PubMed Health⌕ Search

Biomedical subjects

D Esler

Publications and source records attributed to D Esler.

3 recordsLinked to original sources

Surgical and immediate post-release mortality of harlequin ducks (Histrionicus histrionicus) implanted with abdominal radio transmitters with percutaneous antennae.

Radiotelemetry is an essential tool in the study of free-ranging bird populations, and a variety of transmitter-attachment methods have been developed. A promising new method is abdominal implantation of a transmitter with a percutaneous antenna. Researchers using this technique should be concerned about and aware of mortality during surgery and during the immediate post-release period (the 14-day period following surgery). Of 307 radio-implant surgeries performed between 1995 and 1997 in harlequin ducks (Histrionicus histrionicus), 7 (2.3%) deaths were documented during surgery or anesthetic recovery. Of 295 birds released with implanted radios, 10 (3.4%) died during the immediate post-release period. Modifications to anesthetic procedures used in the 204 surgeries performed in 1996 and 1997 reduced mortality to 1.5% during surgery and 1.5% during the immediate post-release period. Anesthetic modifications included intubation of all birds, placement of birds on an elevated platform that allowed the head to rest at a level lower than the body during surgery, placement of a heated water blanket under the birds during surgery, monitoring of body temperature, and use of electrocardiogram and Doppler ultrasound to monitor heart rates and arrhythmias. Low levels of mortality associated with abdominal implantation of radio transmitters may be unavoidable, but mortality can be minimized with adjustments to anesthetic technique.

Alaska↗

Adrenergic nervous system in heart failure.

Recent demonstration that the level of sympathetic nervous drive to the failing heart in patients with severe heart failure is a major determinant of prognosis, and that mortality in heart failure is decreased by beta-adrenergic blockade with carvedilol, indicates the clinical relevance of cardiac neuroscience research. Important initial findings were observations that the plasma concentration of the sympathetic neurotransmitter, norepinephrine, is elevated in heart failure, and that overall clinical outcome is related to plasma norepinephrine concentration (although heart failure severity may be a confounder). Sympathetic nerve recording (clinical microneurography) and radiotracer methods measuring regional sympathetic activity in the heart (cardiac norepinephrine "spillover") have now largely supplanted antecubital venous norepinephrine measurements as research tools, with newer methods providing information on regional sympathetic function that was previously lacking. The cardiac sympathetic nerves are preferentially stimulated in severe heart failure, with norepinephrine release from the failing heart at rest in untreated patients increased up to 50-fold, which is similar to the level of release in healthy hearts during near maximal exercise. There is lesser stimulation of the sympathetic outflows to the kidneys and skeletal muscle. In early mild heart failure, it is only the cardiac sympathetic nerves that are activated. This preferential activation of cardiac sympathetic outflow contributes to arrhythmia development and probably to progression of heart failure and has been linked to mortality in mild and severe heart failure. The central nervous system mechanisms involved in the sympathetic nervous activation present in patients with heart failure remain uncertain. Increased intracardiac diastolic pressure seems to be one peripheral reflex stimulus with increased forebrain norepinephrine turnover being an important central mechanism.

Disease Progression↗