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Biomedical subjects

E Hartung

Publications and source records attributed to E Hartung.

68 records · Page 4Linked to original sources

[Naloxone-resistant EEG slowing induced by the synthetic opioid peptide FK 33-824 in the 4th cerebral ventricle of the dog].

In order to determine the importance of opioid peptides in the central control of wakefulness, the synthetic analogue of Met-Enkephalin, FK 33-824 (d-Ala-2-Phe-Met-(O)-ol-Enkephalin) which is more resistant to enzymatic degradation, was perfused in increasing concentrations (20, 100, 200, and 400 micgrograms/ml) through the fourth cerebral ventricle of the conscious dog. In the EEG (Power-spectral density in continuous acquisition) high concentrations (200--400 micgrograms/ml) induce slowing (theta--delta) with overlying beta-activity. This was reflected in the animals behaviour resulting in a sleep-like state which in spite of the administration of high doses of the antagonist Naloxone (100 micrograms/kg i.v.) sustained for 12 hours. A simultaneously dose-related respiratory depression (drop in arterial pO2 and an increase in arterial pCO2) was reversed by Naloxone. It is concluded that the opioid peptide FK 33-824 induces EEG-slowing which is mediated by a subpopulation of opiate-binding sites, possibly the kappa-receptors. These receptors are different from binding sites mediating respiratory depression (micro-receptors) as they interact with the opiate-antagonist Naloxone.

Animals↗

Naloxone induces excitation of the cardiovascular system and a rise in myocardial oxygen consumption in fentanyl and meperidine-anesthetized dogs.

Naloxone, when administered for the purpose in reversing opiate-induced respiratory depression after morphine- or fentanyl-anesthesia may precipitate an increase in sympathetic tone with subsequent cardiovascular reactions. In order to investigate which variable of the cardiovascular system is affected most and to compare whether the effects after fentanyl anesthesia (0.05 mg/kg) differ markedly from those after sole equianesthetic meperidine-anesthesia (20 mg/kg), naloxone (5 microgram/kg) was given shortly (15 min.) after opiate injection. In the fentanyl group (n = 7) compared to the anesthetic level the antagonist induces an increase in heart-rate by 100%, in LV dP/dt max (inotropic state of the myocardium) by 90%, in mean peripheral blood pressure (afterload of the heart by 80%, in myocardial oxygen consumption by 50% and in left ventricular pressure by 42%. After 32 minutes all variables had returned to anesthesia values. In the meperidine-group (n = 7) naloxone induced an increase in heart-rate by 13%, in LV dP/dt max by 75%, in mean peripheral blood pressure by 65%, in myocardial oxygen consumption by 25% and in left ventricular pressure by 78%. After 25 minutes all increased variables had returned to prenaloxone values. The study indicates that the more potent the opiate agonist, the more naloxone is liable to induce a hyperexcitatory state of the cardiovascular system. This excitatory state is also reflected in an elevated myocardial oxygen consumption. Therefore caution is advised in administering naloxone to patients after sole opiate-anesthesia, who have an impaired myocardial oxygen supply. (Acta anaesth. belg., 1982, 33, 89-97).

Anesthesia, General↗

Enflurane in cardiac surgery.

Due to its advantageous properties the volatile anesthetic enflurane is used as the main agent for all routine open heart cases in our department. The technique consists of the induction of the heavely premedicated patient with fentanyl (10 micrograms/kg i.v.) followed by pancuroniumbromide (100 micrograms/kg i.v.). For the maintenance of anesthesia, i.e. before, during, and after cardio-pulmonary bypass, enflurane together with nitrous-oxide (up to 66%) is used, in a concentration between 1.0-2.0 vol%. Compared to other volatile anesthetics we foster a technique with enflurane because it has following advantages: 1. Less negative inotropic effect on the myocardium. 2. Less tendency for ventricular arrhythmia. 3. Fast onset of action. 4. Fast recovery from the anesthetic state. 5. Spontaneous post-operative respiration. 6. Lesser incidence of toxic hepatitis (Acta anaesth. belg., 1982, 33, 141-155).

Anesthesia, Inhalation↗

The potential use of thiamine in patients with cardiac insufficiency.

Incremental doses of vitamin B1 were injected into patients with myocardial and pulmonary insufficiency treated in the post-operative period in the ICU (intensive care unit) after repairment of abdominal aneurysm. Compared to the control situation thiamine in a total dose of 50 mg/Kg induced a rise of blood pressure by at least 20 mmHg and a moderate elevation of central venous pressure by 3 mmHg. Heart rate was not affected and the EEG exhibited arousal effects after B1 treatment. It is suggested that in the failing heart with increased sympathetic tone thiamine acts as a mild peripheral vasodilator followed by a diminished pump outflow impedance and a resultant increase in systolic blood pressure. The redistribution of volume to the low pressure side is associated with a rise in central venous pressure. Effects of B1 on the EEG suggest an arousal reaction probably due to an interaction with a neurotransmitter system such as acethylcholine.

Arousal↗

Fentanyl in the fourth cerebral ventricle causes respiratory depression in the anesthetized but not in the awake dog.

Specific binding sites for opiate-induced bradycardia, hypotension and EEG-synchronization are located in areas bordering the IVth cerebral ventricle in the dog. To see if the clinically observed opiate-induced respiratory depression is mediated selectively from ponto-bulbar respiratory neurones, increasing concentrations of fentanyl (2.5-5-10-20 micrograms/ml) were perfused through the IVth cerebral ventricle in canines. Contrary to the awake state, fentanyl-perfusion during halothane-anesthesia (0.75 vol%/O2) induced a dose-related increase in arterial PCO2. This effect was reversed by subsequent naloxone-perfusion (20 micrograms/ml). The administration of halothane alone over the same period of time did not affect PCO2 in a similar manner. It is suggested that higher cortical centers which are involved in sensory awareness may modulate respiratory neurones in the medulla, since the depression of these higher centers by halothane resulted in opiate-induced respiratory impairment. An additive effect of fentanyl- and halothane-induced release of opiate-like peptides (enkephalins) on respiration should also be considered.

Anesthesia, Inhalation↗

[Research on the biomechanical vibration behaviour of man's bulbi (author's transl)].

Mechanical vibration may lead to a decrease in visual performance. This may be expected if the natural frequency of the eye is excited. Experiments wit eight subjects and one repeat were carried out with the aim of calculating the biomechanical transmission of vibration between the cranium and the eye. The oscillation of the reflex-point of the cornea and of a light-point on the forehead were observed by a TV-camera and recorded using a multipoint-X-Y-tracker-system with a direct writer. The analysis showed typical resonance curves for the eye with maxima at 25-31.5 Hz typical to those found in animal experiments using other methods. Therefore at places of work transmission of such vibration frequencies to the head should be avoided to prevent a decrease in visual performance.

Biomechanical Phenomena↗

The effect of thiamine on the contractile responses of the isolated heart muscle.

Isolated papillary muscles of cats were exposed to increasing concentrations of thiamine during which the contractile response of myocardium to stimulation were measured. The results indicate that thiamine has no direct negative inotropic effect on the isolated heart muscle over a wide concentration range (0.1-1 mmol/l). Higher concentrations resulted in a concentration-related depression of all variables. The data indicate that thiamine in high doses as sometimes used in anesthesia (greater than 50 mg/kg) does not inhibit the contractile state of the myocardium. Blood pressure falls after massive doses of intravenous vitamin B1 are probably due to the synaptic blockade which is induced by the compound.

Animals↗

[Animal experiments on the biomechanical vibration behaviour of the bulbus (author's transl)].

Mechanical vibration may have a detrimental effect on visual performance. This particularly seems to be the case if the natural frequency of the bulbus is excited. Experiments with animals were made with the aim of calculating the biomechanic transmission of vibration between the cranium and bulbus. Postmortem experiments using pig crania have shown that in vivo application of the method of sewing miniature accelerometers onto the cornea may be possible. Our experiments with monkeys gave typical resonance curves for the transmission of vibration of the bulbi with maxima between 25 and 31.5 Hz. Transferability of the results to the human eye is discussed.

Animals↗