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Pharmacology of Laudanosine in Dogs

 

作者: Pim Hennis,   Mark Fahey,   P. Canfell,   Wel-zhong Shi,   Ronald Miller,  

 

期刊: Anesthesiology  (OVID Available online 1986)
卷期: Volume 65, issue 1  

页码: 56-60

 

ISSN:0003-3022

 

年代: 1986

 

出版商: OVID

 

关键词: Anesthetics, volatile: halothane.;Central nervous system: landanosine.;Cerebrospinal fluid: laudanosine.;Metabolism: atracurum, laudanosine.;Neuromuscular relaxants: atracurium.;Pharmacokinetics: laudanosine.

 

数据来源: OVID

 

摘要:

The authors determined the pharmacokinetics (including transfer ito cerebrospinal fluid [CSF]) and the cardiovascular and central nervous system (CNS) effects of laudanosine, a metabolite of atracurium. Eight dogs were anesthetized with halothane; blood pressure and a fronto-occipital electroencephalographic lead were monitored. Laudanosine (1 mg. kg−1iv) was administered as a bolus, and its concentrations in plasma, CSF, urine, and bile were determined by liquid chromatography. Three-compartment modeling of plasma audanosine concentrations yielded an elimination half-life for laudanosine of 113 ± 24 min (mean ± SD) and a clearance of 25 ± 8 ml. kg−1. min−1. CSF concentrations of laudanosine were highest 5–10 min after iv injection of laudanosine and ranged in concentration from 208 to 572 ng. ml−1(i.e., 36–87% of the corresponding plasma concentrations). Unchanged laudanosine was found in urine (0.5− 12% of injected dose) and bile (o2= 0.2) to a Paco2of 26–28 mmHg. Laudanosine was then administered 2 mg. kg−1iv every 5 min. With cumulative doses of 2–8 mg. kg−1, all dogs showed signs of “awakening” from anesthesia. Cumulative doses of 14–22 mg. kg−1produced seizure activity in all animals. Mean arterial blood pressure decreased significantly to 86% of control levels at 1 min following administration of laudanosine (1 mg. kg−1iv) and returned to control levels 4 min later. The authors conclude that laudanosine in dogs readily crosses the blood-brain barrier and can produce hypotension, signs of “awakening” from halothane anesthesia, and seizures. In addition, laudanosine is excreted unchanged by the kidney, and its metabolites are excreted by both the kidney and liver.

 

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