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Biomedical subjects

C D Blitt

Publications and source records attributed to C D Blitt.

At least 37 records · Page 2Linked to original sources
PubMed1981

Comparison of bupivacaine, etidocaine, and saline for trigger-point therapy.

Injections of local anesthetics, saline, "dry needling," or other stimuli at specific, tender loci (trigger or acupuncture points) are reportedly efficacious in treatment of chronic pain syndromes. In a randomized, double-blind crossover study, subjective responses of 15 patients with myofascial syndrome to trigger-point injections of either bupivacaine 0.5%, etidocaine 1%, or physiologic saline without preservative were compared. Responses in six pain-related categories were determined before treatment and 15 minutes, 24 hours, and 7 days after treatment. Trigger-point injections with bupivacaine and etidocaine were generally preferred over saline in several pain-tested categories. Implications and possible mechanisms are discussed.

Acetanilides↗
PubMed1981

Extrahepatic biotransformation of halothane and enflurane.

The rates of biotransformation of halothane and enflurane by rabbit kidney and lung microsomal preparations were compared t the hepatic microsomal biotransformation of these agents. All three microsomal preparations (pulmonary, renal, and hepatic) were found capable of performing oxidative demethylation reactions as well as epoxidation. This was evidenced by the ability of these three microsomal preparations to metabolize benzphetamine, methoxyflurane, and trichloroehylene. Only the liver microsomal preparations were capable of defluorinating enflurane at any appreciable rate (6 +/- 3 pmoles/min/mg of microsomal protein). The three microsomal preparations performed reductive biotransformation of halothane, and the liver microsomes produced more than 3 times as much product as the other tissues. Pulmonary and renal microsomal preparations metabolized halothane reductively about equally. Differences in the solubility of halothane and enflurane in the rabbit pulmonary and hepatic microsomes were not found to be a cause of the differences in biotransformation in these two organs. Extrahepatic biotransformation may be an important factor in the disposition of volatile anesthetics.

Anaerobiosis↗
PubMed1980

Monitoring the cardiovascular system during anesthesia.

Cardiovascular data can provide the anesthesiologist with very valuable information that enables him to take better care of his patient. This information will prove even more valuable if the following few rules are followed: (1) do not be mesmerized, confused, or preoccupied by complex equipment, (2) do not avoid paying direct attention to your patient, (3) remember to use what will provide clinically useful information and heed this information, and (4) remember that electronic monitoring is not always superior to other methods.

Anesthesia↗
PubMed1979

Atrioventricular conduction in dogs during anesthesia with isoflurane.

The effects of 1.25, 2.0, and 2.5 MAC isoflurane on atrioventricular conduction were studied by His-bindle electrocardiography during atrial pacing in ten dogs. No effect upon atrioventricular conduction as evidenced by changes in A--H interval (the time of conduction from low right atrium to His-bundle, representing primary AV nodal conduction) was found at these concentrations. Atrial pacing to 200 beats/min did not influence the A--H interval at the three anesthetic concentrations. The stability of cardiac rhythm observed clinically with isoflurane may be related to this lack of effect upon the AV node.

Anesthetics↗
PubMed1979

Relative importance of alpha and beta adrenergic receptors during resuscitation.

Successful resuscitation from cardiac arrest in the asphyxiated dog model has been ascribed to the use of artificial ventilation, closed chest cardiac massage, and administration of a vasopressor. Controversy remains over whether the most commonly employed vasopressor, epinephrine, exerts its effects primarily by elevating diastolic pressure and reestablishing coronary flow, or by exciting cardiac pacemaker cells and enhancing myocardial contractility. To observe pure alpha and beta adrenergic receptor influences during resuscitation, three groups (alpha-blocked, beta-blocked, unblocked) of dogs were studied. beta-blocked dogs resuscitated with phenylephrine and unblocked dogs resuscitated with epinephrine experienced 100% successful resumption of spontaneous circulation after 5 min of asphyxia-induced arrest. Only 27% of alpha-blocked animals resuscitated with isoproterenol were successfully revived. The appearance of the ECG during cardiac arrest and resuscitation could in no way be used to predict the outcome of resuscitation attempts. Results suggest that, initially, alpha receptor stimulation with concomitant diastolic pressure elevation is more important to the success of resuscitation than beta receptor stimulation.

Animals↗
PubMed1977

Pancuronium bromide enhances atrioventricular conduction in halothane-anesthetized dogs.

The effect of pancuronium bromide on atrioventricular conduction was studied by His-bundle electrocardiography during atrial pacing at different heart rates in halothane-anesthetized dogs. Pancuronium bromide, 0.1 mg/kg, uniformly enhanced atrioventricular conduction, as evidenced by decreased A-H interval (the time from the onset of the first high-frequency component of atrial depolarization to His deflection). Wenckebach second-degree atrioventricular block appeared in five of 14 animals during atrial pacing with halothane anesthesia. This block was uniformly abolished by pancuronium. The enhancement of atrioventricular conduction may contribute to the development of tachyarrhythmias following administration of pancuronium in certain patients, particularly those who have atrial fibrillation or atrial flutter.

Anesthesia, Inhalation↗