Document Detail

Furosemide and cerebrospinal fluid ions during acute respiratory acidosis.
MedLine Citation:
PMID:  2793657     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to investigate the effects of furosemide, an inhibitor of NaCl cotransport, on cisternal cerebrospinal fluid (CSF) acid-base balance during acute respiratory acidosis (ARA). We measured blood and CSF acid-base variables in two groups (n = 7 in each) of anesthetized, paralyzed, and mechanically ventilated dogs with bilateral ligation of renal pedicles (to eliminate saluresis). After base-line samples were obtained (-1 h), furosemide (50 mg/kg) was administered intravenously within 15 min (group II); group I received an equal volume of half-normal saline. ARA was induced 1 h later (0 h) and arterial CO2 tension was maintained between 55 and 60 Torr for 5 h. Mean cisternal CSF PCO2 was 42.8 +/- 2.6 and 39.5 +/- 1.7 Torr, respectively in groups I and II and rose approximately 20 Torr during ARA. In group I, CSF [HCO3-] was 22.0 +/- 1.0, 24.8 +/- 0.6, and 25.4 +/- 1.6 meq/l, respectively at 0, 2.5, and 5 h. Respective values for group II were 22.2 +/- 1.3, 24.3 +/- 1.8, and 24.6 +/- 1.0 meq/l. These values were not significantly different from each other. In each group, CSF [Na+-Cl-] increased significantly during ARA, but the changes were not significantly different when the two groups were compared. We conclude that furosemide at the dose used in the present study does not change ionic composition and acid-base balance of cisternal CSF compared with control. Because changes in CSF [Na+-Cl-] during ARA were similar in both groups, any inhibition of Cl- influx into CSF by furosemide should have been proportional to that of Na+.
S Javaheri; J F Freidel; P J Davis
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  67     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-11-15     Completed Date:  1989-11-15     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol (1985)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  563-9     Citation Subset:  IM    
Pulmonary Section, Veterans Administration Medical Center, Cincinnati, Ohio.
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MeSH Terms
Acid-Base Equilibrium
Acidosis, Respiratory / cerebrospinal fluid*
Bicarbonates / analysis
Blood Chemical Analysis
Blood Pressure
Chlorides / analysis
Electrolytes / metabolism*
Furosemide / pharmacology*
Hydrogen-Ion Concentration
Lactates / blood
Potassium / analysis
Sodium / analysis
Time Factors
Reg. No./Substance:
0/Bicarbonates; 0/Chlorides; 0/Electrolytes; 0/Lactates; 54-31-9/Furosemide; 7440-09-7/Potassium; 7440-23-5/Sodium

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