INFLUENCE OF ISOFLURANE ON RENAL AND INTESTINAL VASCULAR RESPONSES TO STRESS

Renal and intestinal vasoconstrictor responses elicited by either hypothalamic defence alarm area activation or stimulation of somatic and isceral afferents were studied in 17 cats. In part I, the circulatory adjustments during 2% (end-tidal) isoflurane plus 70 % nitrous oxide in oxygen were compare...

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Veröffentlicht in:British journal of anaesthesia : BJA 1986-06, Vol.58 (6), p.630-638
Hauptverfasser: ÖSTMAN, M., BIBER, B., MARTNER, J., REIZ, S.
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container_issue 6
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container_title British journal of anaesthesia : BJA
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creator ÖSTMAN, M.
BIBER, B.
MARTNER, J.
REIZ, S.
description Renal and intestinal vasoconstrictor responses elicited by either hypothalamic defence alarm area activation or stimulation of somatic and isceral afferents were studied in 17 cats. In part I, the circulatory adjustments during 2% (end-tidal) isoflurane plus 70 % nitrous oxide in oxygen were compared with a medium-dose fentanyl in 70% nitrous oxide-oxygen sequence which was supplemented by diazepam. In part II, three end-tidal concentrations of isoflurane (1.4%, 2% and 3%) plus nitrous oxide in oxygen were evaluated before and after pre-treatment with droperidol 200 fig kg−1. During fentanyl-dia-zepam anaesthesia, intense vasoconstrictor responses with associated decreases in renal and intestinal blood flows were observed. Isoflurane 2% counteracted this reflex vasoconstriction, particularly in the renal vascular bed. The pressor and soconstrictor responses were suppressed by isoflurane in a dose-dependent fashion. After the administration of droperidol, the vascularbeds were unaffected by noxious stimulation. It is concluded that isoflurane blunts stress-related vasoconstriction in a dose-dependent fashion, especially in the renal, but also in the intestinal, circulation. Droperidol adds to the vasodilatory effect of isoflurane.
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source Oxford University Press Journals Digital Archive legacy; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Anesthetics. Neuromuscular blocking agents
Animals
Biological and medical sciences
Blood Pressure - drug effects
Cats
Droperidol - pharmacology
Hemodynamics - drug effects
Intestines - blood supply
Isoflurane - pharmacology
Medical sciences
Methyl Ethers - pharmacology
Neuropharmacology
Pharmacology. Drug treatments
Regional Blood Flow - drug effects
Renal Circulation - drug effects
Stress, Physiological - physiopathology
Surgical Procedures, Operative
Vasoconstriction - drug effects
title INFLUENCE OF ISOFLURANE ON RENAL AND INTESTINAL VASCULAR RESPONSES TO STRESS
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