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Attenuation of Histamine‐Induced Airway Constriction by Albuterol during Halothane Anesthesia

 

作者: Joseph Tobias,   Carol Hirshman,  

 

期刊: Anesthesiology  (OVID Available online 1990)
卷期: Volume 72, issue 1  

页码: 105-110

 

ISSN:0003-3022

 

年代: 1990

 

出版商: OVID

 

关键词: Allergy;asthma: airway reactivity;bronchoconstriction;Anesthetics, intravenous: fentanyl;thiopental;Anesthetics, volatile: halothane;Histamine;Lungs: pulmonary resistance;Sympathetic nervous system;beta receptor agonist: albuterol

 

数据来源: OVID

 

摘要:

The effect of albuterol (aβ2specific adrenergic agonist) on airway reactivity to histamine aerosol challenge was evaluated during halothane anesthesia and thiopental-fentanyi anesthesia in five Basenji Greyhound dogs. Responses to histamine aerosol challenges (0.01, 0.03, 0.1, 0.3, 1.0, and 3.0 mg/ml) were measured during thiopentalfentanyl anesthesia and during halothane anesthesia in the presence and absence of iv albuterol (2.5 μg/kg). Prior to aerosol challenges, baseline pulmonary resistance (RL) and dynamic compliance (Cdyn) did not differ in the four conditions. Albuterol significantly attenuated the pulmonary response to histamine during thiopental-fentanyl anesthesia. Although halothane itself significantly attenuated the pulmonary response to histamine, this response was further attenuated by the addition of albuterol. This study suggests that albuterol is effective in attenuating bronchoconstriction during both thiopental-fentanyl and halothane anesthesia. As the effects of albuterol and halothane on the airways are additive, β-adrenergic agonists such as albuterol are the agents of choice to treat bronchospasm in patients anesthetized with inhalational anesthetics.

 

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