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  • Aerosol  (1)
  • Physostigmine  (1)
  • 1
    ISSN: 1432-1238
    Keywords: Sepsis ; Staph. aureus ; ARDS ; Corticosteroid ; Aerosol
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective To assess effects of nebulized corticosteroid on lung function in sepsis. Design Randomized, placebo-controlled, blinded study in septic pigs. Setting A trauma research laboratory Materials 16 juvenile pigs, one excluded due to pulmonary hypertension at baseline. Interventions Mechanical ventilation and continuous light anesthesia. Brief infusion of liveStaph. aureus (4×1010cfu) followed by nebulization of beclomethasone sone dipropionate (BDP) 50μg/kg (n=8) or placebo (n=7) 30 and 360 min after start of septic challenge. Measurements and results Vascular pressures, cardiac output, lung mechanics, gas exchange and oxygen transport variables were measured at regular intervals. An identical transient rise in mean pulmonary artery pressure was seen in both groups (mean±SD: 48±4 mmHg), followed by a gradual increase in pulmonary vascular resistance, reaching maximum at 4h but significantly reduced by BDP compared to placebo (p〈0.01, ANOVA). Mean systemic arterial pressure, arterial oxygen tension and lung compliance did not change significantly in the BDP group, but they all declined in the placebo-group (p〈0.01 compared to baseline,p〈0.05–0.01 between the groups). Oxygen delivery decreased significantly in the placebo group at 12h (p〈0.05). Oxygen extraction increased in both groups (p〈0.01 compared to baseline), being significantly higher in the placebo group at 12h (p〈0.05). Conclusion Nebulized corticosteroid protects pulmonary function in sepsis, indicating a therapeutic role in the treatment of septic ARDS.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2072
    Keywords: Nicotine ; Cytisine ; 9-Amino-1,2,3,4-tetrahydroacridine ; Physostigmine ; Intrathecal administration
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Behavioral effects of nicotine and cytisine, and the cholinesterase inhibitors physostigmine and 9-amino-1,2,3,4-tetrahydroacridine (THA), administered intrathecally (IT) at the lumbar level in the rat have been evaluated. Antinociceptive dose relationships were established using the tail immersion test. Total activity, locomotion and rearing were also measured in computerized test boxes. The nicotinic receptor antagonist, mecamylamine, and the muscarinic receptor antagonist, atropine, were used to study the selectivity of the effects. Physostigmine and THA significantly decreased total activity, locomotion and rearing as compared to control animals. The motor effects of physostigmine were completely antagonized by atropine whereas those of THA were antagonized only partly. Mecamylamine had no antagonistic effect. Nicotine did not affect any activity parameter. Cytisin reduced total activity and locomotion 1–6 min after dose. IT physostigmine, 15 µg, increased tail immersion latency for 30 min. No significant increase in response latency in this test was observed after the IT administration of nicotine or THA, whereas cytisine elicited a small increase. The IT administration of THA, nicotine and cytisine was also associated with gnawing, vocalization and hyperactivity and in the case of THA, diarrhoea. These effects were blocked by mecamylamine. Physostigmine antinociception as well as the behavioral effects including total activity, locomotion and rearing caused by physostigmine and by THA are most probably due to an action on spinal muscarinic receptors. Nicotinic receptors do not seem to be involved in spinal antinociception. Some aversive behavioral effects caused by the IT administration of nicotinic receptor agonists could, however, be attenuated by the spinal administration of the antagonist mecamylamine, which may indicate the involvement of nicotinic receptors in afferent sensory transmission.
    Type of Medium: Electronic Resource
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