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纳洛酮:在麻醉患者中对芬太尼所致呼吸抑制的剂量依赖性拮抗作用。

Naloxone: dose-dependent antagonism of respiratory depression by fentanyl in anaesthetized patients.

作者信息

Drummond G B, Davie I T, Scott D B

出版信息

Br J Anaesth. 1977 Feb;49(2):151-4. doi: 10.1093/bja/49.2.151.

DOI:10.1093/bja/49.2.151
PMID:319816
Abstract

Naloxone was used to antagonize the respiratory depression caused by the administration of fentanyl 0.05 mg to patients anaesthetized with 0.5% halothane in 70% nitrous oxide in oxygen. Four groups of at least 10 patients each were studied. Doses of 0.1, 0.2 and 0.4 mg of naloxone were given, and an effect proportional to the logarithm of the dose was demonstrated.

摘要

纳洛酮用于拮抗在70%氧化亚氮和氧气混合气体中用0.5%氟烷麻醉的患者静脉注射0.05毫克芬太尼后引起的呼吸抑制。每组至少10例患者,共四组。分别给予0.1毫克、0.2毫克和0.4毫克的纳洛酮,结果显示其效应与剂量的对数成正比。

相似文献

1
Naloxone: dose-dependent antagonism of respiratory depression by fentanyl in anaesthetized patients.纳洛酮:在麻醉患者中对芬太尼所致呼吸抑制的剂量依赖性拮抗作用。
Br J Anaesth. 1977 Feb;49(2):151-4. doi: 10.1093/bja/49.2.151.
2
Antagonism of fentanyl with naloxone during N2O+O2+ halothane anaesthesia.笑气+氧气+氟烷麻醉期间芬太尼与纳洛酮的拮抗作用。
Acta Anaesthesiol Scand. 1977;21(6):470-80. doi: 10.1111/j.1399-6576.1977.tb01248.x.
3
[Naloxone--a clinical study on dosage (author's transl)].纳洛酮——剂量的临床研究(作者译)
Prakt Anaesth. 1978 Apr;13(2):127-34.
4
The antagonist effect of naloxone hydrochloride after neuroleptanaesthesia during neurosurgery.盐酸纳洛酮在神经外科手术中神经安定麻醉后的拮抗作用。
Acta Anaesthesiol Scand. 1976;20(3):201-6. doi: 10.1111/j.1399-6576.1976.tb05029.x.
5
[Fentanyl antagonism by naloxone following anesthesia; attempt at standardization].麻醉后纳洛酮对芬太尼的拮抗作用;标准化尝试
Anesth Analg (Paris). 1978 Jan-Feb;35(1):67-71.
6
Antagonism of postoperative opioid-induced respiratory depression: nalbuphine versus naloxone.
Anesth Analg. 1987 Nov;66(11):1109-14.
7
[Effects of naloxone on postoperative analgesia].[纳洛酮对术后镇痛的影响]
Anesth Analg (Paris). 1976 Sep-Oct;33(5):757-62.
8
[Antidotism of fentanyl-N-alil noroxymorphone (naloxone) in analgesic anesthesia].[芬太尼 - N - 烯丙基去甲羟吗啡酮(纳洛酮)在镇痛麻醉中的解毒作用]
Rev Esp Anestesiol Reanim. 1978 Jan;25(1):1-20.
9
Antagonism of fentanyl and alfentanil by intravenous plus subcutaneous naloxone. Pattern of ventilatory depression after a short procedure.静脉注射加皮下注射纳洛酮对芬太尼和阿芬太尼的拮抗作用。短时间手术后的通气抑制模式。
Anaesthesia. 1985 Aug;40(8):772-6. doi: 10.1111/j.1365-2044.1985.tb11003.x.
10
Postanaesthetic use of naloxone hydrochloride after moderate doses of fentanyl.中等剂量芬太尼后盐酸纳洛酮的麻醉后使用。
Acta Anaesthesiol Scand. 1976;20(3):255-8. doi: 10.1111/j.1399-6576.1976.tb05037.x.

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Carfentanil stabilizes µ opioid receptor conformations that are ultra-efficient in inhibiting cAMP, resistant to naloxone or nalmefene but sensitive to naltrexone.卡芬太尼可稳定μ阿片受体构象,这些构象在抑制环磷酸腺苷(cAMP)方面效率极高,对纳洛酮或纳美芬具有抗性,但对纳曲酮敏感。
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Higher doses of naloxone are needed in the synthetic opiod era.在合成阿片类药物时代,需要更高剂量的纳洛酮。
Subst Abuse Treat Prev Policy. 2019 Feb 18;14(1):6. doi: 10.1186/s13011-019-0195-4.