DISSOCIATION BETWEEN THE EFFECTS OF FENTANYL AND ALFENTANIL ON SPONTANEOUS AND REFLEXLY EVOKED CARDIOVASCULAR RESPONSES IN THE DOG |
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Authors: | ASKITOPOULOU, H. WHITTWAM, J. G. SAPSED, S. CHAKRABARTI, M. K. |
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Affiliation: | Department of Anaesthetics, Royal Postgraduate Medical School Du Cane Road, London W12 0HS |
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Abstract: | Observations were made for 3 h in 10 anaesthetized dogs on theeffects of alfentanil 500 µg kg andfentanyl 100µg kg1 on resting heart rate (HR) and mean arterialpressure (MAP), and on the changes evoked in heart rate andmean arterial pressure ( HR and MAP) by stimulation of a cutaneousnerve. Both drugs caused similar decreases in the resting HR(43%44%) and MAP (2831%), which returned to baselinewithin lgOmin following alfentanil but not fentanyl. Fentanyldecreased the somato - cardiovascular reflexes by 73% and 82%compared with a significantly smaller reduction of 54% and 55%(P< 0.05) with alfentanil. Following nlffntanilj MAP hadrecovered by 15 min and HR by 70 min compared with 70 and 90nun respectively for fentanyl. In conclusion, there was a dissociationbetween the maximum effect of alfentanil and fentanyl on theresting circulation and on the evoked cardiovascular reflexes.With both drugs a dissociation was observed between the durationsof their effect on the resting cardiovascular system and onthe evoked cardiovascular responses *Present address: Department of Anaesthetics, Tzanion Hospital,Piraeus, Greece |
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