Document Detail


The effect of glycopyrrolate (Robinul) on the lower oesophageal sphincter.
MedLine Citation:
PMID:  638828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Regurgitation and inhalation of acid gastric content, with resultant chemical pneumonitis, remains a common cause of death during anaesthesia. The effects of intravenous glycopyrrolate 0.3 mg on the lower oesophageal sphincter tone was studied in normal human subjects. Glycopyrrolate decreased lower oesophageal sphincter pressure by 0.88 kPa (p less than 0.005). This finding is of clinical importance in the pre-operative preparation of patients presenting for emergency surgery. A drug which decreases lower oesophageal sphincter tone would presumably increase the hazard of gastro-oesophageal reflux and pulmonary aspiration of acid gastric content.
Authors:
J G Brock-Utne; J Rubin; S Welman; G E Dimopoulos; M G Moshal; J W Downing
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Anaesthetists' Society journal     Volume:  25     ISSN:  0008-2856     ISO Abbreviation:  Can Anaesth Soc J     Publication Date:  1978 Mar 
Date Detail:
Created Date:  1978-06-28     Completed Date:  1978-06-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0371163     Medline TA:  Can Anaesth Soc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  144-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Esophagogastric Junction / drug effects*,  physiology
Glycopyrrolate / pharmacology*
Humans
Pressure
Pyrrolidines / pharmacology*
Chemical
Reg. No./Substance:
0/Pyrrolidines; 596-51-0/Glycopyrrolate

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


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