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Biomedical subjects

A Reber

Publications and source records attributed to A Reber.

At least 55 records · Page 3Linked to original sources
PubMed1996

Aging effects on monoamines in rat medial vestibular and cochlear nuclei.

Noradrenaline (NA), dopamine (DA); serotonin (5-HT) and their metabolites-3-methoxy, 4-hydroxyphenylglycol (MHPG), 3,4-dihydroxyphenylacetic acid (DOPAC) and 5-hydroxyindoleacetic acid (5-HIAA)-were determined using HPLC in medial vestibular nucleus (MVN), anteroventral cochlear nucleus (AVCN), dorsal+posteroventral cochlear nucleus (DCN+PVCN), locus coeruleus (LC) and raphe dorsalis of Dark Agouti-Hanovre (DA-HAN) rats aged 4, 21 and 24 months. In older rats, the main noradrenergic changes were a decrease of NA content with an increase of the MHPG/NA ratio in MVN and a selective NA increase in AVCN. 5-HT and 5-HIAA levels were increased in all the brainstem nuclei except raphe dorsalis. DA and DOPAC remained unchanged. These data show that noradrenergic neurons in sensory nuclei are differently affected by aging whereas serotonergic activation occurs in most of them possibly as a compensatory response to dysfunction of sensory input and processing. The increase of NA stores in the AVCN of aged rats is in line with the elevated auditory brainstem threshold reported in old rats and could improve the signal-to-noise ratio. Noradrenergic neurons in the MVN seem to be more sensitive to age effect than cochlear nuclei; however, even if neuronal loss occurs, NA synthesis and/or metabolism increase to ensure normal or increased noradrenergic activity.

3,4-Dihydroxyphenylacetic Acid↗
PubMed1996

Optokinetic and vestibulo-ocular reflex adjustment by GABA antagonists.

We determined if high and low doses of anti-GABAergic drugs have opposite effects on the visuo-vestibular activity in pigmented rats and examined a possible correlation with the level of GABA in the related structures. First, the horizontal optokinetic and vestibulo-ocular reflexes of most animals were depressed by high doses of anti-GABAergic drugs (10(-3) M purified picrotoxin or 10(-6) M picrotoxin in unpurified vegetal extract). Simultaneously, a drop in GABA level in the cerebellum and posterior brainstem was detected. Second, after a subsequent injection (1 ml) of the diluted extract (10(-13) M picrotoxin), the reflexes returned to normal despite the fact that no correlation with the GABA level was found. These results demonstrate that small doses of anti-GABAergic drugs reverse the depressive effect created by large doses of these drugs on the oculomotor system, and even adjust the reflexes to the stimulation. This adjustment, without correlation with the GABA level, suggest a powerful effect of very low dose of the drug to modulate either the activity of the cerebellar inhibiting input or of the vestibular nuclei neurons or to trigger the adaptation by other neurotransmitter systems involved in the performances of the reflexes.

Animals↗
PubMed1996

Volumetric analysis of aeration in the lungs during general anaesthesia.

Spiral computed tomography (CT) allows volumetric analysis of formation of atelectasis and aeration of the lungs during anaesthesia. We studied 26 premedicated patients undergoing elective surgery allocated to group 1 (conscious, spontaneous breathing, investigating inspiration and expiration), group 2 (general anaesthesia with mechanical ventilation, investigating inspiration and expiration) or group 3 (general anaesthesia with mechanical ventilation, investigating changes over time). Using spiral CT, the lungs were studied either before or during general anaesthesia. CT scans were grouped into the following areas: overaeration, normal aeration, reduced aeration, poor aeration and atelectasis. The mechanism of atelectasis appeared to be both gravitational forces and a diaphragm-related force that acts regionally in caudal lung regions. Mean atelectasis formation and poorly aerated regions comprised approximately 4% of the total lung volume between the diaphragm and carina, giving a mean value of 16-20% of the normal aerated lung tissue being either collapsed or poorly aerated. The vertical ventilation distribution was more even during anaesthesia than in the awake state.

Anesthesia, General↗
PubMed1996

Inhalation of a nitric oxide synthase inhibitor to a hypoxic or collapsed lung lobe in anaesthetized pigs: effects on pulmonary blood flow distribution.

I.v. administration of the nitric oxide synthase inhibitor, nitro-L-arginine methyl ester (L-NAME), not only reduces blood flow in a hypoxic lung region but also causes systemic vasoconstriction and a decrease in cardiac output. In this study, we delivered nebulized L-NAME 0.2-1 mg kg-1 to the left lower lobe of 10 anaesthetized pigs. The left lower lobe was made hypoxic by selective inhalation of 5% oxygen or collapsed by interrupted ventilation, or both. Inhalation of L-NAME reduced fractional blood flow to the left lower lobe from 5.3 (SD 3.1)% to 1.7 (1.4)% (P < 0.05) in lobar hypoxia and from 6.0 (3.3) to 2.7 (2.7)% (P < 0.05) in lobar collapse. These reductions were accompanied by a significant increase in PaO2. There were no significant changes in arterial pressure, cardiac output or heart rate. We have shown that selective inhalation of L-NAME reduced blood flow to a hypoxic or collapsed lung region without systemic effects. The possible role for nitric oxide synthase inhibition in reducing shunt during one-lung ventilation, however, requires further study.

Administration, Inhalation↗
PubMed1996

Lung aeration. The effect of pre-oxygenation and hyperoxygenation during total intravenous anaesthesia.

We have investigated the effect of pre-oxygenation and hyperoxygenation (an increase in inspired oxygen fraction from 0.4 to 1.0 after induction of general anaesthesia) on aeration and atelectasis formation in the lungs during total intravenous anaesthesia. Twenty-seven consecutive patients were randomly allocated to group 1 (with pre-oxygenation), group 2 (without pre-oxygenation), or group 3 (hyperoxygenation). Lung aeration was investigated by means of spiral computed tomography. The aeration of lung regions identified by computed tomography scans was divided into five categories: over-aeration, normal aeration, reduced aeration, poor aeration, and atelectasis formation. In group 1 larger areas of atelectasis were found in the basal parts of the lungs compared to group 2. In group 3 a significant increase in atelectatic areas with a corresponding reduction in areas with reduced aeration occurred at the bases of the lungs. The considerable increase in atelectasis associated with pre-oxygenation and its rapid appearance during hyperoxygenation suggest that these procedures should be used with caution.

Adult↗
PubMed1996

Atelectasis and pulmonary shunting during induction of general anaesthesia--can they be avoided?

BACKGROUND: Gas exchange is regularly impaired during general anaesthesia with mechanical ventilation. A major cause of this disorder appears to be atelectasis and consequently pulmonary shunt. After re-expansion, atelectasis reappears very slowly if 30% oxygen in nitrogen is used, but much faster if 100% oxygen is used. The aim of the present study-was to evaluate if early formation of atelectasis and pulmonary shunt may be avoided if the lungs are ventilated with 30% oxygen in nitrogen instead of 100% oxygen during the induction of general anaesthesia. METHODS: Twenty-four adult patients with healthy lungs scheduled for elective surgery were investigated. During induction of anaesthesia, the lungs were manually ventilated via a face mask, using either 30% oxygen in nitrogen (group 1, n = 12) or 100% oxygen (group 2, n = 12). Atelectasis was estimated by computed x-ray tomography and ventilation-perfusion distribution with the multiple inert gas elimination technique, both awake and during general anaesthesia with mechanical ventilation. RESULTS: No atelectasis was present in the awake subjects. After induction of anaesthesia, the mean amount of atelectasis was minor (0.2 +/- 0.4 cm2) in group 1 and considerably greater (8.0 +/- 8.2 cm2) in group 2 (P < 0.001). The pulmonary shunt was 0.3 +/- 0.7% of cardiac output in the awake subjects. This value increased to 2.1 +/- 3.8% in group 1 and to 6.5 +/- 5.2% in group 2 (P < 0.05). The indices of VA/Q mismatch showed no difference between the two groups. CONCLUSION: During induction of general intravenous anaesthesia in patients with healthy lungs, gas composition plays an important role for atelectasis formation and the establishment of pulmonary shunt. By using a mixture containing 30% oxygen in nitrogen, the early formation of atelectasis and pulmonary shunt may, at least in part, be avoided.

Adult↗
PubMed1995

Prevention of atelectasis during general anaesthesia.

Atelectasis is an important cause of impaired gas exchange during general anaesthesia; it causes pulmonary shunting. We studied the effects of gas composition on the formation of atelectasis and on gas exchange during the induction of general anaesthesia. In 12 adult patients, the lungs were ventilated with 30% oxygen in nitrogen during anaesthesia induction, and in another 12, a conventional technique was used (100% oxygen during induction and 40% oxygen in nitrogen thereafter). Extent of atelectasis was estimated by computed tomography and the ventilation-perfusion relation (VA/Q) by the multiple inert gas elimination technique. After anaesthesia induction, there was little atelectasis in the 30% oxygen group (mean 0.2 [SD 0.4] cm2) and a significantly greater amount (4.2 [5-6] cm2; p < 0.001) in the 100% oxygen group. Patients in the 30% oxygen group were observed for another 40 min. 6 continued to receive 30% oxygen (subgroup A) and 6 were ventilated with 100% oxygen (subgroup B). During this time, the amount of atelectasis increased to 1.6 (1.6) cm2 in subgroup A and to 4.7 (4.5) cm2 in subgroup B (p = 0.047 for difference between groups). In subgroup A, the shunt (VA/Q < 0.005) increased from 1.6 (2.0)% of cardiac output to 3.2 (2.7)%, but the arterial oxygen tension did not change. In subgroup B, the shunt increased from 2.6 (5.2)% to 9.8 (5.7)% of cardiac output. These results suggest that the composition of inspired gas is important in atelectasis formation during general anaesthesia. Use of a lower oxygen concentration than is now standard practice might prevent the early formation of atelectasis.

Adult↗
PubMed1995

Three cases of blunt chest trauma caused by constant compression mechanisms.

Three patients (survivors) with isolated blunt chest traumas caused by constant compression mechanisms with known forces are reported on. The low velocity but high compression forces of the accidents, the effect on ventilation and oxygenation, specific early management and follow-up, clinical signs, and underlying complications of these patients are described and discussed.

Accidents↗
PubMed1995

Rapid compensation of horizontal optokinetic nystagmus in hemilabyrinthectomized rats: a fast return to symmetry.

In the rat, after unilateral labyrinthectomy the loss of unit responses in the deafferented ipsilateral vestibular nucleus should lead to a complete postlesional asymmetry in H-OKN. The compensation process of this oculomotor deficit were recorded by means of a search coli technique using amplitude detection in 30 pigmented rats, 8 animals as control and 22 submitted to left hemilabyrinthectomy. Recording sessions were performed from day 1 to 8 after the lesion. Velocity steps of visual stimulation were delivered in clockwise (CW) and counterclockwise (CCW) directions at velocities from 2 to 40 degrees/s. The H-OKN was not observable on postlesional day 2. It reappeared asymmetrical on day 2 with depressed responses to CW stimulation while the response to the CCW stimulation were almost as large as in intact animal. This asymmetry was quantified by the gain values (eye velocity/stimulus velocity) of the nystagmic responses which were, at 5 degrees/s of stimulus velocity, 0.37 for CW stimulation and almost twice as large, 0.72 for CCW stimulation. Later this asymmetry was consistently reduced by a progressive increase of the CW responses and a parallel decrease of the CCW. This process led to the responses to reach almost symmetrical values on day 8 with a gain of 0.52 and 0.63 for CW and CCW responses respectively at the same stimulus velocity. However the gain of intact animals was never attained. The initial eye velocity was symmetrically altered on day 2 and remained unchanged until postlesional day 8. These results demonstrate that the deficit appeared to be compensated more by a restoration of a symmetry than by a restitution of a gain of responses equivalent to that of an intact animal.

Afferent Pathways↗
PubMed1993

Effects of three different types of management on the elimination kinetics of volatile anaesthetics. Implications for malignant hyperthermia treatment.

The effectiveness of three types of management on the elimination kinetics of volatile anaesthetics was studied prospectively in 45 patients randomised to one of three groups. Patients were anaesthetised using isoflurane. Inspiratory and expiratory isoflurane concentrations were measured. After reaching a steady-state isoflurane concentration, the vaporizer was turned off. In group 1, only the fresh gas flow was increased from 40 to 120 ml.kg-1 x min-1. Patients in group 2, in addition to the increase in the fresh gas flow, had a charcoal filter connected in the inspiratory limb of the circuit. Patients in group 3 had the fresh gas flow increased and the anaesthetic machine and breathing system changed. There was a statistically significant difference in the isoflurane washout from the anaesthetic machines between group 1 (90% elimination time 39 [10] s) and group 2 (90% elimination time 25 [5] s) (p < 0.01). However, there was no significant difference in the isoflurane washout from the patients in any of the groups. Thus the use of a charcoal filter or a change of the anaesthetic machine and breathing system proved to be of no clinical advantage.

Adult↗
PubMed1992

[The course of rehabilitation in patients with locked-in syndrome].

On the basis of observations of the course taken by 5 patients with so-called Locked-in Syndrome (LIS), the level of functional performance that can be achieved by long-term rehabilitation notwithstanding very severe initial symptoms is set out. The priority measures in the early phases of the condition and the particular problems of long-term rehabilitation are summarized in a checklist. Technical aids to ameliorate communication are dealt with in some detail. Special importance is attributed to patient-centered psychotherapeutic support and to family involvement.

Activities of Daily Living↗
PubMed1991

Horizontal optokinetic nystagmus in unilaterally enucleated pigmented rats: role of the pretectal commissural fibers.

Monocular enucleation reduces the asymmetry of horizontal optokinetic nystagmus (H-OKN) in afoveate mammals by increasing responses to naso-temporal visual stimulation. The origin of these larger responses was investigated in adult pigmented rats monocularly enucleated as neonates or as adults by analyzing retinal and commissural projections to the deafferented nucleus of the optic tract (NOT) and the functional role of this nucleus before and after section of the posterior commissure. Anatomically, monocular enucleation reduces the volume of the contralateral deafferented NOT. Anterograde tracers injected in the intact eye reveal a crossed projection of the retina to the NOT and to the dorsal (DTN) and medial (MTN) terminal nuclei of the accessory optic system as in normal rats. In addition, there is an uncrossed projection to the MTN in the rats enucleated as neonates. Retrograde tracer injected in the deafferented NOT confirms the absence of an uncrossed retinal projection but reveals connections between both NOT via the posterior commissure as in normal rats. Electrophysiologically, the larger naso-temporal optokinetic responses in monocularly enucleated rats return to normal after posterior commissurotomy. This study demonstrates that no anatomical remodelling takes place to increase naso-temporal responses in monocularly enucleated rats. The larger responses must then result from functional changes. The role of exclusive contralateral projections of the retina to the NOT and of the commissural connections in mediating the asymmetry of the optokinetic nystagmus in afoveate mammals is discussed.

Animals↗
PubMed1990

Effects of cerebellectomy at day 15 on the ontogenesis of the equilibrium behavior in the rat.

Young cerebellectomized and control (sham-operated) DA/HAN strained rats, 1 day to 1 month old, were submitted to an equilibrium test consisting for the animals in maintaining their equilibrium when placed on a horizontal mast rotating around its longitudinal axis at 10 or 20 rpm (slow and fast rotation rates, respectively). Cerebellectomized animals, operated when 15 days old, were either naive (tested at one given day) or trained; these last ones were trained before and after the operation, or only before, or only after, according to a slow or a fast rotation rate. Control rats were also either naive or trained in conditions similar to those given to operated animals. Relevant comparisons show that: (1) rats cerebellectomized at day 15 which have not been trained before the operation are unable to learn a given motor pattern. (2) When trained before the operation, the animals learn the motor patterns that they use to maintain their equilibrium upon the rotating mast as well as controls. (3) Postoperative training is inefficient in the acquisition of the equilibrium behavior whether the animals were trained preoperatively or not. (4) Compared to the slow rotation rate (10 rpm), the evolution of the equilibrium behavior in cerebellectomized rats is not altered when the rotation rate is increased to 20 rpm, that is when the task is more difficult.(ABSTRACT TRUNCATED AT 250 WORDS)

Aging↗
PubMed1990

Role of the cerebellum in an avoidance conditioning task in the rat.

Adult DA/HAN strain male rats were submitted to an avoidance conditioning procedure. They were divided into two experimental groups, the animals being either conditioned (COC group) or not (NOC group) before cerebellectomy, and two control groups, the animals being either intact (C group) or sham-operated (SO group). Although the NOC rats could be conditioned successfully and the cerebellum is not absolutely necessary for the avoidance conditioning achievement, their scores were significantly lower than the preoperative scores of COC rats. Moreover, the scores of NOC rats (postoperative scores) were significantly lower than the postoperative scores of COC animals, suggesting that the preoperative conditioning makes the postoperative conditioning easier. At last, comparing postoperative scores of COC rats with those obtained by C and SO rats when given the retrieval test and comparing preoperative and postoperative scores in COC animals show that retention of the initial (preoperative) conditioning is partly abolished by the cerebellectomy. Histological controls demonstrated that the entire cerebellum except for the flocculus and the nodulus was removed. These results strongly suggest that the cerebellum is involved in the memory processes that sustain the avoidance conditioning.

Animals↗
PubMed1989

Role of the cerebellum in the ontogenesis of the equilibrium behavior in the young rat: a behavioral study.

Young cerebellectomized and control DA/HAN strained rats, one day to 1 month old, were submitted to an equilibrium test. Cerebellectomized animals, operated when 10-, 20- or 24-day-old, were either trained-operated-trained (trained every day before and after cerebellectomy), naïve-operated-trained (cerebellectomized while naïve and trained every day after the operation), or naïve-operated-naïve (tested at one given day after the operation). Control rats were either trained-controls (trained every day) or naïve-controls (tested at a given day). Relevant comparisons show that (1) in control rats, the maturation of the equilibrium behavior does not depend on a specific training, at least to a great extent; however, training increases the rate of acquisition of the maximal score. (2) Rats cerebellectomized at day 10 and trained after cerebellectomy only are not able to learn a given motor pattern, while rats cerebellectomized by the 20th or 24th day are; however, their scores are always lower than those of control animals trained from the same age. Cerebellectomy alters the ontogenesis of the equilibrium behavior more especially as the operation is early. (3) Impairments of the equilibrium behavior after cerebellectomy can be explained by both motor disorders and learning processes deficiency. (4) Preoperative training counterbalances the effects of cerebellectomy in improving postoperative scores only when the cerebellum is removed at day 24. From these results it can be concluded that, in the rat, the cerebellum is involved in the learning processes that sustain the ontogenesis of the equilibrium behavior as it is in other motor learning mechanisms.

Animals↗
PubMed1989

Development of optokinetic neuronal responses in the pretectum and horizontal optokinetic nystagmus in unilaterally enucleated rats.

Responses of single units to constant-velocity rotations of the visual surround (0.25-10 degrees/s) were studied in the pretectum of unilateral enucleated rats at different ages. Enucleation was performed either in the first postnatal week ("early" enucleated rats) or in the adult stage ("late" enucleated rats). Pretectal unitary responses were recorded in early enucleated animals at postnatal day 20-21, 36-49 and, in both experimental groups, in the adult stage. Optokinetic ocular nystagmus was studied in early and late enucleated rats in the adult stage. Gain of optokinetic nystagmus in temporo-nasal stimulus direction was not changed for visual surround rotations of up to 20 degrees/s compared to controls in monocular viewing conditions. At higher stimulus velocities, however, the gain dropped. In naso-temporal stimulus direction, optokinetic nystagmus was improved in gain for optokinetic pattern motions of up to 5-10 degrees/s. There were only minor differences in the gain behaviour of optokinetic nystagmus obtained from early or late enucleated rats. The optokinetic responses of pretectal neurons obtained from early and late enucleated rats were reduced in sensitivity by more than 50%. The response patterns of neurons recorded in the contralateral pretectum relative to the intact eye were shifted by a large amount from directional selective to directional nonselective response types. No such changes were obtained in the ipsilateral pretectum. In contrast to normal rats, there were very few directional selective units responding to temporo-nasal pattern motion. On the other hand, a large proportion of directional selective units responded to naso-temporal pattern motion. These latter units were found in both early and late enucleated rats. A similar response type has previously been described for intact young rats but not for adult rats. The velocity tuning curve of pretectal units studied in the adult stage was similar in shape in early and late enucleated rats and resembled that obtained from enucleated or intact young animals. Our results show that response sensitivity, direction and velocity tuning of pretectal units depend crucially on retinal afferent input originating from both eyes. The data suggest that the response characteristics of many of the pretectal units that are considered to be important for mediating optokinetic reflexes depend on interpretectal signal processing using commissural connections. There is very little evidence for an adaptative structural plasticity of the optokinetic system following loss of one eye. The reduced asymmetry observed in gain of optokinetic responses correlated in both early and late enucleated rats with the shifts observed in the distribution of pretectal unitary response patterns.

Action Potentials↗