Arterial and venous plasma levels of bupivacaine following epidural and intercostal nerve blocks.

Abstract:

:Arterial and peripheral venous plasma levels of bupivacaine were determined in 30 patients following epidural anesthesia using 150 and 225 mg, as well as following intercostal nerve block with 400 mg. Arterial levels were consistently higher than levels in simultaneously sampled venous blood, and the highest levels occurred with bilateral intercostal nerve block. No evidence of systemic toxicity was observed. The results suggest that bupivacaine may have a wider margin of safety in man than is now stated.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Moore DC,Mather LE,Bridenbaugh PO,Bridenbaugh LD,Balfour RI,Lysons DF,Horton WG

doi

10.1097/00000542-197607000-00008

subject

Has Abstract

pub_date

1976-07-01 00:00:00

pages

39-45

issue

1

eissn

0003-3022

issn

1528-1175

journal_volume

45

pub_type

杂志文章
  • Volatile anesthetics enhance flash-induced gamma oscillations in rat visual cortex.

    abstract:BACKGROUND:The authors sought to understand neural correlates of anesthetic-induced unconsciousness. Cortical gamma oscillations have been associated with neural processes supporting conscious perception, but the effect of general anesthesia on these oscillations is controversial. In this study, the authors examined th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200505000-00012

    authors: Imas OA,Ropella KM,Ward BD,Wood JD,Hudetz AG

    更新日期:2005-05-01 00:00:00

  • Inhibition of interferon stimulation of natural killer cell activity in mice anesthetized with halothane or isoflurane.

    abstract:BACKGROUND:Basal cytotoxic activity of NK cells, a subtype of lymphocytes involved in the nonspecific immune response to viruses, tumors, and some bacteria, is altered in the postoperative period. The current study examines the effects of halothane and isoflurane on interferon-induced stimulation of NK cell cytotoxicit...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199304000-00013

    authors: Markovic SN,Knight PR,Murasko DM

    更新日期:1993-04-01 00:00:00

  • Glutamate release from the ovine fetal brain during maternal hemorrhage. A study using chronic in utero cerebral microdialysis.

    abstract:BACKGROUND:Glutamate has been implicated in the pathophysiology of neuronal injury associated with cerebral hypoxia-ischemia. A model using chronic in utero microdialysis was developed to sample the extracellular space of the fetal brain. Using this model, we tested the hypothesis that glutamate efflux from the parasag...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199502000-00022

    authors: Penning DH,Chestnut DH,Dexter F,Hrdy J,Poduska D,Atkins B

    更新日期:1995-02-01 00:00:00

  • Enhancement by pain and stress of analgesia produced by epidural sufentanil in the rat.

    abstract::This study examined whether pain or stress can enhance the analgesic effects of spinally administered opiates. The experiments determined the effects of mechanically produced pain and of the stress of being restrained on the analgesic effects of 0.63 microgram of epidural sufentanil in rats using a tail-withdrawal pro...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198807000-00004

    authors: Van den Hoogen RH,Bervoets K,Colpaert FC

    更新日期:1988-07-01 00:00:00

  • Neurokinin-1 receptor antagonists inhibit the recruitment of opioid-containing leukocytes and impair peripheral antinociception.

    abstract:BACKGROUND:Neurokinins (e.g., substance P) contribute to pain transmission in the central nervous system, peripheral neurogenic inflammation, and leukocyte recruitment in inflammation. Leukocyte recruitment involves (1) up-regulation of adhesion molecule expression through neurokinin-1 (NK1) receptors on endothelial ce...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/01.anes.0000291454.90754.de

    authors: Rittner HL,Lux C,Labuz D,Mousa SA,Schäfer M,Stein C,Brack A

    更新日期:2007-12-01 00:00:00

  • Improved postoperative outcomes associated with preoperative statin therapy.

    abstract::Statin therapy is well established for prevention of cardiovascular disease. Statins may also reduce postoperative mortality and morbidity via a pleiotropic (non-lipid-lowering) effect. The authors conducted a meta-analysis to determine the influence of statin treatment on adverse postoperative outcomes in patients un...

    journal_title:Anesthesiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/00000542-200612000-00027

    authors: Hindler K,Shaw AD,Samuels J,Fulton S,Collard CD,Riedel B

    更新日期:2006-12-01 00:00:00

  • Diagnosis of ventilator-associated pneumonia: an evaluation of direct examination and presence of intracellular organisms.

    abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) requires early diagnosis and adequate antibiotic therapy. The aim of this prospective postmortem study was to assess the accuracy of direct examination and quantification of intracellular organisms (ICO) for the diagnosis of VAP. METHODS:Total and differential cell coun...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199708000-00013

    authors: Papazian L,Autillo-Touati A,Thomas P,Bregeon F,Garbe L,Saux P,Seite R,Gouin F

    更新日期:1997-08-01 00:00:00

  • Postoperative bleeding in cardiac surgery: the role of tranexamic acid in patients homozygous for the 5G polymorphism of the plasminogen activator inhibitor-1 gene.

    abstract:BACKGROUND:Plasminogen activator inhibitor 1 (PAI-1) attenuates the conversion of plasminogen to plasmin. Polymorphisms of the PAI-1 gene are associated with varying PAI-1 levels and risk of prothrombotic events in nonsurgical patients. The purpose of this study, a secondary analysis of a clinical trial, was to investi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318167aecc

    authors: Iribarren JL,Jimenez JJ,Hernández D,Brouard M,Riverol D,Lorente L,de La Llana R,Nassar I,Perez R,Martinez R,Mora ML

    更新日期:2008-04-01 00:00:00

  • Influence of methylenetetrahydrofolate reductase gene polymorphisms on homocysteine concentrations after nitrous oxide anesthesia.

    abstract:BACKGROUND:Mutations in the methylenetetrahydrofolate reductase (MTHFR) gene (677C>T, 1298A>C) cause elevated plasma homocysteine concentrations and have been linked to fatal outcomes after nitrous oxide anesthesia. This study tested the hypothesis that patients with common MTHFR 677C>T or 1298A>C mutations develop hig...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318178820b

    authors: Nagele P,Zeugswetter B,Wiener C,Burger H,Hüpfl M,Mittlböck M,Födinger M

    更新日期:2008-07-01 00:00:00

  • Halothane and isoflurane alter the Ca2+ binding properties of calmodulin.

    abstract:BACKGROUND:Ca2+ plays an important role in signal transduction and anesthetic mechanisms. To date, no one has observed a direct effect of volatile anesthetics on a Ca(2+)-binding protein. We therefore examined the effects of halothane and isoflurane on the Ca(2+)-binding properties of bovine brain calmodulin. METHODS:...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199507000-00015

    authors: Levin A,Blanck TJ

    更新日期:1995-07-01 00:00:00

  • Noninvasive temperature monitoring in postanesthesia care units.

    abstract:BACKGROUND:Initial postoperative core temperature is a physician and hospital performance measure. However, the extent to which core temperature changes during emergence from anesthesia and transport from the operating room to the postanesthesia care unit (PACU) remains unknown. Similarly, the accuracy of many noninvas...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181a864ca

    authors: Langham GE,Maheshwari A,Contrera K,You J,Mascha E,Sessler DI

    更新日期:2009-07-01 00:00:00

  • Cell-based therapy for acute organ injury: preclinical evidence and ongoing clinical trials using mesenchymal stem cells.

    abstract::Critically ill patients often suffer from multiple organ failures involving lung, kidney, liver, or brain. Genomic, proteomic, and metabolomic approaches highlight common injury mechanisms leading to acute organ failure. This underlines the need to focus on therapeutic strategies affecting multiple injury pathways. Th...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/ALN.0000000000000446

    authors: Monsel A,Zhu YG,Gennai S,Hao Q,Liu J,Lee JW

    更新日期:2014-11-01 00:00:00

  • Volatile organic compounds during inflammation and sepsis in rats: a potential breath test using ion-mobility spectrometry.

    abstract:BACKGROUND:Multicapillary column ion-mobility spectrometry (MCC-IMS) may identify volatile components in exhaled gas. The authors therefore used MCC-IMS to evaluate exhaled gas in a rat model of sepsis, inflammation, and hemorrhagic shock. METHODS:Male Sprague-Dawley rats were anesthetized and ventilated via tracheost...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000420

    authors: Fink T,Wolf A,Maurer F,Albrecht FW,Heim N,Wolf B,Hauschild AC,Bödeker B,Baumbach JI,Volk T,Sessler DI,Kreuer S

    更新日期:2015-01-01 00:00:00

  • Sodium channel in human malignant hyperthermia.

    abstract:BACKGROUND:The abundance of a specific sodium channel subunit (SkM2) appeared to be altered in vitro in cell cultures from persons susceptible to malignant hyperthermia. This study sought to determine whether these findings are artifacts of cell culture or whether they may be relevant to malignant hyperthermia. METHOD...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199705000-00004

    authors: Fletcher JE,Wieland SJ,Karan SM,Beech J,Rosenberg H

    更新日期:1997-05-01 00:00:00

  • Effects of enflurane and isoflurane on resistance to reabsorption of cerebrospinal fluid in dogs.

    abstract::Using the technique of ventriculocisternal perfusion, resistance to reabsorption of cerebrospinal fluid (Ra) was calculated from determinations of the rate of reabsorption of cerebrospinal fluid (Va) at differing cerebrospinal fluid pressures in dogs. Ra was examined during prolonged anesthesia (5.0-6.0 h) with enflur...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198411000-00009

    authors: Artru AA

    更新日期:1984-11-01 00:00:00

  • Effects of clonidine on postoperative nausea and vomiting in breast cancer surgery.

    abstract:BACKGROUND:Postoperative nausea and vomiting (PONV) is still common, especially among female patients. Our hypothesis is that coinduction with clonidine reduces the incidence of PONV in adult patients undergoing breast cancer surgery. METHODS:Sixty-eight women premedicated with midazolam were randomly allocated to coi...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200205000-00013

    authors: Oddby-Muhrbeck E,Eksborg S,Bergendahl HT,Muhrbeck O,Lönnqvist PA

    更新日期:2002-05-01 00:00:00

  • Physiologic and antinociceptive effects of intrathecal resiniferatoxin in a canine bone cancer model.

    abstract:BACKGROUND:Resiniferatoxin is a potent capsaicin analog. Intrathecal administration leads to selective, prolonged opening of the transient receptor potential V1 ion channel, which is localized mainly to C-fiber primary afferent nociceptive sensory neurons. Following work in laboratory animals, the authors explored the ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200511000-00020

    authors: Brown DC,Iadarola MJ,Perkowski SZ,Erin H,Shofer F,Laszlo KJ,Olah Z,Mannes AJ

    更新日期:2005-11-01 00:00:00

  • Changes in lung volume and lung-thorax compliance during cardiac surgery in children 11 days to 4 years of age.

    abstract::To examine the effects of cardiac surgery and cardiopulmonary bypass (CPB) on the lung, functional residual capacity (FRC) and lung-thorax compliance were measured at four stages during open heart surgery in 15 children. The patients were anesthetized with fentanyl/droperidol and N2O/O2, paralyzed, and ventilated with...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:

    authors: Jonmarker C,Larsson A,Werner O

    更新日期:1986-09-01 00:00:00

  • Factors associated with postoperative exacerbation of sleep-disordered breathing.

    abstract:INTRODUCTION:The knowledge on the mechanism of the postoperative exacerbation of sleep-disordered breathing may direct the perioperative management of patients with obstructive sleep apnea. The objective of this study is to investigate the factors associated with postoperative severity of sleep-disordered breathing. M...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000041

    authors: Chung F,Liao P,Elsaid H,Shapiro CM,Kang W

    更新日期:2014-02-01 00:00:00

  • A comparison of the effects of halothane and tetrodotoxin on the regional repolarization characteristics of canine Purkinje fibers.

    abstract::The effects of halothane, tetrodotoxin (TTX), veratridine (VTD), and alterations of extracellular calcium ion concentration [Ca++]0) on regional differences of canine Purkinje fiber action potential duration (APD50 and APD90) were investigated in vitro at a paced rate of 75 beats per min. Under control conditions (n =...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199012000-00014

    authors: Turner LA,Marijic J,Kampine JP,Bosnjak ZJ

    更新日期:1990-12-01 00:00:00

  • Intravenous anesthetic propofol inhibits multiple human cardiac potassium channels.

    abstract:BACKGROUND:Propofol is widely used clinically for the induction and maintenance of anesthesia. Clinical case reports have shown that propofol has an antiatrial tachycardia/fibrillation effect; however, the related ionic mechanisms are not fully understood. The current study investigates the effects of propofol on human...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000495

    authors: Yang L,Liu H,Sun HY,Li GR

    更新日期:2015-03-01 00:00:00

  • A Practical Training Program for Peripheral Radial Artery Catheterization in Adult Patients: A Prospective, Randomized Controlled Trial.

    abstract:BACKGROUND:The main cause of unsuccessful peripheral radial artery catheterization using traditional palpation is imprecisely locating the arterial center. The authors evaluated factors causing disparities between the arterial centers determined by palpation versus ultrasound. The authors applied them to create and tes...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000001263

    authors: Nakayama Y,Inagaki Y,Nakajima Y,Sessler DI,Mukai N,Ogawa S,Mizobe T,Sawa T

    更新日期:2016-10-01 00:00:00

  • 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

  • Prothrombin Complex Concentrate Is Effective in Treating the Anticoagulant Effects of Dabigatran in a Porcine Polytrauma Model.

    abstract:BACKGROUND:In the event of trauma, emergency reversal of anticoagulation therapy may be required. However, no specific reversal agents are routinely available for the direct oral anticoagulants such as dabigatran. The authors investigated four-factor prothrombin complex concentrate (PCC) for treating dabigatran-induced...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000863

    authors: Honickel M,Braunschweig T,van Ryn J,Ten Cate H,Spronk HM,Rossaint R,Grottke O

    更新日期:2015-12-01 00:00:00

  • Moxonidine, a selective imidazoline-alpha2 -adrenergic receptor agonist, produces spinal synergistic antihyperalgesia with morphine in nerve-injured mice.

    abstract:BACKGROUND:Moxonidine, a novel imidazoline-alpha2-adrenergic receptor-selective analgesic, was recently identified as antinociceptive but has yet to be evaluated in neuropathic pain models. alpha2-adrenergic receptor-selective analgesics, and high-efficacy opioids, effectively inhibit neuropathic pain behaviors in rode...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200009000-00026

    authors: Fairbanks CA,Nguyen HO,Grocholski BM,Wilcox GL

    更新日期:2000-09-01 00:00:00

  • Awareness: Monitoring versus remembering what happened.

    abstract:BACKGROUND:Awareness during anesthesia is foremost assessed with postoperative interviews, which may underestimate its incidence. On-line monitors such as the Bispectral Index and patient response to verbal command are not necessarily commonly used. This study investigated response to command during deep sedation (Bisp...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200309000-00011

    authors: Kerssens C,Klein J,Bonke B

    更新日期:2003-09-01 00:00:00

  • Association between increases in urinary neutrophil gelatinase-associated lipocalin and acute renal dysfunction after adult cardiac surgery.

    abstract:BACKGROUND:Acute renal dysfunction (ARD) and subsequent acute renal failure after cardiac surgery are associated with high mortality and morbidity. Early therapeutic or preventive intervention is hampered by the lack of an early biomarker for acute renal injury. Recent studies showed that urinary neutrophil gelatinase-...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200609000-00011

    authors: Wagener G,Jan M,Kim M,Mori K,Barasch JM,Sladen RN,Lee HT

    更新日期:2006-09-01 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

  • Etomidate and thiopental inhibit the release of endothelium-derived hyperpolarizing factor in the human renal artery.

    abstract:BACKGROUND:Endothelium-derived hyperpolarizing factor is thought to be a cytochrome P450-derived arachidonic acid metabolite that hyperpolarizes vascular smooth muscle cells by opening Ca(2+)-activated K+ channels (K+Ca channels). In the rabbit carotid artery both volatile and intravenous anesthetics inhibit the acetyl...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199606000-00025

    authors: Kessler P,Lischke V,Hecker M

    更新日期:1996-06-01 00:00:00

  • Complications of different ventilation strategies in endoscopic laryngeal surgery: a 10-year review.

    abstract:BACKGROUND:Spontaneous ventilation, mechanical controlled ventilation, apneic intermittent ventilation, and jet ventilation are commonly used during interventional suspension microlaryngoscopy. The aim of this study was to investigate specific complications of each technique, with special emphasis on transtracheal and ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200601000-00010

    authors: Jaquet Y,Monnier P,Van Melle G,Ravussin P,Spahn DR,Chollet-Rivier M

    更新日期:2006-01-01 00:00:00