Cumulative and Bolus In Vitro Contracture Testing with 4-Chloro-3-Ethylphenol in Malignant Hyperthermia Positive and Negative Human Skeletal Muscles

In this study we evaluated the in vitro effects of 4-chloro-3-ethylphenol (CEP) using cumulative (12.5–200 μmol/L) or bolus (75 and 100 μmol/L) administrations, on muscle specimens from malignant hyperthermia (MH) susceptible and MH nonsusceptible patients, respectively. In the cumulative CEP in vit...

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Veröffentlicht in:Anesthesia and analgesia 2005-09, Vol.101 (3), p.710-714
Hauptverfasser: Gerbershagen, Mark Ulrich, Fiege, Marko, Weisshorn, Ralf, Kolodzie, Kerstin, Esch, Jochen Schulte am, Wappler, Frank
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container_end_page 714
container_issue 3
container_start_page 710
container_title Anesthesia and analgesia
container_volume 101
creator Gerbershagen, Mark Ulrich
Fiege, Marko
Weisshorn, Ralf
Kolodzie, Kerstin
Esch, Jochen Schulte am
Wappler, Frank
description In this study we evaluated the in vitro effects of 4-chloro-3-ethylphenol (CEP) using cumulative (12.5–200 μmol/L) or bolus (75 and 100 μmol/L) administrations, on muscle specimens from malignant hyperthermia (MH) susceptible and MH nonsusceptible patients, respectively. In the cumulative CEP in vitro contracture test, contractures were significantly greater in the MH susceptible compared with the MH nonsusceptible muscles in all concentrations between 25 and 100 μmol/L. There was no overlap between the diagnostic groups at 75 μmol/L of CEP, so this test appears to be feasible for diagnosis of MH susceptibility. The two bolus tests are not diagnostically useful, as overlaps between the diagnostic groups were observed.
doi_str_mv 10.1213/01.ANE.0000160534.23519.1B
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source Ovid Lippincott Williams and Wilkins Journal Legacy Archive; MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Aged
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Child
Child, Preschool
Chlorophenols - pharmacology
Dimethyl Sulfoxide
Female
Humans
In Vitro Techniques
Male
Malignant Hyperthermia - diagnosis
Malignant Hyperthermia - physiopathology
Medical sciences
Middle Aged
Muscle, Skeletal - drug effects
Predictive Value of Tests
title Cumulative and Bolus In Vitro Contracture Testing with 4-Chloro-3-Ethylphenol in Malignant Hyperthermia Positive and Negative Human Skeletal Muscles
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