postoperative anxiety in children.

    abstract:BACKGROUND:Anxiety is defined as a set of behavioural manifestations that can be divided into state- and trait-anxiety. State-anxiety is a transitory emotional condition that varies in intensity and fluctuates over time. Trait-anxiety is a personality trait which remains relatively stable over time. The objective of th...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2000.440703.x

    authors: Caumo W,Broenstrub JC,Fialho L,Petry SM,Brathwait O,Bandeira D,Loguercio A,Ferreira MB

    更新日期:2000-08-01 00:00:00

  • Caudal block for post-operative pain relief in children after genital operations. A comparison between bupivacaine and morphine.

    abstract::Twenty-two children formed the basis for a controlled study of the effect and duration of the postoperatively applied caudal block on postoperative pain after genital operations. The purpose of the study was to compare the effect and duration of bupivacaine and morphine. Ten children (Group I, outpatients) underwent c...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01668.x

    authors: Jensen BH

    更新日期:1981-10-01 00:00:00

  • Seizures in a 77-year-old-woman after a bolus dose of remifentanil.

    abstract::Seizures in patients with no history of epilepsy has been associated with administration of remifentanil in two previous case reports. We present a case where a bolus dose of remifentanil (50 micrograms/kg) was followed by a self terminating generalised tonic-clonic seizure in a patient admitted for acute hip surgery,...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-5172.2004.00294.x

    authors: Nielsen J,Krøigaard M

    更新日期:2004-02-01 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

  • Epidural analgesia in patients with traumatic rib fractures: a systematic review of randomised controlled trials.

    abstract:BACKGROUND:Traumatic rib fractures are a common condition associated with considerable morbidity and mortality. Observational studies have suggested improved outcome in patients receiving continuous epidural analgesia (CEA). The aim of the present systematic review of randomised controlled trials (RCTs) was to assess t...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aas.12475

    authors: Duch P,Møller MH

    更新日期:2015-07-01 00:00:00

  • Comparison of a propofol target-controlled infusion and inhalational sevoflurane for fibreoptic intubation under spontaneous ventilation.

    abstract:BACKGROUND:A propofol target-controlled infusion (TCI) is often proposed for the management of difficult airway intubation and fibreoptic intubation under anaesthesia and spontaneous ventilation. No data are available about sevoflurane. The aim of the present study was to compare propofol and sevoflurane as hypnotics d...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2006.01186.x

    authors: Bonnin M,Therre P,Albuisson E,Beaujard H,Barthelemy I,Mondie JM,Bazin JE

    更新日期:2007-01-01 00:00:00

  • Comparison of pituitary-adrenocortical response to hypoglycaemia and surgery.

    abstract::The hypothalamic-pituitary-adrenocortical (HPA) responses to the hypoglycaemic stimulus and to operation (laparotomy) are compared. The studies were carried out in eight patients who were subjected to insulin-induced hypoglycaemia on the day before elective abdominal surgery. Plasma corticotrophin (ACTH) and plasma co...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1979.tb01428.x

    authors: Blichert-Toft M,Christiansen C,Engquist A,Kehlet H,Lindholm J,Hummer L,Dinesen B

    更新日期:1979-02-01 00:00:00

  • Effect of ipratropium bromide aerosol on respiratory function in patients under ventilator treatment.

    abstract::Twenty patients, 36-78 years old, with a history of chronic obstructive lung disease, and immediately after operation mostly for cardiac disease, were treated with ipratropium bromide (IB, 15 cases) or placebo (5 cases). A metered dose inhaler with a new adapter was used during postoperative ventilator treatment. In t...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-6576.1987.tb02638.x

    authors: Wegener T,Wretman S,Sandhagen B,Nyström SO

    更新日期:1987-10-01 00:00:00

  • Influence of halothane-diethyl-ether azeotrope and isoflurane on ventilation. Re-evaluation of an obsolete drug.

    abstract::The azeotropic mixture of halothane and diethyl-ether has been claimed to be a suitable anaesthetic agent for use during difficult conditions because of its negligible effect on circulation and ventilation. The purpose was to evaluate the effect of halothane-diethyl-ether azeotrope (HE) and isoflurane (ISO) on ventila...

    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.1399-6576.1995.tb05588.x

    authors: Kalman SH,Johnson A

    更新日期:1995-01-01 00:00:00

  • Comparison of the concentration-dependent effect of sevoflurane on the spinal H-reflex and the EEG in humans.

    abstract:BACKGROUND:It has been shown that spinal reflexes such as the H-reflex predict motor responses to painful stimuli better than cortical parameters derived from the EEG. The precise concentration-dependence of H-reflex suppression by anaesthetics, however, is not known. Here we investigated this concentration-response re...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1399-6576.2004.00372.x

    authors: Rehberg B,Bouillon T,Gruenewald M,Schneider J,Baars J,Urban BW,Kox WJ

    更新日期:2004-05-01 00:00:00

  • Transient radicular irritation after spinal anesthesia induced with hyperbaric solutions of cerebrospinal fluid-diluted lidocaine 50 mg/ml or mepivacaine 40 mg/ml or bupivacaine 5 mg/ml.

    abstract:BACKGROUND:Transient radicular irritation (TRI) is common after spinal anesthesia induced with hyperbaric lidocaine 50 mg/ml. The purpose of this study was to determine the incidence of TRI after spinal anesthesia with hyperbaric lidocaine 50 mg/ml diluted with cerebrospinal fluid (CSF) 1:1 and hyperbaric mepivacaine 4...

    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.1399-6576.1998.tb05319.x

    authors: Salmela L,Aromaa U

    更新日期:1998-08-01 00:00:00

  • Optimal cut-off for hourly lactate reduction in ICU-treated patients with septic shock.

    abstract:BACKGROUND:A decrease in lactate concentration over time during septic shock is associated with favourable outcomes. However, if this applies to hourly intervals during the initial time period in the ICU is unknown. The aim of this study was to investigate whether there is an early hourly reduction rate of lactate that...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13366

    authors: Promsin P,Grip J,Norberg Å,Wernerman J,Rooyackers O

    更新日期:2019-08-01 00:00:00

  • Comparison of propofol and the combination of propofol and alfentanil during bronchoscopy: a randomized study.

    abstract:BACKGROUND:propofol is an excellent sedative agent for use in patients undergoing bronchoscopy. The addition of an opioid to propofol can be advantageous because of the antitussive effect of the opioid and the possible improvement in sedation quality. However, it may increase the risk of hypoxaemia. To investigate the ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2010.02336.x

    authors: Yoon HI,Kim JH,Lee JH,Park S,Lee CT,Hwang JY,Nahm SF,Han S

    更新日期:2011-01-01 00:00:00

  • Effect of ketamine anaesthesia on the content of monoamines and their metabolites in the rat brain.

    abstract::The effects of ketamine anaesthesia (100 mg/kg i.p.) on the content of brain 5-hydroxytryptamine (5HT), 5-hydroxyindoleacetic acid (5HIAA), noradrenaline (NA), dopamine (DA) and homovanillic acid (HVA) were studied in male Wistar rats. Fifteen min after ketamine injection, when the rats were deeply anaesthetized, the ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1976.tb05032.x

    authors: Ylitalo P,Saarnivaara L,Ahtee L

    更新日期:1976-01-01 00:00:00

  • Tramadol in the treatment of postanesthetic shivering.

    abstract:BACKGROUND:As an inhibitor of the reuptake of serotonin and norepinephrine in the spinal cord, the mechanism of action of tramadol resembles that of nefopam, which has been used in the treatment of postanesthetic shivering. METHODS:In a randomized, placebo-controlled, double-blind study, we assessed the effects of tra...

    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.1399-6576.1997.tb04732.x

    authors: de Witte J,Deloof T,de Veylder J,Housmans PR

    更新日期:1997-04-01 00:00:00

  • Choice of anesthetic alters the circulatory shock pattern as gauged by conscious rat endotoxemia.

    abstract::A standardized rat endotoxin shock model was used to assess the differential effects of four commonly used anesthetics upon hemodynamics before and during endotoxin shock. Forty-nine male Sprague-Dawley rats weighing 307 +/- 4 g were divided into five groups:freely-moving conscious, enflurane (2%), isoflurane (1.4%), ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1987.tb02619.x

    authors: Schaefer CF,Biber B,Brackett DJ,Schmidt CC,Fagraeus L,Wilson MF

    更新日期:1987-08-01 00:00:00

  • Epinephrine as an adjuvant to amino-amide local anesthetics does not prolong their duration of action in infraorbital nerve block in the rat.

    abstract::The effects of epinephrine as an adjuvant to local anesthetics were studied in the rat infraorbital nerve block (IONB) model, using solutions of 0.5% prilocaine, 0.5% mepivacaine, 0.125% bupivacaine or 0.125% ropivacaine in 50 mmol/l tris-hydroxymethylaminomethane (THAM) tested both without and with epinephrine (EPI) ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1992.tb03486.x

    authors: Renck H,Hassan HG

    更新日期:1992-07-01 00:00:00

  • Survival compared to the general population and changes in health status among intensive care patients.

    abstract::In order to evaluate intensive care, all adult patients (980) admitted to a multidisciplinary intensive care unit (ICU) during 1 year were followed prospectively. The ICU mortality was 9.6%. One year after admission the survival was 73.6%. By that time the surviving patients had a further survival that was 96% of that...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1989.tb02850.x

    authors: Zarén B,Bergström R

    更新日期:1989-01-01 00:00:00

  • Survey of routines for sedation of patients on controlled ventilation in Nordic intensive care units.

    abstract:BACKGROUND:Sedation strategies and practice for patients on controlled ventilation is variable from place to place as well as over time. Less sedation results in shorter ventilation time and new ventilatory modes permit more awake patients. Previous works estimated sedative and analgesic use in Nordic ICUs some years a...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2004.00445.x

    authors: Guldbrand P,Berggren L,Brattebö G,Mälstam J,Rönholm E,Winsö O,Scandinavian Critical Care Trials Group.

    更新日期:2004-09-01 00:00:00

  • Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study.

    abstract:BACKGROUND:Human factors account for the majority of adverse events in both aviation and medicine. Human factors awareness training entitled "Crew Resource Management (CRM)" is associated with improved aviation safety. We determined whether implementation of CRM impacts outcome in critically ill patients. METHODS:We p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12573

    authors: Haerkens MH,Kox M,Lemson J,Houterman S,van der Hoeven JG,Pickkers P

    更新日期:2015-11-01 00:00:00

  • Clinical experience of long-term treatment with epidural and intrathecal opioids--a nationwide survey.

    abstract::Long-term use of spinal opioids to treat chronic severe pain is widely established. However, the indications, shortcomings and complications of the method have not been completely described. Experience with spinal opioids was analysed for the period 1979-1984 in a nationwide Swedish survey. Out of 93 anaesthesia depar...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02725.x

    authors: Arnér S,Rawal N,Gustafsson LL

    更新日期:1988-04-01 00:00:00

  • Convulsions and respiratory arrest in association with desmopressin administration for the treatment of a bleeding tonsil in a child with borderline haemophilia.

    abstract::Desmopressin (DDAVP) may be used to augment the action of factor VIII in mild haemophilia. Its use has been associated with serious adverse effects. We report a case of a three-year-old child with a family history of haemophilia who suffered complications due to severe acute hyponatraemia following the administration ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430817.x

    authors: Francis JD,Leary T,Niblett DJ

    更新日期:1999-09-01 00:00:00

  • Oxygen transport and mitochondrial function in porcine septic shock, cardiogenic shock, and hypoxaemia.

    abstract:INTRODUCTION:The relevance of tissue oxygenation in the pathogenesis of organ dysfunction during sepsis is controversial. We compared oxygen transport, lactate metabolism, and mitochondrial function in pigs with septic shock, cardiogenic shock, or hypoxic hypoxia. METHODS:Thirty-two anaesthetized, ventilated pigs were...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2012.02706.x

    authors: Regueira T,Djafarzadeh S,Brandt S,Gorrasi J,Borotto E,Porta F,Takala J,Bracht H,Shaw S,Lepper PM,Jakob SM

    更新日期:2012-08-01 00:00:00

  • The influence of intramuscularly administered pethidine on the amnesic effects of intravenous diazepam during intravenous regional anaesthesia.

    abstract::Patients undergoing surgery under regional anaesthesia often receive narcotic analgesics for premedication which may modify the sedative and amnesic effects of intravenously administered diazepam. Sixty-two patients scheduled for upper extremity surgery under intravenous regional anaesthesia received 0.15 mg/kg of dia...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01660.x

    authors: Korttila K,Tarkkanen L,Aittomäki J,Hyöty P,Auvinen J

    更新日期:1981-08-01 00:00:00

  • Who is responsible for operating room management and how do we measure how well we do it?

    abstract:BACKGROUND:Managing the surgical process in the operating suite - often the most expensive unit in the hospital - is vital, yet challenging. While sensible management can improve efficiency, unclear managerial structures can hinder the optimal use of resources. Despite that, no previous data exists as to how the operat...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01368.x

    authors: Marjamaa RA,Kirvelä OA

    更新日期:2007-08-01 00:00:00

  • Comparison of ketamine and pentobarbital anesthesia with the conscious state in a porcine model of Pseudomonas aeruginosa septicemia.

    abstract::Live Pseudomonas aeruginosa (2.5.10(9).kg-1.h-1) were administered to awake (Group A, n = 10) and anesthetized piglets, which were given intravenous ketamine (Group K, 10 mg.kg-1.h-1, n = 8) or pentobarbital (Group P, 15 mg.kg-1.h-1, n = 8). The anesthetized animals were mechanically ventilated. In addition, a pentoba...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02777.x

    authors: Worek FS,Blümel G,Zeravik J,Zimmermann GJ,Pfeiffer UJ

    更新日期:1988-10-01 00:00:00