Subjective, psychomotor, cognitive, and analgesic effects of subanesthetic concentrations of sevoflurane and nitrous oxide.

Abstract:

BACKGROUND:Sevoflurane is a volatile general anesthetic that differs in chemical nature from the gaseous anesthetic nitrous oxide. In a controlled laboratory setting, the authors characterized the subjective, psychomotor, and analgesic effects of sevoflurane and nitrous oxide at two equal minimum alveolar subanesthetic concentrations. METHODS:A crossover design was used to test the effects of two end-tidal concentrations of sevoflurane (0.3% and 0.60%), two end-tidal concentrations of nitrous oxide (15% and 30%) that were equal in minimum alveolar concentration to that of sevoflurane, and placebo (100% oxygen) in 12 healthy volunteers. The volunteers inhaled one of these concentrations of sevoflurane, nitrous oxide, or placebo for 35 min. Dependent measures included subjective, psychomotor, and physiologic effects, and pain ratings measured during a cold-water test. RESULTS:Sevoflurane produced a greater degree of amnesia, psychomotor impairment, and drowsiness than did equal minimum alveolar concentrations of nitrous oxide. Recovery from sevoflurane and nitrous oxide effects was rapid. Nitrous oxide but not sevoflurane had analgesic effects. CONCLUSIONS:Sevoflurane and nitrous oxide produced different profiles of subjective, behavioral, and cognitive effects, with sevoflurane, in general, producing an overall greater magnitude of effect. The differences in effects between sevoflurane and nitrous oxide are consistent with the differences in their chemical nature and putative mechanisms of action.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Galinkin JL,Janiszewski D,Young CJ,Klafta JM,Klock PA,Coalson DW,Apfelbaum JL,Zacny JP

doi

10.1097/00000542-199711000-00012

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

1082-8

issue

5

eissn

0003-3022

issn

1528-1175

journal_volume

87

pub_type

临床试验,杂志文章
  • Forty-eight hours of postoperative pain relief after total hip arthroplasty with a novel, extended-release epidural morphine formulation.

    abstract:BACKGROUND:Epidural morphine has proven analgesic efficacy in the postoperative period and is widely used. This study evaluated the efficacy of extended-release epidural morphine (EREM; DepoDur; Endo Pharmaceuticals Inc., Chadds Ford, PA; SkyePharma, Inc., San Diego, CA) in providing pain relief for 48 h after surgery....

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000542-200505000-00022

    authors: Viscusi ER,Martin G,Hartrick CT,Singla N,Manvelian G,EREM Study Group.

    更新日期:2005-05-01 00:00:00

  • Comparison between bispectral index and patient state index as measures of the electroencephalographic effects of sevoflurane.

    abstract:BACKGROUND:The Bispectral Index (BIS) and the Patient State Index (PSI) quantify depth of anesthesia by analyzing the electroencephalogram. The authors examined the response of BIS and PSI to sevoflurane anesthesia. METHODS:In 22 patients, sevoflurane anesthesia was induced by inhalation with a tight-fitting facemask ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181895fd0

    authors: Soehle M,Ellerkmann RK,Grube M,Kuech M,Wirz S,Hoeft A,Bruhn J

    更新日期:2008-11-01 00:00:00

  • Pontine cholinergic mechanisms modulate the cortical electroencephalographic spindles of halothane anesthesia.

    abstract:BACKGROUND:Halothane anesthesia causes spindles in the electroencephalogram (EEG), but the cellular and molecular mechanisms generating these spindles remain incompletely understood. The current study tested the hypothesis that halothane-induced EEG spindles are regulated, in part, by pontine cholinergic mechanisms. M...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199604000-00023

    authors: Keifer JC,Baghdoyan HA,Lydic R

    更新日期:1996-04-01 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

  • Does a higher positive end expiratory pressure decrease mortality in acute respiratory distress syndrome? A systematic review and meta-analysis.

    abstract:BACKGROUND:Positive end expiratory pressure (PEEP) is an important component of therapy in patients with acute lung injury or acute respiratory distress syndrome. The independent effect of PEEP on mortality is currently unknown. METHODS:A systematic review and meta-analysis of randomized controlled clinical trials com...

    journal_title:Anesthesiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/ALN.0b013e31819fae06

    authors: Phoenix SI,Paravastu S,Columb M,Vincent JL,Nirmalan M

    更新日期:2009-05-01 00:00:00

  • Anesthetic mishaps: breaking the chain of accident evolution.

    abstract::Anesthesia and surgery are a risk for all, the healthy as well as the sick. While the prevention of adverse outcomes in healthy patients is paramount, enhancement of safety for critically ill patients is also essential, since they are more likely to suffer a SNO after a critical incident. Dangers originate from a vari...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Gaba DM,Maxwell M,DeAnda A

    更新日期:1987-05-01 00:00:00

  • Pharmacokinetics, neuromuscular effects, and biodisposition of 3-desacetylvecuronium (Org 7268) in cats.

    abstract::The pharmacokinetics, biodisposition, and neuromuscular blocking properties of 3-desacetylvecuronium were studied in 17 adult cats. Animals were divided into three groups: five cats with kidney failure induced by bilateral ligation of the renal pedicles, six cats with galactosamine-induced fulminant hepatitis, and six...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199106000-00013

    authors: Segredo V,Shin YS,Sharma ML,Gruenke LD,Caldwell JE,Khuenl-Brady KS,Agoston S,Miller RD

    更新日期:1991-06-01 00:00:00

  • Role of central and mixed venous oxygen saturation measurement in perioperative care.

    abstract::Complications after major surgery are a leading cause of morbidity and mortality. The etiology of postoperative complications is complex, but poor cardiorespiratory reserve appears to be a key factor. There is increasing interest in the use of central and mixed venous oxygen saturation to guide therapeutic interventio...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181af59aa

    authors: Shepherd SJ,Pearse RM

    更新日期:2009-09-01 00:00:00

  • Single-dose Antibiotic Prophylaxis in Regional Anesthesia: A Retrospective Registry Analysis.

    abstract:BACKGROUND:Catheter-related infection is a serious complication of continuous regional anesthesia. The authors tested the hypothesis that single-dose antibiotic prophylaxis is associated with a lower incidence of catheter-related infections. METHODS:Our analysis was based on cases in the 25-center German Network for R...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000001218

    authors: Bomberg H,Krotten D,Kubulus C,Wagenpfeil S,Kessler P,Steinfeldt T,Standl T,Gottschalk A,Stork J,Meissner W,Birnbaum J,Koch T,Sessler DI,Volk T,Raddatz A

    更新日期:2016-09-01 00:00:00

  • Cardiorespiratory effects of automatic tube compensation during airway pressure release ventilation in patients with acute lung injury.

    abstract:BACKGROUND:Spontaneous breaths during airway pressure release ventilation (APRV) have to overcome the resistance of the artificial airway. Automatic tube compensation provides ventilatory assistance by increasing airway pressure during inspiration and lowering airway pressure during expiration, thereby compensating for...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200108000-00020

    authors: Wrigge H,Zinserling J,Hering R,Schwalfenberg N,Stüber F,von Spiegel T,Schroeder S,Hedenstierna G,Putensen C

    更新日期:2001-08-01 00:00:00

  • Liability associated with obstetric anesthesia: a closed claims analysis.

    abstract:BACKGROUND:Obstetrics carries high medical liability risk. Maternal death and newborn death/brain damage were the most common complications in obstetric anesthesia malpractice claims before 1990. As the liability profile may have changed over the past two decades, the authors reviewed recent obstetric claims in the Ame...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318190e16a

    authors: Davies JM,Posner KL,Lee LA,Cheney FW,Domino KB

    更新日期:2009-01-01 00:00:00

  • Inspired oxygen fraction of 0.8 does not attenuate postoperative nausea and vomiting after strabismus surgery.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) is a distressing problem after strabismus surgery. An inspired oxygen fraction has been reported to decrease PONV in patients after colon resection and to be more effective than ondansetron after gynecologic laparoscopy. Therefore, in a randomized, prospective, placeb...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200507000-00005

    authors: Treschan TA,Zimmer C,Nass C,Stegen B,Esser J,Peters J

    更新日期:2005-07-01 00:00:00

  • Pancuronium and vecuronium pharmacokinetics and pharmacodynamics in younger and elderly adults.

    abstract::To evaluate the effect of aging on the distribution, metabolism, and neuromuscular junction sensitivity to pancuronium and vecuronium, the authors determined the pharmacokinetics and pharmacodynamics of these drugs in 12 healthy elderly subjects (70-84 yr) and 12 young adults (30-57 yr) during halothane-nitrous oxide ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198707000-00008

    authors: Rupp SM,Castagnoli KP,Fisher DM,Miller RD

    更新日期:1987-07-01 00:00:00

  • A comparative evaluation of the effects of multiple vasodilators on human internal mammary artery.

    abstract:BACKGROUND:Vasospasm of arterial grafts represents an unpredictable complication of coronary artery surgery and may compromise myocardial revascularization, and treatment is based on empirical therapy with nitroglycerin. Because of the potential for tolerance to nitroglycerin to occur, the authors studied different vas...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199806000-00030

    authors: Huraux C,Makita T,Montes F,Szlam F,Levy JH

    更新日期:1998-06-01 00:00:00

  • Comparison of two insertion techniques of ProSeal laryngeal mask airway: standard versus 90-degree rotation.

    abstract:BACKGROUND:This study compared two insertion techniques of ProSeal laryngeal mask airway. METHODS:A total of 160 female patients (American Society of Anesthesiologists physical status I or II; age 18-80 yrs) undergoing gynecologic surgery were randomly allocated to the standard or rotational technique groups. In the s...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e31819b5d40

    authors: Hwang JW,Park HP,Lim YJ,Do SH,Lee SC,Jeon YT

    更新日期:2009-04-01 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

  • The effect of neuromuscular blockade with vecuronium on hemodynamic responses to noxious stimuli in the rat.

    abstract::The effect of neuromuscular blockade with vecuronium on the hemodynamic responses to a noxious stimulus was investigated in male Sprague-Dawley rats. The rats were anesthetized with either halothane (group 1, n = 10), or isoflurane (group 2, n = 10). The maximum values for heart rate and mean arterial pressure during ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198908000-00009

    authors: Gibbs NM,Larach DR,Schuler HG

    更新日期:1989-08-01 00:00:00

  • Effects of oral clonidine premedication on plasma glucose and lipid homeostasis associated with exogenous glucose infusion in children.

    abstract:BACKGROUND:Oral clonidine may influence plasma glucose and lipid homeostasis by modulating endocrinologic responses to surgical stress. The effect of oral clonidine premedication on plasma glucose and lipid homeostasis associated with exogenous glucose infusion were investigated in children undergoing minor surgery. M...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199804000-00011

    authors: Nishina K,Mikawa K,Maekawa N,Shiga M,Obara H

    更新日期:1998-04-01 00:00:00

  • Large-dose hydroxyethyl starch 130/0.4 does not increase blood loss and transfusion requirements in coronary artery bypass surgery compared with hydroxyethyl starch 200/0.5 at recommended doses.

    abstract:BACKGROUND:Hydroxyethyl starch (HES) 130/0.4 may impair blood coagulation less than other HES solutions and, thus, may be used at larger doses without increasing the risk of postoperative bleeding. This study tested the hypothesis that volume replacement with 6% HES 130/0.4 at a dose of up to 50 ml/kg does not increase...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200307000-00010

    authors: Kasper SM,Meinert P,Kampe S,Görg C,Geisen C,Mehlhorn U,Diefenbach C

    更新日期:2003-07-01 00:00:00

  • Selective metabolic activation of the hippocampus during lidocaine-induced pre-seizure activity.

    abstract::Neurophysiologic studies indicate that local anesthetic-induced seizures are generated in subcortical brain structures. The authors utilized a quantitative autoradiographic technique to measure cerebral metabolism during lidocaine-induced seizure activity in rats anesthetized with nitrous oxide. Local cerebral metabol...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198101000-00007

    authors: Ingvar M,Shapiro HM

    更新日期:1981-01-01 00:00:00

  • Benefit versus Severe Side Effects of Opioid Analgesia: Novel Utility Functions of Probability of Analgesia and Respiratory Depression.

    abstract:BACKGROUND:Previous studies integrated opioid benefit and harm into one single function-the utility function-to determine the drug toxicity (respiratory depression) in light of its wanted effect (analgesia). This study further refined the concept of the utility function using the respiratory and analgesic effects of th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002138

    authors: Roozekrans M,van der Schrier R,Aarts L,Sarton E,van Velzen M,Niesters M,Dahan A,Olofsen E

    更新日期:2018-05-01 00:00:00

  • Effects of pre- and postischemic administration of thiopental on transmitter amino acid release and histologic outcome in gerbils.

    abstract:BACKGROUND:The mechanism by which barbiturates protect neurons against ischemia is unclear, particularly when they are given after ischemia or reperfusion begins. Because an excess release of excitatory neurotransmitters causes postsynaptic membrane depolarization, which triggers neuronal damage in ischemia, the effect...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199612000-00024

    authors: Amakawa K,Adachi N,Liu K,Ikemune K,Fujitani T,Arai T

    更新日期:1996-12-01 00:00:00

  • Hyperinsulinemic Normoglycemia Does Not Meaningfully Improve Myocardial Performance during Cardiac Surgery: A Randomized Trial.

    abstract:BACKGROUND:Glucose-insulin-potassium (GIK) administration during cardiac surgery inconsistently improves myocardial function, perhaps because hyperglycemia negates the beneficial effects of GIK. The hyperinsulinemic normoglycemic clamp (HNC) technique may better enhance the myocardial benefits of GIK. The authors exten...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000000723

    authors: Duncan AE,Kateby Kashy B,Sarwar S,Singh A,Stenina-Adognravi O,Christoffersen S,Alfirevic A,Sale S,Yang D,Thomas JD,Gillinov M,Sessler DI

    更新日期:2015-08-01 00:00:00

  • Regional and global myocardial circulatory and metabolic effects of isoflurane and halothane in patients with steal-prone coronary anatomy.

    abstract::The use of isoflurane in patients with coronary artery disease remains controversial because of the possibility of "coronary steal". In this study, the effects of isoflurane and halothane on global and regional myocardial blood flow and metabolism were compared, and the relationship between steal-induced myocardial is...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199111000-00006

    authors: Pulley DD,Kirvassilis GV,Kelermenos N,Kater K,Barzilai B,Genton RE,Efstathiou C,Lappas DG

    更新日期:1991-11-01 00:00:00

  • Substance Use Disorder in Physicians after Completion of Training in Anesthesiology in the United States from 1977 to 2013.

    abstract:BACKGROUND:Substance use disorder among physicians can expose both physicians and their patients to significant risk. Data regarding the epidemiology and outcomes of physician substance use disorder are scarce but could guide policy formulation and individual treatment decisions. This article describes the incidence an...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003310

    authors: Warner DO,Berge K,Sun H,Harman A,Wang T

    更新日期:2020-08-01 00:00:00

  • Effects of combining propofol and alfentanil on ventilation, analgesia, sedation, and emesis in human volunteers.

    abstract:BACKGROUND:Propofol and alfentanil frequently are administered together for intravenous sedation. This study investigated pharmacokinetic and pharmacodynamic interactions between propofol and alfentanil, at sedative concentrations, with specific regard to effects on ventilation, analgesia, sedation, and nausea. METHOD...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199601000-00004

    authors: Pavlin DJ,Coda B,Shen DD,Tschanz J,Nguyen Q,Schaffer R,Donaldson G,Jacobson RC,Chapman CR

    更新日期:1996-01-01 00:00:00

  • An Introduction to Causal Diagrams for Anesthesiology Research.

    abstract::Making good decisions in the era of Big Data requires a sophisticated approach to causality. We are acutely aware that association ≠ causation, yet untangling the two remains one of our greatest challenges. This realization has stimulated a Causal Revolution in epidemiology, and the lessons learned are highly relevant...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003193

    authors: Gaskell AL,Sleigh JW

    更新日期:2020-05-01 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

  • Period-dependent Associations between Hypotension during and for Four Days after Noncardiac Surgery and a Composite of Myocardial Infarction and Death: A Substudy of the POISE-2 Trial.

    abstract:BACKGROUND:The relative contributions of intraoperative and postoperative hypotension to perioperative morbidity remain unclear. We determined the association between hypotension and a composite of 30-day myocardial infarction and death over three periods: (1) intraoperative, (2) remaining day of surgery, and (3) durin...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/ALN.0000000000001985

    authors: Sessler DI,Meyhoff CS,Zimmerman NM,Mao G,Leslie K,Vásquez SM,Balaji P,Alvarez-Garcia J,Cavalcanti AB,Parlow JL,Rahate PV,Seeberger MD,Gossetti B,Walker SA,Premchand RK,Dahl RM,Duceppe E,Rodseth R,Botto F,Devereaux P

    更新日期:2018-02-01 00:00:00

  • Combined epidural and general anesthesia versus general anesthesia for abdominal aortic surgery.

    abstract::The goal of this randomized study of high-risk surgical patients was to determine whether intraoperative thoracic epidural anesthesia in combination with light general anesthesia alters postoperative morbidity when compared to a standard technique of "balanced" general anesthesia. A total of 173 patients scheduled for...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199110000-00010

    authors: Baron JF,Bertrand M,Barré E,Godet G,Mundler O,Coriat P,Viars P

    更新日期:1991-10-01 00:00:00