Document Detail


Lower esophageal sphincter tone during reversal of neuromusclar blockade by atropine and neostigmine.
MedLine Citation:
PMID:  565153     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effect on lower esophageal sphincter (LES) pressure of IV atropine and neostigmine, a drug combination routinely given to antagonize nondepolarizing neuromusclar blockade at the end of a general anesthetic, was studied in 22 patients undergoing cesarean section. Atropine 1.2 mg and neostigmine 2.5 mg IV decreased LES pressure insignificantly by a mean of 0.7 kPa (p less than 0.1). In contrast, atropine 1.2 mg and neostigmine 5 mg increased LES pressure by a mean of 1.4 kPa (p less than 0.001). The latter dosage of this drug combination, therefore, appears preferable in patients presenting for emergency surgery if the integrity of the lower esophageal sphincter is to be maintained during extubation and recovery from general anesthesia.
Authors:
J G Brock-Utne; J W Downing; S Welman; G E Dimopoulos; M G Moshal
Related Documents :
1254133 - Manometric studies of the human pylorus.
3195543 - Induction of lower esophageal sphincter (les) dysfunction during use of the negative pr...
1536063 - A system for saturating in vitro preparations with high pressure o2, he, h2, and mixtures.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  57     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:    1978 Mar-Apr
Date Detail:
Created Date:  1978-05-20     Completed Date:  1978-05-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-4     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anesthesia, General
Atropine / pharmacology*
Cesarean Section
Drug Therapy, Combination
Esophagogastric Junction / drug effects*
Female
Humans
Muscle Tonus / drug effects*
Neostigmine / pharmacology
Pregnancy
Chemical
Reg. No./Substance:
51-55-8/Atropine; 59-99-4/Neostigmine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Venous air embolism: comparative merits of external cardiac massage, intracardiac aspiration, and le...
Next Document:  Comparison of anesthetic solutions used in lumbar and caudal peridural anesthesia.