Sympathetic blockade of isolated limbs by intravenous guanethidine. 1977

A J Holland, and K H Davies, and D H Wallace

As a result of experience at the Montreal General Hospital, it has been found that intravenous guanethidine blockade of extremities has therapeutic, prophylactic and diagnostic value in conditions where the aetiology is a disorder of sympathetic nervous conduction. The properties of guanethidine, namely its selective action on blocking the sympathetic nervous system peripherally, together with its long half time and rapid tissue fixation, render it a very useful drug in techniques where an isolated limb is blocked with guanethidine. Experience on a 18-month basis suggests that the procedure of intravenous guanethidine blockade offers exceptionally good results for a non-invasive technique. Work is now in progress to study the possible use of guanethidine in the treatment of phantom limb pain, and also to see whether other drugs, such as thymoxamine, could be used in a similar fashion to guanethidine.

UI MeSH Term Description Entries
D009422 Nervous System Diseases Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle. Neurologic Disorders,Nervous System Disorders,Neurological Disorders,Disease, Nervous System,Diseases, Nervous System,Disorder, Nervous System,Disorder, Neurologic,Disorder, Neurological,Disorders, Nervous System,Disorders, Neurologic,Disorders, Neurological,Nervous System Disease,Nervous System Disorder,Neurologic Disorder,Neurological Disorder
D012092 Replantation Restoration of an organ or other structure to its original site. Reimplantation,Surgical Replantation,Replantation, Surgical,Reimplantations,Replantations,Replantations, Surgical,Surgical Replantations
D005121 Extremities The farthest or outermost projections of the body, such as the HAND and FOOT. Limbs,Extremity,Limb
D005385 Fingers Four or five slender jointed digits in humans and primates, attached to each HAND. Finger
D006145 Guanethidine An antihypertensive agent that acts by inhibiting selectively transmission in post-ganglionic adrenergic nerves. It is believed to act mainly by preventing the release of norepinephrine at nerve endings and causes depletion of norepinephrine in peripheral sympathetic nerve terminals as well as in tissues. ((2-Hexahydro-1(2H)-azocinyl)ethyl)guanidine,Guanethidine Monosulfate,Guanethidine Sulfate,Guanethidine Sulfate (1:1),Guanethidine Sulfate (1:2),Guanethidine Sulfate (2:1),Guanethidine Sulfate (2:1), 14C-Labeled,Ismelin,Isobarin,Octadine,Oktadin,Monosulfate, Guanethidine,Sulfate, Guanethidine
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000771 Anesthesia, Intravenous Process of administering an anesthetic through injection directly into the bloodstream. Anesthesias, Intravenous,Intravenous Anesthesia,Intravenous Anesthesias
D000772 Anesthesia, Local A blocking of nerve conduction to a specific area by an injection of an anesthetic agent. Anesthesia, Infiltration,Local Anesthesia,Neural Therapy of Huneke,Huneke Neural Therapy,Infiltration Anesthesia
D013564 Sympathetic Nervous System The thoracolumbar division of the autonomic nervous system. Sympathetic preganglionic fibers originate in neurons of the intermediolateral column of the spinal cord and project to the paravertebral and prevertebral ganglia, which in turn project to target organs. The sympathetic nervous system mediates the body's response to stressful situations, i.e., the fight or flight reactions. It often acts reciprocally to the parasympathetic system. Nervous System, Sympathetic,Nervous Systems, Sympathetic,Sympathetic Nervous Systems,System, Sympathetic Nervous,Systems, Sympathetic Nervous

Related Publications

A J Holland, and K H Davies, and D H Wallace
July 1979, Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
A J Holland, and K H Davies, and D H Wallace
August 1981, Anaesthesia,
A J Holland, and K H Davies, and D H Wallace
January 1989, Annales de medecine interne,
A J Holland, and K H Davies, and D H Wallace
January 1982, Acta chirurgica Scandinavica,
A J Holland, and K H Davies, and D H Wallace
May 1974, Lancet (London, England),
A J Holland, and K H Davies, and D H Wallace
June 1974, Lancet (London, England),
A J Holland, and K H Davies, and D H Wallace
April 1976, British medical journal,
A J Holland, and K H Davies, and D H Wallace
August 1979, British medical journal,
A J Holland, and K H Davies, and D H Wallace
June 1990, The Clinical journal of pain,
A J Holland, and K H Davies, and D H Wallace
November 1996, Acta anaesthesiologica Scandinavica,
Copied contents to your clipboard!