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  • 1990-1994  (2)
  • 1970-1974
  • 1994  (2)
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  • 1990-1994  (2)
  • 1970-1974
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  • 1
    ISSN: 0942-0940
    Keywords: Cerebral vasospasm ; cerebral aneurysm ; calcium antagonist ; nicardipine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Calcium antagonists are currently most widely used for chronic cerebral vasospasm after aneurysmal subarachnoid haemorrhage (SAH). However, the vasodilatory effects of systemically administered calcium antagonists can be limited secondary to hypotension. We previously compared intrathecal and intravenous routes of administration of nicardipine. Intrathecal administration of nicardipine significantly dilated spastic basilar arteries on day 7 in a two-haemorrhage canine model of vasospasm. In the present communication, the effects of prophylactic, serial administration of intrathecal nicardipine on vasospasm was examined in 50 patients. Patients were classified as Fisher SAH group 3 and all had their aneurysms clipped within 3 days of SAH. Following placement of a cisternal drain, 2 mg of nicardipine was injected, three times each day for an average of 10 days. The control group consisted of 91 similar patients with cisternal drainage not treated with nicardipine. Intrathecal administration of nicardipine decreased the incidence of symptomatic vasospasm by 26%, angiographic vasospasm by 20% and increased good clinical outcome at one month after the haemorrhage by 15%. Postoperative angiograms revealed that patients in the nicardipine group showed less vasospasm of major cerebral arteries, near the tip of a drain in the basal cistern, but vasospasm in the A2 and M2 segments was not decreased. Radio-isotope cisternography suggested that nicardipine might not reach the subarachnoid space around A2 and M2 segments. Nine patients complained of headache probably secondary to nicardipine induced vasodilation. Two patients suffered from mengingitis, both were successfully treated. Intrathecal administration nicardipine appears to be effective in the treatment of vasospasm, but side effects were significant.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of applied electrochemistry 24 (1994), S. 1164-1169 
    ISSN: 1572-8838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Electrical Engineering, Measurement and Control Technology
    Notes: Abstract Poly(N-methylaniline) (PNMA) was prepared on a bare platinum electrode by electrooxidation of N-methylaniline in 1.0 mol dm−3 HCl. The PNMA film was more stable to anodic treatment than the polyaniline film. The electric conductivity of the PNMA film was potential dependent. High conductivity appeared only within the potential region where PNMA itself was redox-active. The PNMA filmed electrode showed redox response to dissolved hydroquinone whose redox current was evident within the potential region. Furthermore, the PNMA film behaved as an electrocatalyst for the electrode reaction of hydroquinone. The kinetics of the electrocatalytic reaction were investigated mainly using a rotating disc electrode. The experimental results obtained were analysed by the theory of Albery and Hillman, and the rate constant of the electron cross-exchange transfer between hydroquinone and the redox-active sites in the film (k) was determined and found to be 6.4 × 103 m −1 s−1 at 20° C.
    Type of Medium: Electronic Resource
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