Clearance of valproic acid from cerebrospinal fluid in anesthetized rabbit.

Abstract:

:Clearance of valproic acid from brain tissue is believed to occur via a carrier-mediated system(s). The present study was designed to determine whether clearance was capacity-limited (saturable) and whether it occurred primarily at the choroid plexus. Ten rabbits were anesthetized with halothane and surgically prepared for ventriculocisternal perfusion. In group 1 (n = 5) valproic acid was added to blue dextran-containing mock cerebrospinal fluid (CSF) to achieve concentrations of 5, 20, 100, and 500 micrograms.ml-1. The mixture was infused through needles in both cerebral ventricles. The purpose of this group was to determine whether over a large range (100x) of valproic acid concentrations, clearance from CSF was capacity limited (saturable). In group 2 (n = 5) valproic acid concentrations were 3, 10, and 30 microgram.ml-1 and infusion was into the left cerebral ventricle only. The purposes of this group were to determine (a) the magnitude of valproic acid clearance for the "clinical" range of valproic acid in CSF (10-30 micrograms.ml-1), and (b) whether clearance of valproic acid was changed by perfusion across a portion of the choroid plexus surface area (group 2) as compared with perfusion across the entire choroid plexus surface area (group 1). In both groups the percent extraction of valproic acid was calculated from the concentration ratio (valproic acid)out/(valproic acid)in corrected for the rate of CSF formation. In group 1 the percent extraction of valproic acid was 93 +/- 2% (mean +/- SD) at 5 micrograms.ml-1 and stabilized within the range of 58-70% (individual values) at the higher inflow concentrations of valproic acid.(ABSTRACT TRUNCATED AT 250 WORDS)

authors

Artru AA,Adkinson KD,Powers KM,Shen DD

doi

10.1097/00008506-199407000-00008

subject

Has Abstract

pub_date

1994-07-01 00:00:00

pages

193-200

issue

3

eissn

0898-4921

issn

1537-1921

journal_volume

6

pub_type

杂志文章
  • Influence of patient variables and sensor location on regional cerebral oxygen saturation measured by INVOS 4100 near-infrared spectrophotometers.

    abstract::Cerebral oximeter based on near-infrared spectroscopy has been used as a continuous, noninvasive monitoring of regional cerebral oxygen saturation (rSO2). Although the absolute rSO2 values have a wide range of variability, the factors affecting a variability of rSO2 values have not been extensively investigated. The a...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200310000-00002

    authors: Kishi K,Kawaguchi M,Yoshitani K,Nagahata T,Furuya H

    更新日期:2003-10-01 00:00:00

  • Perioperative Management of Direct Oral Anticoagulants in Intracranial Surgery.

    abstract::The use of direct oral anticoagulants is increasing rapidly, because of perceived benefits over older agents, such as predictable pharmacokinetics and a reduced risk of bleeding. Elderly patients, who are more likely to be prescribed these drugs, are also presenting for neurosurgical procedures more often. The combina...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000629

    authors: Porter J,Dinsmore J

    更新日期:2020-10-01 00:00:00

  • Effect of hemorrhage on cerebral microcirculation during normal and high cerebrospinal fluid pressure in pigs.

    abstract::Studies on cerebral blood flow during hypotension and high intracranial pressure are scarce. Accordingly, this study examines the effects of increased cerebrospinal fluid (CSF) pressure on the cerebral circulatory response to hemorrhage. Measurements of cerebral microcirculation with laser Doppler flowmetry was perfor...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199801000-00011

    authors: Rise IR,Risöe C,Kirkeby OJ

    更新日期:1998-01-01 00:00:00

  • Brain edema after human cerebral hemorrhage: a magnetic resonance imaging volumetric analysis.

    abstract::Although perihematoma brain edema can significantly modify neurologic outcome after intracerebral hemorrhage (ICH), our knowledge of its natural history is incomplete. We report on the correlation between hematoma (HV) and edema volumes (EV) in 14 patients with ICH during the first week after the ictus using MRI volum...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200307000-00010

    authors: Carhuapoma JR,Hanley DF,Banerjee M,Beauchamp NJ

    更新日期:2003-07-01 00:00:00

  • Thromboxane A2 receptor antagonist SQ29548 does not improve canine postischemic cerebral hypoperfusion.

    abstract::The thromboxane receptor antagonist SQ29548 was administered to mongrel dogs after an 11-min period of global cerebral ischemia to test the hypothesis that it would improve delayed postischemic cerebral hypoperfusion (PIH) during concurrent elevations in cerebral venous thromboxane B2 (TxB2), the stable metabolite of ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-198903000-00010

    authors: Olympio MA,Whitley JM,Prough DS

    更新日期:1989-03-01 00:00:00

  • Incidence and predictors of bulbar palsy after surgery for acoustic neuroma.

    abstract::We present a retrospective review of the perioperative management and complications of 102 cases of acoustic neuroma operated on at an English teaching hospital over the last 9 years. Nine patients had a bulbar palsy postoperatively; five of those patients developed pulmonary complications. A bulbar palsy was more lik...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00008506-199707000-00011

    authors: Duane DT,Howard SJ,Kraayenbrink M

    更新日期:1997-07-01 00:00:00

  • The influence of acute and chronic alcohol treatment on brain edema, cerebral infarct volume and neurological outcome following experimental head trauma in rats.

    abstract::The aim of this study was to determine the influence of acute and chronic ethanol treatment on neurological outcome following head trauma in rats. Eight-two Sprague-Dawley rats were divided into 10 groups. Four groups received sham head trauma (surgical incision of the scalp but no trauma) and were treated with (A) no...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199704000-00003

    authors: Shapira Y,Lam AM,Paez A,Artru AA,Laohaprasit V,Donato T

    更新日期:1997-04-01 00:00:00

  • Transesophageal echocardiography as a guide for patient positioning before neurosurgical procedures in semi-sitting position.

    abstract::With an incidence of a patent foramen ovale in nearly one fourth of the normal population, neurosurgical procedures in the semi-sitting position are associated with the risk of paradoxical air embolism. The present study was undertaken to evaluate an anesthetic concept to detect a patent foramen ovale with the help of...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00008506-200410000-00003

    authors: Kwapisz MM,Deinsberger W,Müller M,Nopens H,Neuhäuser C,Klasen J,Hempelmann G

    更新日期:2004-10-01 00:00:00

  • Unrecognized internal jugular vein obstruction: cause of fatal intracranial hypertension after tracheostomy?

    abstract::We report an unusual case of fatal intracranial hypertension following tracheostomy due to the obstruction of the internal jugular veins (left side: thrombosis after central venous cannulation, right side: hypoplastic vein) and their collaterals. Principal cerebral outflow through the internal jugular veins can be sub...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200210000-00008

    authors: Schummer W,Schummer C,Niesen WD

    更新日期:2002-10-01 00:00:00

  • Aerosolized lidocaine during invasive mechanical ventilation: in vitro characterization and clinical efficiency to prevent systemic and cerebral hemodynamic changes induced by endotracheal suctioning in head-injured patients.

    abstract:BACKGROUND:In patients with severe brain injury, endotracheal suctioning (ETS) can increase intracranial pressure (ICP) and reduce cerebral perfusion pressure (CPP). The aim of this prospective, blinded clinical trial was to assess the effectiveness of aerosolized lidocaine to prevent increase of ICP induced by ETS in ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e31826a75b1

    authors: Mathieu A,Guillon A,Leyre S,Martin F,Fusciardi J,Laffon M

    更新日期:2013-01-01 00:00:00

  • Long-term intrathecal drug administration for chronic nonmalignant pain.

    abstract:BACKGROUND:Chronic pain of nonmalignant origin requires effective long-term treatments, as for many patients pain management will be necessary throughout the rest of their lives. Intrathecal drug delivery systems (IDDS) have become a recognized therapy for the management of severe and otherwise intractable chronic pain...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e31822ff779

    authors: Duarte RV,Raphael JH,Sparkes E,Southall JL,LeMarchand K,Ashford RL

    更新日期:2012-01-01 00:00:00

  • Inhibition of cyclooxygenase 2 by nimesulide decreases prostaglandin E2 formation but does not alter brain edema or clinical recovery after closed head injury in rats.

    abstract::Recently, the enzyme cyclooxygenase (COX) has been recognized to exist as constitutive (COX-1) and inducible isoforms (COX-2). In previous studies, drugs that were inhibitors of both COX-1 and COX-2 failed to decrease brain edema formation or improve Neurological Severity Score (NSS) after closed head trauma (CHT), al...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200001000-00009

    authors: Koyfman L,Kaplanski J,Artru AA,Talmor D,Rubin M,Shapira Y

    更新日期:2000-01-01 00:00:00

  • The efficacy of motor-evoked potentials on cerebral aneurysm surgery and new-onset postoperative motor deficits.

    abstract::Surgical clipping may cause stenosis of parent arteries or occlusion of perforating arteries in cerebral aneurysm surgery. To prevent postoperative motor deficits, motor-evoked potentials (MEPs) have been used. This enables to detect cerebral ischemia. However, the rate of false negatives (motor deficits with preserve...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181de4eae

    authors: Irie T,Yoshitani K,Ohnishi Y,Shinzawa M,Miura N,Kusaka Y,Miyazaki S,Miyamoto S

    更新日期:2010-07-01 00:00:00

  • Recurrent bradycardia and delayed recovery in a neonate following repair of nasofrontal encephalocoele with holoprosencephaly and single cerebral ventricle.

    abstract::Holoprosencephaly and single cerebral ventricle are uncommon congenital anomalies that are associated with a high rate of perinatal mortality. We describe a neonate who developed recurrent bradycardia along with delayed recovery following frontal craniotomy for the repair of a nasofrontal encephalocoele associated wit...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200304000-00012

    authors: Bharti N,Dash HH,Mahapatra AK

    更新日期:2003-04-01 00:00:00

  • Intraoperative use of nitric oxide during intracranial aneurysm clipping in a patient with acute respiratory distress syndrome.

    abstract::We describe a case of subarachnoid hemorrhage (SAH) complicated by acute respiratory distress syndrome (ARDS) and cerebral vasospasm. Inhaled nitric oxide (NO) was used to improve oxygenation, thereby facilitating cerebral aneurysm clipping. ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199904000-00009

    authors: Grady RE,Strickland RA,Fabi AY,Murray MJ

    更新日期:1999-04-01 00:00:00

  • A comparison of equivolume, equiosmolar solutions of hypertonic saline and mannitol for brain relaxation in patients undergoing elective intracranial tumor surgery: a randomized clinical trial.

    abstract:BACKGROUND:Hyperosmolar solutions have been used in neurosurgery to modify brain bulk and prevent neurological deterioration. The purpose of the study was to compare the effects of equivolume, equiosmolar solutions of mannitol and hypertonic saline (HTS) on brain relaxation and postoperative complications in patients u...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000091

    authors: Dostal P,Dostalova V,Schreiberova J,Tyll T,Habalova J,Cerny V,Rehak S,Cesak T

    更新日期:2015-01-01 00:00:00

  • Fatal fat embolism syndrome: a case report.

    abstract::Fat embolism syndrome is a dire complication of long bone trauma. It is usually associated with neurological, hematological and respiratory involvement, the latter being the major cause of death. We present a case of severe fat embolism syndrome occurring 3 hours after a long bone injury, leading to permanent vegetati...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-200007000-00004

    authors: Bracco D,Favre JB,Joris R,Ravussin A

    更新日期:2000-07-01 00:00:00

  • Incidence and clinical significance of hemidiaphragmatic paresis in patients undergoing carotid endarterectomy during cervical plexus block anesthesia.

    abstract::This study was designed to investigate the incidence and clinical consequences of hemidiaphragmatic paresis in patients undergoing carotid endarterectomy using cervical plexus block anesthesia. In 28 patients, diaphragmatic motion was evaluated by fluoroscopy 20 min after cervical plexus block with 1% mepivacaine. In ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199401000-00003

    authors: Castresana MR,Masters RD,Castresana EJ,Stefansson S,Shaker IJ,Newman WH

    更新日期:1994-01-01 00:00:00

  • The Effect of Ultra-low-dose Intrathecal Naloxone on Pain Intensity After Lumbar Laminectomy With Spinal Fusion: A Randomized Controlled Trial.

    abstract:BACKGROUND:Despite advances in pain management, several patients continue to experience severe acute pain after lumbar spine surgery. The aim of this study was to assess the safety and effectiveness of single ultra-low-dose intrathecal (IT) naloxone in combination with IT morphine for reducing pain intensity, pruritus,...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000537

    authors: Firouzian A,Gholipour Baradari A,Ehteshami S,Zamani Kiasari A,Shafizad M,Shafiei S,Younesi Rostami F,Alipour A,Ala S,Darvishi-Khezri H,Haddadi K

    更新日期:2020-01-01 00:00:00

  • Intracranial hemorrhage surgery on patients on mechanical circulatory support: a case series.

    abstract:BACKGROUND:Cardiac disease is the leading cause of death in the United States and late-stage heart failure is associated with a high level of morbidity and mortality. The ventricular assist devices and extracorporeal membrane oxygenators are the mainstay of mechanical circulatory support devices for the patients with e...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e3181eee55e

    authors: Factora FN,Bustamante S,Spiotta A,Avitsian R

    更新日期:2011-01-01 00:00:00

  • Home-based Cognitive Prehabilitation in Older Surgical Patients: A Feasibility Study.

    abstract:BACKGROUND:Cognitive training is beneficial in various clinical settings, although its perioperative feasibility and impact remain unknown. The objective of this pilot study was to determine the feasibility of home-based cognitive prehabilitation before major surgery in older adults. MATERIALS AND METHODS:Sixty-one pa...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0000000000000569

    authors: Vlisides PE,Das AR,Thompson AM,Kunkler B,Zierau M,Cantley MJ,McKinney AM,Giordani B

    更新日期:2019-04-01 00:00:00

  • The effects of neuromuscular blockade on operating conditions during general anesthesia for spinal surgery.

    abstract:BACKGROUND:Muscle relaxants are prescribed routinely for patients undergoing general anesthesia, but the requirement for paralysis in spinal surgery is unclear. This study compared the operating conditions of general anesthesia with and without a muscle relaxant on spinal surgery patients. METHODS:Eighty-six adults wh...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e31829f3805

    authors: Li YL,Liu YL,Xu CM,Lv XH,Wan ZH

    更新日期:2014-01-01 00:00:00

  • Repair of two unruptured intracranial aneurysms in the presence of coarctation of the aorta-anesthetic implications and management.

    abstract::A case of two incidental familial intracranial aneurysms associated with asymptomatic coarctation of the aorta is reported. Priority was assigned to aneurysm surgery, which was accomplished by means of two distinct procedures, both requiring moderate, deliberate hypotension. Invasive monitoring always included radial ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199301000-00008

    authors: Orsi P,Rosa G,Liberatori G,Lunardi PP,Ferrante L

    更新日期:1993-01-01 00:00:00

  • Dealing with a hemophilia-A patient undergoing cerebral aneurysm surgery.

    abstract::In this article anesthesiologic and hematologic aspects of a patient with Hemophilia-A, who underwent craniotomy for a right middle cerebral artery aneurysm, are discussed. ...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199907000-00012

    authors: Dönmez A,Türker H,Sekerci S,Kayhan Z,Ozbek N

    更新日期:1999-07-01 00:00:00

  • Effect of an anion transport inhibitor, L-644,711, on brain injury and edema after temporary middle cerebral artery occlusion in rats.

    abstract::The affect of L-644,711, an anion transport inhibitor, on ischemic brain injury and edema was investigated. Spontaneously hypertensive rats were given one of the following doses of intrathecal L-644,711 during 180 min of middle cerebral artery occlusion and 120 min of reperfusion: control, vehicle only; dose I, 100 mi...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199112000-00003

    authors: Cole DJ,Ghazal EA,Osborne TN

    更新日期:1991-12-01 00:00:00

  • Cerebral ischemia after venous air embolism in the absence of intracardiac defects.

    abstract::Cerebral air embolism occurred in a patient undergoing posterior fossa surgery performed in the sitting position for acoustic neuroma removal. The patient experienced two episodes of venous air embolism, as evidenced by precordial Doppler, end-tidal carbon dioxide reduction, and oxygen desaturation. In both cases, air...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-199601000-00008

    authors: Tommasino C,Rizzardi R,Beretta L,Venturino M,Piccoli S

    更新日期:1996-01-01 00:00:00

  • Effect of Albumin in Combination With Mannitol on Whole-blood Coagulation In Vitro Assessed by Thromboelastometry.

    abstract:BACKGROUND:Albumin and mannitol may interfere with hemostasis, but their coinfluence is unclear. We aimed to determine the effects of albumin alone and in combination with mannitol or Ringer acetate (RAC) on hemostasis in crossover in vitro study. MATERIALS AND METHODS:From citrated fresh whole blood withdrawn from 10...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0000000000000438

    authors: Lillemäe K,Laine AT,Schramko A,Niemi TT

    更新日期:2018-07-01 00:00:00

  • Tracheal intubation with the PENTAX-AWS (airway scope) reduces changes of hemodynamic responses and bispectral index scores compared with the Macintosh laryngoscope.

    abstract::The PENTAX-AWS, a novel video laryngoscope, allows indirect visualization of the vocal cords on a color monitor display and enables tracheal intubation without upward lifting force required to expose the glottis. This study compared hemodynamic changes, bispectral index scores, and postoperative sore throat before and...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ANA.0b013e3181a9c6dc

    authors: Nishikawa K,Matsuoka H,Saito S

    更新日期:2009-10-01 00:00:00

  • Flumazenil does not impair autoregulation of CBF in dogs when given with or without prior administration of midazolam.

    abstract::The effects of flumazenil (a benzodiazepine antagonist) on autoregulation of cerebral blood flow (CBF) were examined in dogs receiving midazolam and in dogs not receiving midazolam. Both groups were anesthetized with halothane (0.3% end-expired) and nitrous oxide (66%) in oxygen. Auto-regulation of CBF was assessed by...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00008506-198909000-00006

    authors: Artru AA

    更新日期:1989-09-01 00:00:00

  • Combined therapeutic hypothermia and barbiturate coma reduces interleukin-6 in the cerebrospinal fluid after aneurysmal subarachnoid hemorrhage.

    abstract::Inflammatory response with cytokine release is reported to correlate with clinical outcome after aneurysmal subarachnoid hemorrhage (SAH). In selected cases, hypothermia and barbiturate coma are applied as means for neuroprotection after severe SAH. Hypothermia and high-dose barbiturate are reported to attenuate the i...

    journal_title:Journal of neurosurgical anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ANA.0b013e31817996bf

    authors: Muroi C,Frei K,El Beltagy M,Cesnulis E,Yonekawa Y,Keller E

    更新日期:2008-07-01 00:00:00