[Study of hypothermic anesthesia--cardiac contractility during hypothermia]. 1990

O Fukatsu, and T Fujihara
Department of Anesthesiology, Kanagawa Childrens Medical Center, Yokohama.

We studied cardiac function during hypothermia, and effects of various methods of anesthesia on hearts taken from guinea pigs which received extracorporeal circulation by Langendorff method. Morphine, fentanyl citrate and halothane were used as anesthetics. Morphine and fentanyl citrate were added to the infusate at the dose of 3 mg.kg-1 or 50 micrograms.kg-1. Halothane 1% was introduced into the infusate by bubbling. Left ventricular peak dp/dt was measured as an index of cardiac contractility. Halothane depressed cardiac contractility most at normal temperature, and this was changed by cooling. Cardiac contractility with both morphine and fentanyl citrate was similar, and showed significant advantage over halothane at 30 degrees C, 25 degrees C and 20 degrees C. Coronary arterial blood flows at 30 degrees C, 25 degrees C and 20 degrees C were in the order of halothane greater than fentanyl citrate greater than morphine. The result suggests that oxygen consumption of myocardium under halothane anesthesia, even during hypothermia is high.

UI MeSH Term Description Entries
D007036 Hypothermia, Induced Abnormally low BODY TEMPERATURE that is intentionally induced in warm-blooded animals by artificial means. In humans, mild or moderate hypothermia has been used to reduce tissue damages, particularly after cardiac or spinal cord injuries and during subsequent surgeries. Induced Hypothermia,Mild Hypothermia, Induced,Moderate Hypothermia, Induced,Targeted Temperature Management,Therapeutic Hypothermia,Hypothermia, Therapeutic,Induced Mild Hypothermia,Induced Mild Hypothermias,Induced Moderate Hypothermia,Induced Moderate Hypothermias,Mild Hypothermias, Induced,Moderate Hypothermias, Induced,Targeted Temperature Managements
D009020 Morphine The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle. Morphine Sulfate,Duramorph,MS Contin,Morphia,Morphine Chloride,Morphine Sulfate (2:1), Anhydrous,Morphine Sulfate (2:1), Pentahydrate,Oramorph SR,SDZ 202-250,SDZ202-250,Chloride, Morphine,Contin, MS,SDZ 202 250,SDZ 202250,SDZ202 250,SDZ202250,Sulfate, Morphine
D009200 Myocardial Contraction Contractile activity of the MYOCARDIUM. Heart Contractility,Inotropism, Cardiac,Cardiac Inotropism,Cardiac Inotropisms,Contractilities, Heart,Contractility, Heart,Contraction, Myocardial,Contractions, Myocardial,Heart Contractilities,Inotropisms, Cardiac,Myocardial Contractions
D003326 Coronary Circulation The circulation of blood through the CORONARY VESSELS of the HEART. Circulation, Coronary
D003864 Depression, Chemical The decrease in a measurable parameter of a PHYSIOLOGICAL PROCESS, including cellular, microbial, and plant; immunological, cardiovascular, respiratory, reproductive, urinary, digestive, neural, musculoskeletal, ocular, and skin physiological processes; or METABOLIC PROCESS, including enzymatic and other pharmacological processes, by a drug or other chemical. Chemical Depression,Chemical Depressions,Depressions, Chemical
D005283 Fentanyl A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) Phentanyl,Duragesic,Durogesic,Fentanest,Fentanyl Citrate,Fentora,R-4263,Sublimaze,Transmucosal Oral Fentanyl Citrate,R 4263,R4263
D006168 Guinea Pigs A common name used for the genus Cavia. The most common species is Cavia porcellus which is the domesticated guinea pig used for pets and biomedical research. Cavia,Cavia porcellus,Guinea Pig,Pig, Guinea,Pigs, Guinea
D006221 Halothane A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178) 1,1,1-Trifluoro-2-Chloro-2-Bromoethane,Fluothane,Ftorotan,Narcotan
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D066298 In Vitro Techniques Methods to study reactions or processes taking place in an artificial environment outside the living organism. In Vitro Test,In Vitro Testing,In Vitro Tests,In Vitro as Topic,In Vitro,In Vitro Technique,In Vitro Testings,Technique, In Vitro,Techniques, In Vitro,Test, In Vitro,Testing, In Vitro,Testings, In Vitro,Tests, In Vitro,Vitro Testing, In

Related Publications

O Fukatsu, and T Fujihara
November 1958, The American journal of physiology,
O Fukatsu, and T Fujihara
January 1990, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
O Fukatsu, and T Fujihara
September 1982, The Annals of thoracic surgery,
O Fukatsu, and T Fujihara
April 1975, Acta anaesthesiologica Belgica,
O Fukatsu, and T Fujihara
March 1973, Nederlands tijdschrift voor geneeskunde,
O Fukatsu, and T Fujihara
February 1958, Ugeskrift for laeger,
O Fukatsu, and T Fujihara
June 1968, Laval medical,
Copied contents to your clipboard!