首页   按字顺浏览 期刊浏览 卷期浏览 Gestational Differences in Lidocaine Toxicity in the Fetal Lamb
Gestational Differences in Lidocaine Toxicity in the Fetal Lamb

 

作者: K. Teramo,   N. Benowitz,   M. Heymann,   A. Rudolph,  

 

期刊: Anesthesiology  (OVID Available online 1976)
卷期: Volume 44, issue 2  

页码: 133-138

 

ISSN:0003-3022

 

年代: 1976

 

出版商: OVID

 

关键词: Brain;fetal convulsions;lidocaine; Anesthetics;local; lidocaine; Toxicity;fetal;convulsions; Anesthesia;obstetric;fetal convulsions

 

数据来源: OVID

 

摘要:

Effects of lidocaine on arterial pressure, heart rate and electrocortical activity were studied in nine fetal lambs at 0.77 to 0.92 gestation (116 to 138 days of gestation; term in sheep is 150 days). Lidocaine was administered into a fetal femoral vein either as a continuous infusion or as a bolus injection. Epileptiform activity was observed in all fetuses both after continuous infusion and after bolus injection of lidocaine. Fetal arterial concentrations of lidocaine at the time of the first epileptiform discharge during continuous infusion ranged from G.9 to 40.0 μg/ml, and correlated negatively with gestational age (Y = −1.727 × +242.7; r= −0.94). The increases in fetal mean arterial pressure during epileptiform bursts correlated directly with the gestational age (Y = 1.27 × −150.0; r = 0.91). The convulsive doses of lidocaine injected as a bolus ranged from 8.0 to 34.1 mg/kg, and correlated negatively with gestational age (Y = −0.991 × +144.9; r= −0.88). The increased sensitivity to lidocaine of the fetal central nervous system with advancing gestation probably reflects differences in fetal brain development. The increase in cardiovascular responses to epileptiform activity with advancing gestation could be related to differences cither in the strength of epileptiform discharges or in permeability of the blood–brain barrier to lidocaine, or to immaturity of the autonomie nervous supply to the cardiovascular system in young fetuses.

 

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