当前位置： SCI文献检索 > JOURNAL OF CLINICAL ANESTHESIA期刊下所有文献 > Pretreatment with sedative-hypnotics, but not with nondepolarizing muscle relaxants, attenuates alfentanil-induced muscle rigidity.

Pretreatment with sedative-hypnotics, but not with nondepolarizing muscle relaxants, attenuates alfentanil-induced muscle rigidity.

Abstract：

STUDY OBJECTIVE:To evaluate and compare the efficacy of various pretreatment agents to attenuate or prevent opioid-induced muscle rigidity using a well-established, previously described clinical protocol. DESIGN:Prospective, controlled, single-blind, partially randomized study. SETTING:Large medical center. PATIENTS:ASA physical status I-III patients undergoing elective surgical procedures of at least 3 hours' duration. INTERVENTIONS:The effect of pretreatment with nondepolarizing muscle relaxants (atracurium 40 micrograms/kg or metocurine 50 micrograms/kg), benzodiazepine agonists (diazepam 5 mg or midazolam 2.5 mg), or thiopental sodium 1 mg/kg on the increased muscle tone produced by alfentanil 175 micrograms/kg was compared with a control group (given no pretreatment). MEASUREMENTS AND MAIN RESULTS:Rigidity was assessed quantitatively by measuring the electromyographic activity of five muscle groups (biceps, intercostals, abdominals, quadriceps, and gastrocnemius). Rigidity also was rated qualitatively by attempts to initiate and maintain mask ventilation, attempts to flex an extremity, and the occurrence of myoclonic movements. Pretreatment with the two nondepolarizing muscle relaxants had no effect on the severe muscle rigidity produced by high-dose alfentanil. Whereas thiopental was only mildly effective, the benzodiazepines midazolam and diazepam significantly attenuated alfentanil rigidity (p < 0.05). CONCLUSION:This study suggests that benzodiazepine pretreatment is frequently, but not always, effective in preventing opioid-induced muscle rigidity.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Sanford TJ Jr,Weinger MB,Smith NT,Benthuysen JL,Head N,Silver H,Blasco TA

doi

10.1016/0952-8180(94)90087-6

subject

Has Abstract

pub_date

1994-11-01 00:00:00

pages

473-80

issue

6

eissn

0952-8180

issn

1873-4529

pii

0952-8180(94)90087-6

journal_volume

6

pub_type

临床试验,杂志文章,随机对照试验

相关文献

JOURNAL OF CLINICAL ANESTHESIA文献大全
  • Use of direct oral anticoagulants with regional anesthesia in orthopedic patients.

    abstract：:The use of direct oral anticoagulants including apixaban, rivaroxaban, and dabigatran, which are approved for several therapeutic indications, can simplify perioperative and postoperative management of anticoagulation. Utilization of regional neuraxial anesthesia in patients receiving anticoagulants carries a relative...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2016.02.028

    authors： Cappelleri G,Fanelli A

    更新日期：2016-08-01 00:00:00

  • Bevel direction of epidural needles reliably predicts direction of catheter placement and contrast spread in human cadavers: results of a pilot study.

    abstract：STUDY OBJECTIVE:To confirm the relationship between bevel orientation, catheter direction, and radiopaque contrast spread in the lumbar region. DESIGN:Pilot cadaver study. SETTING:Anatomy laboratory of a university hospital. MEASUREMENTS:Cadavers were randomized to two groups of 4 cadavers each. In Group 1, needle b...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2014.04.004

    authors： Shaparin N,Bernstein J,White RS,Kaufman A

    更新日期：2014-12-01 00:00:00

  • Intraoperative and perioperative complications with a vagus nerve stimulation device.

    abstract：:Vagus nerve stimulation (VNS) for medically refractory seizures has been an approved therapy by the Food and Drug Administration since 1997, with additional approval as an adjunct therapy for major depression granted in 2005. Potential applications for VNS therapy in obesity, neuropsychiatric disorders, and chronic pa...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2009.10.002

    authors： Fahy BG

    更新日期：2010-05-01 00:00:00

  • Carbon dioxide absorber as a cause of high airway pressures.

    abstract：:We investigate an incident in which a carbon dioxide absorber caused difficulty with ventilation. The problem as it developed throughout the anesthetic, and clues that led to the determination that the carbon dioxide canister was the problem, is discussed. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2007.06.018

    authors： Bagdasarian LA,Shah NK,Sharif MK

    更新日期：2008-02-01 00:00:00

  • Cisatracurium- and rocuronium-associated residual neuromuscular dysfunction under intraoperative neuromuscular monitoring and postoperative neostigmine reversal: a single-blind randomized trial.

    abstract：BACKGROUND:Postoperative residual neuromuscular blockade (RNMB) is a common complication in the postanesthesia care unit (PACU), but also one of the most controversial issues. Many studies and trials demonstrated that some methods and techniques can reduce the incidence and the extent of the phenomenon. STUDY OBJECTIV...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.07.031

    authors： Feltracco P,Tonetti T,Barbieri S,Frigo AC,Ori C

    更新日期：2016-12-01 00:00:00

  • Influence of ketorolac tromethamine on clot elastic strength in humans as assessed by thromboelastography.

    abstract：STUDY OBJECTIVE:To evaluate the effect of ketorolac tromethamine on coagulation using thromboelastography (TEG). DESIGN:TEGs were performed in each patient before and after ketorolac administration. Each patient's predrug results were used as control measurements for comparison with the postdrug results. SETTING:Medi...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(93)90018-a

    authors： Reinhart DJ,Latson TW,Whitten CW,Klein KW,Allison PM,Patel M

    更新日期：1993-05-01 00:00:00

  • Transversus abdominis plane block as a component of multimodal analgesia for laparoscopic cholecystectomy.

    abstract：OBJECTIVE:To evaluate and compare intercostal-iliac transversus abdominis plane (TAP) and oblique subcostal TAP (OSTAP) blocks for multimodal analgesia in patients receiving laparoscopic cholecystectomy. DESIGN:A prospective, randomized, double-blinded clinical study. SETTING:Operating room, postoperative recovery ar...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.03.033

    authors： Oksar M,Koyuncu O,Turhanoglu S,Temiz M,Oran MC

    更新日期：2016-11-01 00:00:00

  • Use of alfentanil for in vitro fertilization oocyte retrieval.

    abstract：STUDY OBJECTIVES:To determine alfentanil levels with a specific radioimmunoassay in serum and ovarian follicular fluid. DESIGN:Observational study. SETTING:University hospital. PATIENTS:14 ASA status I women undergoing oocyte retrieval for in vitro fertilization. INTERVENTIONS:General anesthesia was induced with al...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/0952-8180(96)00035-9

    authors： Shapira SC,Chrubasik S,Hoffmann A,Laufer N,Lewin A,Magora F

    更新日期：1996-06-01 00:00:00

  • Impact of deep hypothermic circulatory arrest on the BIS index.

    abstract：STUDY OBJECTIVE:To investigate the influence of duration of deep hypothermic circulatory arrest (DHCA) on recovery of the bispectral index (BIS). DESIGN:Prospective cohort study. SETTING:Operating room of university teaching hospital. PATIENTS:30 adult, ASA physical status III and IV patients scheduled for cardiac s...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2009.09.007

    authors： Ziegeler S,Buchinger H,Wilhelm W,Larsen R,Kreuer S

    更新日期：2010-08-01 00:00:00

  • The effect of epidural blood patch on hearing loss in patients with severe postdural puncture headache.

    abstract：STUDY OBJECTIVE:To determine the immediate effect of epidural blood patch (EBP) on the hearing loss that can accompany postdural puncture headache (PDPH). DESIGN:Prospective open study. SETTING:Anesthetic and otolaryngologic departments at a university hospital. SUBJECTS:16 patients who developed severe PDPH followi...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/0952-8180(95)00053-k

    authors： Lybecker H,Andersen T,Helbo-Hansen HS

    更新日期：1995-09-01 00:00:00

  • Triple knotting of a central venous catheter.

    abstract：:A case of unusual triple knotting of a central venous catheter inserted through the left basilic vein is reported. The catheter with intact triple knots could be withdrawn without an invasive maneuver. A possible cause of triple knotting was discussed in regard to the anatomic configuration of the central veins. This ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(89)90045-7

    authors： Ikeda S,Shirley LD,Schweiss JF

    更新日期：1989-01-01 00:00:00

  • Trust improves during one-day resident operating room management course preceded by directed study of required statistical content.

    abstract：STUDY OBJECTIVE:Evaluate feasibility of 1-day OR management course for anesthesiology residents and determine if course content increases trust in OR management science. DESIGN:Pre- and post-course survey evaluations. SETTING:OR management course. PATIENTS:University of Florida anesthesiology residents. INTERVENTIO...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2018.12.045

    authors： Vasilopoulos T,Dexter F,Van Swol LM,Fahy BG

    更新日期：2019-08-01 00:00:00

  • Safe anesthetic management of patients undergoing a novel method of treating human hepatocellular cancer.

    abstract：STUDY OBJECTIVE:To evaluate the safety and efficacy of monitored anesthesia care (MAC) in patients who undergo a novel treatment for hepatocellular cancer in which procedure-related hemodynamic instability is problematic. DESIGN:Nonrandomized open study. SETTING:University cancer center operating room. PATIENTS:Nine...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0952-8180(97)00031-7

    authors： Dougherty TB,Mikolajek JA,Curley SA

    更新日期：1997-05-01 00:00:00

  • Perioperative strokes after coronary artery bypass grafting with staged carotid endarterectomy: A nationwide perspective.

    abstract：STUDY OBJECTIVE:To examine the risk of perioperative stroke on in-hospital morbidity and mortality in staged coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) procedures. DESIGN:The National Inpatient Sample (NIS) database was used to extract data on all patients who underwent staged CABG CEA pro...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2017.03.024

    authors： Cheng H,Udesh R,Mehta A,Thirumala PD

    更新日期：2017-06-01 00:00:00

  • Tracheobronchopathia osteochondroplastica and difficult intubation: case report and perioperative recommendations for anesthesiologists.

    abstract：:Tracheobronchopathia osteochondroplastica is a rare disorder characterized by cartilaginous or ossified submucosal nodules that project into the tracheobronchial lumen. It is typically discovered in the evaluation of chronic upper respiratory symptoms. A case of a completely asymptomatic man diagnosed with extensive d...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2013.05.010

    authors： Warner MA,Chestnut DH,Thompson G,Bottcher M,Tobert D,Nofftz M

    更新日期：2013-12-01 00:00:00

  • The enhanced postoperative care system.

    abstract：:The perioperative care system is a continuum that includes preoperative patient evaluation, operating room scheduling, the operation itself, and postoperative care. This costly fast-paced system requires its various components to function efficiently and interact effectively. This review explores the interrelation bet...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2004.10.003

    authors： Weissman C

    更新日期：2005-06-01 00:00:00

  • Ketorolac penetration into the cerebrospinal fluid of humans.

    abstract：STUDY OBJECTIVE:To determine the cerebrospinal fluid (CSF): total plasma concentration ratio of ketorolac tromethamine following a single intramuscular (IM) dose. DESIGN:Open, single-dose, IM-administration study. SETTING:General operating theaters of a medical school hospital. PATIENTS:29 ASA physical status I and ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(93)90061-i

    authors： Rice AS,Lloyd J,Bullingham RE,O'Sullivan G

    更新日期：1993-11-01 00:00:00

  • Anesthetic considerations in 65 patients undergoing unilateral pneumonectomy: problems related to fluid therapy and hemodynamic control.

    abstract：STUDY OBJECTIVE:To examine perioperative management and complications in patients undergoing pneumonectomy. DESIGN:Observational cohort study. SETTING:University-affiliated city hospital. MEASUREMENTS:65 patients who underwent unilateral pneumonectomy for resection of lung cancer between March 1997 and October 2007 ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2009.02.013

    authors： Suehiro K,Okutani R,Ogawa S

    更新日期：2010-02-01 00:00:00

  • Cerebral oxygenation in the beach chair position before and during general anesthesia in patients with and without cardiovascular risk factors.

    abstract：STUDY OBJECTIVES:To evaluate changes in cerebral tissue oxygen index (TOI) values under the beach chair position before and during general anesthesia in surgical patients with or without cardiovascular risk factors. DESIGN:Prospective study. SETTING:Operating room in the university hospital. PATIENTS:Ninety-one pati...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.06.007

    authors： Mori Y,Yamada M,Akahori T,Hatakeyama N,Yamazaki M,Fujiwara Y,Kinoshita H

    更新日期：2015-09-01 00:00:00

  • Comparison of propofol with thiopental and isoflurane for induction and maintenance of general anesthesia.

    abstract：:Propofol, a phenol compound with a short elimination half-life, was compared with thiopental and isoflurane for induction and maintenance of general anesthesia in 60 consenting ASA I, II, and III patients. The study was randomized and open label in design. Hemodynamically, the propofol patients showed a mean +/- SEM d...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(89)90026-3

    authors： Gold MI,Sacks DJ,Grosnoff DB,Herrington CA

    更新日期：1989-01-01 00:00:00

  • Lumbar neuraxial procedures in thrombocytopenic patients across populations: A systematic review and meta-analysis.

    abstract：INTRODUCTION:There is currently no consensus regarding the minimum threshold platelet count to ensure safe neuraxial procedures. Numerous reports describe the safe performance of lumbar punctures in severely thrombocytopenic patients but reports of neuraxial anesthetic procedures in thrombocytopenic patients are limite...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2019.109666

    authors： Bauer ME,Toledano RD,Houle T,Beilin Y,MacEachern M,McCabe M,Rector D,Cooper JP,Gernsheimer T,Landau R,Leffert L

    更新日期：2020-05-01 00:00:00

  • Comparison of analgesic efficacy of paracetamol and tramadol for pain relief in active labor.

    abstract：STUDY OBJECTIVE:To evaluate the efficacy and safety profile of paracetamol in comparison with tramadol for pain relief during active labor. DESIGN:Prospective, randomized, double-blind study. SETTING:Maternity Wing of the Postgraduate Institute of Medical Education and Research, Chandigarh. PATIENT:Sixty laboring, p...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2014.08.008

    authors： Kaur Makkar J,Jain K,Bhatia N,Jain V,Mal Mithrawal S

    更新日期：2015-03-01 00:00:00

  • Hyperkalemic cardiac arrest following succinylcholine administration: The use of extracorporeal membrane oxygenation in an emergency situation.

    abstract：:We report an 11-year-old male with undiagnosed myopathy, who developed cardiac arrest secondary to severe rhabdomyolysis and hyperkalemia following succinylcholine administration. The patient required extracorporeal membrane oxygenation support from which he was eventually weaned successfully. He died eleven days afte...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2003.09.020

    authors： Al-Takrouri H,Martin TW,Mayhew JF

    更新日期：2004-09-01 00:00:00

  • Posterior reversible encephalopathy syndrome during pregnancy: seizures in a previously healthy parturient.

    abstract：:Posterior reversible encephalopathy syndrome refers to a neuroradiologic disorder in which seizure activity (multiple seizures are more common than single events) is commonly the initial presenting symptom. We describe a case of posterior reversible encephalopathy syndrome in a previously healthy parturient who presen...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2006.07.004

    authors： Long TR,Hein BD,Brown MJ,Rydberg CH,Wass CT

    更新日期：2007-03-01 00:00:00

  • Dexmedetomidine exerts a protective effect on ischemia-reperfusion injury after hepatectomy: A prospective, randomized, controlled study.

    abstract：STUDY OBJECTIVE:Dexmedetomidine, a highly selective α2-receptor agonist, has been widely used for protection against ischemia-reperfusion (IR) injury. We hypothesized that dexmedetomidine might exert a protective effect on IR injury after hepatectomy. DESIGN:A prospective, randomized, single-blind study was conducted ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2019.109631

    authors： Zhang Y,Liu M,Yang Y,Cao J,Mi W

    更新日期：2020-05-01 00:00:00

  • Cardiac arrest after oxymetazoline nasal spray.

    abstract：:Oxymetazoline nasal spray is a potent alpha 1-adrenergic agonist commonly used to vasoconstrict blood vessels in the nasal mucosa. In this incident, oxymetazoline nasal spray 0.025% was administered to a 2-year-old patient during general anesthesia for nasal endoscopy. Severe hypertension with reflex bradycardia progr...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(95)00060-u

    authors： Thrush DN

    更新日期：1995-09-01 00:00:00

  • Systemic hemodynamic effects of sequential pneumatic compression of the lower limbs: a prospective study in healthy volunteers.

    abstract：STUDY OBJECTIVE:To evaluate the effects on systemic hemodynamics of sequential pneumatic compression of the lower limbs in healthy volunteers. DESIGN:Prospective, self-controlled, volunteer study. SETTING:University teaching hospital. PATIENTS:11 healthy volunteers, aged 25 +/- 1.3 years. INTERVENTIONS AND MEASUREM...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jclinane.2008.02.005

    authors： Fanelli G,Zasa M,Baciarello M,Mazzani R,Di Cianni S,Rossi M,Casati A

    更新日期：2008-08-01 00:00:00

  • The effects of head and body positioning on upper airway collapsibility in normal subjects who received midazolam sedation.

    abstract：STUDY OBJECTIVE:To test the hypothesis that the change of body and head position affects upper airway patency during midazolam sedation. DESIGN:Clinical study using 30 healthy subjects. SETTING:Research unit for sleep study. INTERVENTIONS:We used a pressure-flow relationship to evaluate critical closing pressure (Pc...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2005.08.010

    authors： Ikeda H,Ayuse T,Oi K

    更新日期：2006-05-01 00:00:00

  • A survey of pain and other symptoms that affect the recovery process after discharge from an ambulatory surgery unit.

    abstract：STUDY OBJECTIVE:To determine the significance of pain and other symptoms on the recovery process after ambulatory surgery, by surveying pain, analgesic use, and related aspects of recovery in the first 48 hours after discharge from an ambulatory surgery unit. DESIGN:Prospective, observational, surveillance survey. PA...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2003.08.004

    authors： Pavlin DJ,Chen C,Penaloza DA,Buckley FP

    更新日期：2004-05-01 00:00:00

  • Correlation between extraction force during tracheal intubation stylet removal and postoperative sore throat.

    abstract：STUDY OBJECTIVE:To examine postoperative sore throat resulting from tracheal intubation stylet removal. DESIGN:Prospective cohort study. SETTING:Operating rooms and hospital ward. PATIENTS:A total of 50 American Society of Anesthesiologists physical status 1 and 2 patients who underwent elective abdominal and/or ort...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.12.024

    authors： Kusunoki T,Sawai T,Komasawa N,Shimoyama Y,Minami T

    更新日期：2016-09-01 00:00:00