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Treatment of Subarachnoid Hemorrhage with Sodium Nitroprusside and PhenylephrineAn Experimental Study

 

作者: Charles Rothberg,   Bryce Weir,   Thomas Overton,  

 

期刊: Neurosurgery  (OVID Available online 1979)
卷期: Volume 5, issue 5  

页码: 588-595

 

ISSN:0148-396X

 

年代: 1979

 

出版商: OVID

 

关键词: Autoregulation;Nitroprusside;Phenylephrine;Subarachnoid hemorrhage;Vasospasm

 

数据来源: OVID

 

摘要:

&NA;The effectiveness of simultaneous intravenous sodium nitroprusside and phenylephrine in improving the cerebrovascular disturbances and survival rate after induced subarachnoid hemorrhage (SAH) was studied in the cynomolgus monkey. We measured regional cerebral blood flow (rCBF) using the intra‐arterial xenon‐133 clearance technique. In our experimental animal model, SAH was associated with a persistent reduction in rCBF, elevation of cerebrovascular resistance (CVR), cerebral vasospasm for the duration of the study (150 minutes), and poor survival. For animals receiving the treatment regime (administered approximately 25 minutes after the induced SAH), rCBF remained low, CVR was high, and cerebral vasospasm was persistent. Survival in this group was the same as that observed for the untreated animals. Simultaneous administration of sodium nitroprusside and phenylephrine was ineffective in improving rCBF, CVR, cerebral vasospasm. or survival after SAH. In the control group (receiving only the treatment and not an intracranial insult), rCBF was below resting levels both during and after therapy, indicating impaired cerebral autoregulation. (Neurosurgery,5: 588‐595, 1979)

 

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