Premedication with famotidine augments core hypothermia during general anesthesia.

Abstract:

BACKGROUND:Animal studies have provided considerable evidence to support a role of histamine in the central nervous system in thermoregulation, and premedication with a histamine H2 receptor antagonist before general anesthesia is used to reduce the risk of acid aspiration. The authors investigated whether premedication with famotidine had an effect on thermoregulation during general anesthesia. METHODS:In a randomized, placebo-controlled study, 30 ASA physical status 1 or 2 patients, scheduled for open abdominal surgery, were given either placebo or 40 mg oral famotidine 3 h before induction of anesthesia. Epidural buprenorphine (4 micrograms/kg) was injected, and anesthesia was maintained with 0.4-0.6% isoflurane and 66% nitrous oxide in oxygen. The tympanic membrane temperature was measured to assess core temperature, and forearm-fingertip and calf-toe skin-surface temperature gradients were used to assess peripheral vasoconstriction. Tympanic membrane temperature triggering initial vasoconstriction (a skin temperature gradient of 0 degree C) identified the vasoconstriction threshold. RESULTS:Tympanic membrane temperature during surgery in the patients premedicated with famotidine was significantly less than those in the patients without famotidine. Famotidine significantly reduced the thermoregulatory threshold for vasoconstriction in the leg (35.0 +/- 0.5 degree C, P < 0.05), compared to that in the placebo group (36.4 +/- 0.6 degree C) Once triggered, thermoregulatory vasoconstriction produced a core-temperature plateau and no further hypothermia was observed for the duration of the study. Neither mean arterial pressure nor heart rate were significantly different between the two groups. CONCLUSIONS:Premedication with famotidine augments intraoperative hypothermia. The mechanism appears to be inhibition of centrally mediated thermoregulatory control.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Hirose M,Hara Y,Matsusaki M

doi

10.1097/00000542-199512000-00008

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

1179-83

issue

6

eissn

0003-3022

issn

1528-1175

journal_volume

83

pub_type

临床试验,杂志文章,随机对照试验
  • Identification of two mutations (F758W and F758Y) in the N-methyl-D-aspartate receptor glycine-binding site that selectively prevent competitive inhibition by xenon without affecting glycine binding.

    abstract:BACKGROUND:Xenon is a general anesthetic with neuroprotective properties. Xenon inhibition at the glycine-binding site of the N-Methyl-D-aspartate (NMDA) receptor mediates xenon neuroprotection against ischemic injury in vitro. Here we identify specific amino acids important for xenon binding to the NMDA receptor, with...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31825ada2e

    authors: Armstrong SP,Banks PJ,McKitrick TJ,Geldart CH,Edge CJ,Babla R,Simillis C,Franks NP,Dickinson R

    更新日期:2012-07-01 00:00:00

  • Dose-response curves for succinylcholine: single versus cumulative techniques.

    abstract::This study was performed to determine the potency of succinylcholine using the single-dose technique, and to test the ability of the cumulative dose technique for generating dose-response data. Thirty-eight adult patients received single doses (n = 18), cumulative doses (n = 10), or cumulative doses of succinylcholine...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Smith CE,Donati F,Bevan DR

    更新日期:1988-09-01 00:00:00

  • The effect of fentanyl anesthesia and intrathecal naloxone on neurologic outcome following spinal cord injury in the rat.

    abstract::Whereas opiate receptor agonists have resulted in spinal cord damage; opiate receptor antagonists have demonstrated protection against spinal cord injury. Because opioids are used in clinical anesthesia, the effect of an opiate antagonist was evaluated on neurologic outcome in a rat model of spinal cord injury occurri...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198909000-00019

    authors: Cole DJ,Drummond JC,Shapiro HM,Hertzog RE,Brauer FS

    更新日期:1989-09-01 00:00:00

  • Sevoflurane Exposure during the Critical Period Affects Synaptic Transmission and Mitochondrial Respiration but Not Long-term Behavior in Mice.

    abstract:BACKGROUND:Anesthesia during the synaptogenic period induces dendritic spine formation, which may affect neurodevelopment. The authors, therefore, evaluated whether changes in synaptic transmission after dendritic spine formation induced by sevoflurane were associated with long-term behavioral changes. The effects of s...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001470

    authors: Chung W,Ryu MJ,Heo JY,Lee S,Yoon S,Park H,Park S,Kim Y,Kim YH,Yoon SH,Shin YS,Lee WH,Ju X,Kweon GR,Ko Y

    更新日期:2017-02-01 00:00:00

  • Onset of maximum neuromuscular block following succinylcholine or vecuronium in four age groups.

    abstract:BACKGROUND:Increasing age appears to be associated with a slower onset of neuromuscular blockade, but such an effect has not been studied with the same doses of the same drugs across pediatric and adult age groups. METHODS:The authors measured the evoked compound action potential of the adductor pollicis muscle in res...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199308000-00006

    authors: Koscielniak-Nielsen ZJ,Bevan JC,Popovic V,Baxter MR,Donati F,Bevan DR

    更新日期:1993-08-01 00:00:00

  • Resistance to metocurine-induced neuromuscular blockade in patients receiving phenytoin.

    abstract::Recent reports have described resistance to pancuronium-induced neuromuscular blockade in patients chronically receiving anticonvulsants. This study examines the pharmacokinetics and pharmacodynamics of metocurine (MTC) in 12 patients undergoing craniotomy--six on chronic phenytoin therapy and six comparable controls....

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198509000-00009

    authors: Ornstein E,Matteo RS,Young WL,Diaz J

    更新日期:1985-09-01 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

  • Postoperative pain control with methadone: influence of supplementary methadone doses and blood concentration--response relationships.

    abstract::The aim of the study was to establish whether there exists a relationship between blood methadone concentration and analgesic response and the intrasubject and intersubject variability in this relationship. Sixteen general surgical (upper abdominal) and orthopedic (spinal fusion) patients were administered methadone (...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Gourlay GK,Willis RJ,Wilson PR

    更新日期:1984-07-01 00:00:00

  • Binding of thiopental to plasma proteins: effects on distribution in the brain and heart.

    abstract::Thiopental-14C (30 mg and 10 muCi/kg) was injected intravenously into rats 36-48 hours following bilateral nephrectomy and one minute after pretreatment with sulfadimethoxine (30 mg/kg, iv). Control groups of normal and sham-operated animals were used. The distributions of radioactivity in plasma, brain, and heart 1, ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197612000-00008

    authors: Ghoneim MM,Pandya HB,Kelley SE,Fischer LJ,Corry RJ

    更新日期:1976-12-01 00:00:00

  • Antinociceptive interaction between opioids and medetomidine: systemic additivity and spinal synergy.

    abstract::The antinociceptive interaction on the tail flick (TF) and hot plate (HP) tests between opioid analgesics and medetomidine after intravenous (iv) or intrathecal administration were examined by isobolographic analysis. Male Sprague-Dawley rats received fixed ratios of medetomidine to morphine, fentanyl, and meperidine ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199012000-00022

    authors: Ossipov MH,Harris S,Lloyd P,Messineo E,Lin BS,Bagley J

    更新日期:1990-12-01 00:00:00

  • Cardiovascular events in the postanesthesia care unit: contribution of risk factors.

    abstract:BACKGROUND:The purpose of this study was to determine the relationship of four postanesthesia care unit (PACU) cardiovascular events to long-term outcomes (unplanned critical care admission or mortality) and to evaluate the contribution of anesthetic management compared with other perioperative factors in predicting th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199604000-00003

    authors: Rose DK,Cohen MM,DeBoer DP

    更新日期:1996-04-01 00:00:00

  • The cerebral and systemic hemodynamic and metabolic effects of desflurane-induced hypotension in dogs.

    abstract::The cerebral and systemic hemodynamic and metabolic effects of hypotension induced with desflurane were examined in 11 dogs. During a steady-state baseline period under 1 MAC desflurane (7.2%), the following were measured or derived: arterial, pulmonary artery, and pulmonary artery occlusion pressures; arterial, mixed...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199103000-00021

    authors: Milde LN,Milde JH

    更新日期:1991-03-01 00:00:00

  • Pharmacokinetic-pharmacodynamic modeling of the respiratory depressant effect of alfentanil.

    abstract:BACKGROUND:Although respiratory depression is the most well-known and dangerous side effect of opioids, no pharmacokinetic-pharmacodynamic model exists for its quantitative analysis. The development of such a model was the aim of this study. METHODS:After institutional approval approval and informed consent were obtai...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199907000-00023

    authors: Bouillon T,Schmidt C,Garstka G,Heimbach D,Stafforst D,Schwilden H,Hoeft A

    更新日期:1999-07-01 00:00:00

  • Intracarotid verapamil decreases both proximal and distal human cerebrovascular resistance.

    abstract:BACKGROUND:The authors determined the segmental effects of intracarotid verapamil in human subjects by using a novel method of measuring proximal and distal cerebrovascular resistance. Their hypothesis was that intracarotid verapamil, a calcium channel-blocking drug that augments cerebral blood flow and reverses arteri...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200404000-00005

    authors: Joshi S,Meyers PM,Pile-Spellman J,Wang M,Sahlein DH

    更新日期:2004-04-01 00:00:00

  • The NFKB1 promoter polymorphism (-94ins/delATTG) alters nuclear translocation of NF-κB1 in monocytes after lipopolysaccharide stimulation and is associated with increased mortality in sepsis.

    abstract:BACKGROUND:Because the nuclear factor-κB (NF-κB) coupled pathway is believed to amplify inflammation prevailing in sepsis, the authors tested the hypotheses that the insertion-deletion polymorphism (-94ins/delATTG) (1) alters nuclear translocation of nuclear factor-κB and activator protein-1 (NF-κB1) in monocytes after...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318277a652

    authors: Adamzik M,Schäfer S,Frey UH,Becker A,Kreuzer M,Winning S,Frede S,Steinmann J,Fandrey J,Zacharowski K,Siffert W,Peters J,Hartmann M

    更新日期:2013-01-01 00:00:00

  • Glucose management in patients undergoing operation for insulinoma removal.

    abstract::Medical records of 38 patients undergoing anesthesia and surgery for removal of an insulinoma were reviewed to determine 1) the safety of avoiding intraoperative glucose, 2) the appropriate frequency of plasma glucose analysis, and 3) the accuracy of using rebound hyperglycemia as an indication of tumor removal. Plasm...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198311000-00001

    authors: Muir JJ,Endres SM,Offord K,van Heerden JA,Tinker JH

    更新日期:1983-11-01 00:00:00

  • Perioperative systemic magnesium to minimize postoperative pain: a meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Systemic magnesium has been used to minimize postoperative pain with conflicting results by clinical studies. It remains unknown whether the administration of perioperative systemic magnesium can minimize postoperative pain. The objective of the current investigation was to evaluate the effect of systemic ma...

    journal_title:Anesthesiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/ALN.0b013e318297630d

    authors: De Oliveira GS Jr,Castro-Alves LJ,Khan JH,McCarthy RJ

    更新日期:2013-07-01 00:00:00

  • Incidence of neurologic complications related to thoracic epidural catheterization.

    abstract:BACKGROUND:Due to potential neurologic sequelae, the risk:benefit ratio of thoracic epidural analgesia is controversial. Surprisingly, however, few available data address neurologic complications. The incidence of neurologic complications occurring after thoracic epidural catheterization was studied in patients schedul...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199701000-00009

    authors: Giebler RM,Scherer RU,Peters J

    更新日期:1997-01-01 00:00:00

  • Cardiovascular responses to the induction of mild hypothermia in the presence of epidural anesthesia.

    abstract:BACKGROUND:The combining of epidural anesthesia with general anesthesia impairs central and peripheral thermoregulatory control and therefore is often accompanied by unintended intraoperative hypothermia. However, little is known about the cardiovascular response to hypothermia during combined epidural and general anes...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200104000-00023

    authors: Yoshida M,Shibata K,Itoh H,Yamamoto K

    更新日期:2001-04-01 00:00:00

  • A focal cryogenic brain lesion does not reduce the minimum alveolar concentration for halothane in rats.

    abstract:BACKGROUND:A focal cortical cryogenic brain injury has been reported to reduce the brain pentobarbital concentrations needed to prevent movement in response to pain in rats. This occurred despite any apparent behavioral changes in the awake animals. To determine whether this was true with other anesthetics, the authors...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199307000-00020

    authors: Todd MM,Weeks JB,Warner DS

    更新日期:1993-07-01 00:00:00

  • A simplified gas chromatographic method for quantifying the sevoflurane metabolite hexafluoroisopropanol.

    abstract:BACKGROUND:The results of sevoflurane biotransformation (fluoromethyl-1,1,1,3,3,3,-hexafluoro-2-propyl ether) to inorganic fluoride have been examined. However, these investigations have lacked a simplified assay for determining the primary organic metabolite, hexafluoroisopropanol. Previous attempts have involved exte...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199401000-00027

    authors: Morgan SE,Frink EJ,Gandolfi AJ

    更新日期:1994-01-01 00:00:00

  • Effects of halothane and isoflurane on calcium and potassium channel currents in canine coronary arterial cells.

    abstract::The effects of halothane (0.75% and 1.5%) and isoflurane (2.6%) on macroscopic Ca2+ and K+ channel currents (ICa and IK, respectively) were investigated in voltage-clamped vascular muscle cells from the canine coronary artery. Single coronary arterial cells were dialyzed with K+ glutamate solution and superfused with ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199206000-00020

    authors: Buljubasic N,Rusch NJ,Marijic J,Kampine JP,Bosnjak ZJ

    更新日期:1992-06-01 00:00:00

  • The effect of propofol on isolated human pregnant uterine muscle.

    abstract:BACKGROUND:Propofol is an alternative to thiopental as an intravenous induction agent for cesarean section. Because it has relaxant effects on vascular and other smooth muscles, the authors set out to determine whether propofol has any effect on pregnant human uterine smooth muscle in an isolated preparation. METHODS:...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199807000-00017

    authors: Shin YK,Kim YD,Collea JV

    更新日期:1998-07-01 00:00:00

  • Role of spinal cyclooxygenase in human postoperative and chronic pain.

    abstract:BACKGROUND:Nonsteroidal antiinflammatory drugs are commonly used to treat postoperative and chronic pain. Animal studies suggest that these drugs act, in part, by blocking prostaglandin production in the spinal cord. The authors tested intrathecal ketorolac in patients with chronic or postoperative pain. METHODS:After...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/ALN.0b013e3181d94dc0

    authors: Eisenach JC,Curry R,Rauck R,Pan P,Yaksh TL

    更新日期:2010-05-01 00:00:00

  • Role of K+ channels in augmented relaxations to sodium nitroprusside induced by mexiletine in rat aortas.

    abstract:BACKGROUND:A class Ib antiarrhythmic drug, mexiletine, augments relaxations produced by adenosine triphosphate (ATP) sensitive K+ channel openers in isolated rat aortas, suggesting that it produces changes in the vasodilation mediated by ATP-sensitive K+ channels. Nitric oxide can induce its vasodilator effect via K+ c...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200003000-00025

    authors: Kinoshita H,Ishikawa T,Hatano Y

    更新日期:2000-03-01 00:00:00

  • Interaction of halogenated anesthetics with alpha- and beta-adrenoceptor stimulations in diabetic rat myocardium.

    abstract:BACKGROUND:Halogenated anesthetics potentiate the positive inotropic effects of alpha- and beta-adrenoceptor stimulations. Although diabetes mellitus induces significant myocardial abnormalities, the interaction of halogenated anesthetics and adrenoceptor stimulation in diabetic myocardium remains unknown. METHODS:Lef...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200411000-00014

    authors: Amour J,David JS,Vivien B,Coriat P,Riou B

    更新日期:2004-11-01 00:00:00

  • Cardioprotective trafficking of caveolin to mitochondria is Gi-protein dependent.

    abstract:BACKGROUND:Caveolae are a nexus for protective signaling. Trafficking of caveolin to mitochondria is essential for adaptation to cellular stress though the trafficking mechanisms remain unknown. The authors hypothesized that G protein-coupled receptor/inhibitory G protein (Gi) activation leads to caveolin trafficking t...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000295

    authors: Wang J,Schilling JM,Niesman IR,Headrick JP,Finley JC,Kwan E,Patel PM,Head BP,Roth DM,Yue Y,Patel HH

    更新日期:2014-09-01 00:00:00

  • Liposome encapsulation prolongs alfentanil spinal analgesia and alters systemic redistribution in the rat.

    abstract::The effect of liposome encapsulation on the analgesia produced by intrathecally administered alfentanil was examined in the rat. In rats prepared with chronic intrathecal catheters, alfentanil in doses of 1-50 micrograms was administered intrathecally in either saline or in multilamellar liposomes (dipalmitoylphosphat...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199209000-00019

    authors: Bernards CM,Luger TJ,Malmberg AB,Hill HF,Yaksh TL

    更新日期:1992-09-01 00:00:00

  • Isoflurane causes endothelium-dependent inhibition of contractile responses of canine coronary arteries.

    abstract::The authors sought to determine if isoflurane would attenuate effects of three different types of vasoconstrictors on isolated segments of canine epicardial coronary arteries removed from healthy dogs. As the endothelium has a major role in regulating epicardial coronary artery tone, and as it modulates the effect of ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198710000-00012

    authors: Blaise G,Sill JC,Nugent M,Van Dyke RA,Vanhoutte PM

    更新日期:1987-10-01 00:00:00

  • Propofol decreases myofilament Ca2+ sensitivity via a protein kinase C-, nitric oxide synthase-dependent pathway in diabetic cardiomyocytes.

    abstract:BACKGROUND:The authors' objective was to assess the role of protein kinase C (PKC) and nitric oxide synthase (NOS) in mediating the effects of propofol on diabetic cardiomyocyte contractility, intracellular free Ca2+ concentration ([Ca2+]i), and myofilament Ca2+ sensitivity. METHODS:Freshly isolated ventricular myocyt...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200605000-00014

    authors: Wickley PJ,Shiga T,Murray PA,Damron DS

    更新日期:2006-05-01 00:00:00