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Biomedical subjects

M S Carrasco

Publications and source records attributed to M S Carrasco.

At least 19 recordsLinked to original sources
PubMed2001

Prolonged anesthesia with desflurane and fentanyl in dogs during conventional and laparoscopic surgery.

OBJECTIVE: To determine the effects of prolonged anesthesia with desflurane in dogs undergoing laparotomy or abdominal laparoscopy. DESIGN: Randomized prospective study. ANIMALS: 20 adult mixed-breed dogs. PROCEDURE: Dogs were randomly assigned to 1 of 2 groups with 10 dogs/group. Anesthesia was induced with propofol and maintained with desflurane and fentanyl, and pyloroplasty was performed. In 10 dogs, a ventral midline laparotomy was performed; in the other 10, abdominal laparoscopy was performed. Dogs were monitored for cardiovascular and respiratory responses (ECG, oxygen saturation [SpO2], arterial blood pressure, rectal temperature, end-tidal partial pressure of carbon dioxide [PETCO2], and expired desflurane concentration). Recovery times were recorded. RESULTS: Mean +/- SD duration of anesthesia was 201 +/- 25 minutes for dogs undergoing laparotomy and 287 +/- 15 minutes for dogs undergoing laparoscopy. Anesthesia was accompanied by hypotension that was less severe in dogs undergoing laparoscopy. Heart rate did not vary significantly during anesthesia. The SpO2 was > 97% in all dogs at all times, and PETCO2 remained within reference limits. Recovery times for dogs that underwent laparotomy were not significantly different from those for dogs that underwent laparoscopy. Mean +/- SD time to standing was 13.6 +/- 2.4 minutes for dogs that underwent laparotomy and 12.5 +/- 2.9 minutes for dogs that underwent laparoscopy. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that induction of anesthesia with propofol and maintenance with desflurane and fentanyl is safe in dogs undergoing abdominal surgery.

Abdomen↗
PubMed1986

The effect of labetalol on urinary prostacyclin secretion during surgery.

The effects of labetalol on the secretion of prostacyclin and plasma-renin activity (PRA) were evaluated, relative to a control group in 24 patients undergoing hip osteotomy. They were randomly assigned to two groups (G-I and G-II) with 12 patients each. Patients allocated to both groups received standard anaesthesia (thiopentone, pancuronium, fentanyl and nitrous oxide). Patients belonging to Group II were given labetalol at a dose of 0.8 mg kg-1. The stable metabolite of PGI2, 6-keto-PGF1 alpha was quantified from urine samples by radioimmunoassay (RIA). Cortisol, PRA and aldosterone were determined from blood samples. A significant increase in 6-keto-PGF1 alpha elimination was observed in G-I. Labetalol administration partially but significantly inhibited this increase. We believe that prostacyclin is involved not through the beta 1 but through the alpha 1 receptors in the secretion of renin.

6-Ketoprostaglandin F1 alpha↗
PubMed1983

Tyrosine serum levels during anesthesia with high doses of fentanyl.

Serum tyrosine levels were determined in two groups of women. First group included 30 healthy volunteers and the second group was formed by 83 patients submitted to gynecological surgery under anesthesia with fentanyl (0.05 mg/kg). The results showed that preoperative tyrosine levels were higher than control values and decreased under fentanyl anesthesia. Surgical stimulation did not modify tyrosine levels. When surgery was ended serum tyrosine levels reached control values. Under fentanyl-anesthesia a direct relationship between serum tyrosine levels, cardiovascular parameters and catecholamine changes as reported by other authors is suggested. We think tyrosine serum determination could be an indirect, easy and unexpensive measure of hormonal stress response.

Adult↗
PubMedDate not supplied

[Changes in plasma cortisol and ACTH caused by diazepam, bromazepam, triazolam, and alprazolam in oral premedication].

INTRODUCTION: Benzodiazepines relieve anxiety and modify the endocrine response to surgical-anesthetic stress. OBJECTIVES: The aim of this study was to evaluate the effects of four benzodiazepines on preoperative secretion of cortisol and ACTH. MATERIAL AND METHODS: We studied 60 patients programmed for abdominal surgery. Patients were randomly allocated into six groups of treatment: control group (placebo), diazepam 10 mg, triazolam 0.5 mg, alprazolam 0.5 mg, bromazepam 6 mg, and bromazepam 12 mg. Blood samples for cortisol and ACTH measurements were obtained at five different stages of the anesthetic-surgical procedure: baseline, preanesthesia, anesthesia, surgery, and postoperative phase. RESULTS: Diazepam and bromazepam (6 and 12 mg) lessened the increase in plasmatic cortisol induced by preanesthesia and anesthesia in control patients. Triazolam attenuated the cortisol response only during preanesthesia. Administration of 12 mg of bromazepam decreased ACTH levels during preanesthesia and anesthesia with respect to the control group. CONCLUSIONS: Benzodiazepines failed to modify cortisol and ACTH levels during surgery and during the immediate postoperative period. The most marked attenuation of adrenocortical response was achieved with 12 mg of bromazepam and the less marked lessening was induced by 0.5 mg of alprazolam.

Adrenocorticotropic Hormone↗
PubMedDate not supplied

[Comparative study between propofol and thiopental for anesthesia induction in surgery of short duration].

To compare anesthetic characteristics of thiopental and propofol in short duration surgical interventions, we have studied 40 patients undergoing gynecologic and proctologic surgery. Patients were randomly assigned to two groups receiving 2.5 mg/kg of propofol or 5 mg/kg of thiopental. In both groups, arterial hypotension of comparable intensity occurred. Heart rate was significantly higher in thiopental anesthesia. Postanesthesia recovery was significantly more rapid with propofol. Some of these results can be influenced by the different immediate premedication (atropine and diazepam in thiopental group) and duration of anesthesia.

Adult↗