Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Thyrotropin releasing hormone (TRH) administered via the intracerebroventricular (icv) route in doses ranging between 0.1 and 100 mug decreased the duration of pentobarbital-induced narcosis in rabbits. Antagonism of narcosis occurred whether TRH was administered before or after the barbiturate. TRH doses above 10 mug produced, in addition, behavioral excitation and hyperthermia. The antagonism of phenobarbital-induced narcosis was not as profound; animals were aroused only for a short period of time, after which the narcotized state returned. However, TRH exerted a prolonged antagonism or reversal of the phenobarbital-induced hypothermia. The central nervous system depression and analgesia produced by morphine were unaffected by TRH, but hypothermia and respiratory depression were reversed. TRH may represent an arousal factor in mammalian brain.
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PMID:Influence of thyrotropin releasing hormone (TRH) on drug-induced narcosis and hypothermia in rabbits. 82 48

Uterine performance (i.e., uterine activity expressed in Montevideo units and in pressure area, number, and amplitude of contractions) was monitored by intra-amniotic tocomanometry in 16 patients with lumbar epidural analgesia. Technically adequate recordings were obtained in 34 top-up doses of which 24 were given in oxytocin-induced or stimulated labor and 10 in spontaneous labor. Thirty-two doses of 10 ml. of 0.25 per cent and two doses of 6 ml. of 0.5 per cent plain bupivacaine were administered. Aortocaval compression was avoided by placing the patients in the lateral (31 doses) or the semirecumbent position (three doses). Statistical analysis by means of Student's test failed to show a difference in uterine performance before and after the top-up dose. It is suggested that aortocaval compression is an essential factor contributing to or responsible for the temporary depression of uterine activity that has been observed by other authors after epidural injections of local anesthetic agents.
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PMID:Uterine activity during lumbar epidural analgesia with bupivacaine. 83 82

Two intravenous doses of tetrahydrocannabinol (THC) (0.022 mg/kg and 0.044 mg/kg) were compared to intravenous diazepam (0.157 mg/kg) and to placebo (Ringer's lactate) as premedication for dental extraction in 10 healthy volunteers. Pain detection and tolerance thresholds were measured and psychiatric interviews were supplemented by Minnesota Multiphasic Personality Inventories (MMPI), the Zung Depression Scale (ZDS), Beck Depression Inventories (BDI), and the State-Trait Anxiety Inventory (STAI). Pain detection thresholds were altered unpredictably with high THC doses, but analgesia as indicated by pain tolerance was less than that after diazepam and placebo. In three subjects low-dose THC (0.022 mg/kg) was a better analgesic than placebo but not diazepam. Six subjects preferred placebo to low-dose THC as an analgesic; this group experienced increases in subjective surgical pain and were submissive, rigid, and less introspective with high State Anxiety and MMPI profiles that differed from subjects whose pain was not increased. STAI following THC presaged a poor analgesic response in this group.
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PMID:Effects of intravenous tetrahydrocannabinol on experimental and surgical pain. Psychological correlates of the analgesic response. 83 47

Potent systemic (narcotic) analgesics, when given in doses sufficient to produce ample pain relief, usually also produce mental and respiratory depression and, at times, circulatory impairment, that prolong postoperative morbidity. Complications due to morphine sulfate or meperidine hydrochloride can be minimized by titrating the patient's pain with small intravenous doses of narcotics (morphine sulfate, 2 to 3 mg, or meperidine hydrochloride, 15 to 25 mg) administered slowly at 15- to 20-minute intervals until the pain is relieved. On the third or fourth postoperative day, acetaminophen tablets usually suffice to provide relief of pain with little or no risk to patients. Continuous segmental epidural block or intercostal block, with or without splanchnic block, provide excellent pain relief that, in contrast to the narcotic, is complete. These are especially useful after operations on the chest or abdomen or the lower extremity. Regional analgesia is especially indicated in patients not adequately relieved from severe postoperative pain with narcotics, or when these drugs are contraindicated by advanced pulmonary, renal, or hepatic disease. Continuous caudal analgesia is also effective to completely releive severe postoperative pain in the lower limbs and perineum.
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PMID:Physiopathology and control of postoperative pain. 87 Dec 49

The techniques of general anaesthesia may be divided into 2 major groups: those used in very brief surgical or diagnostic operations and those used in longer and more pain-producing interventions. The former normally involve a single drug which is very short-acting and allows consciousness to be recovered rapidly and well. The latter are anaesthetics using several drugs together, which allows very precise control of the degree of analgesia, neuro-vegetative protection, muscle relaxation and sleep. The depth of anaesthesia is judged from the patient's sympathetic-adrenergic reactivity to noxious stimuli. It is not possible to direct anaesthesia by reference to the electrical activity of the brain, since there are no electro-clinical correlations. Brain activity depends on a large number of factors related not only to the anaesthetic and nature of its administration, but also the extent of the surgery and the state of the patient. The E.E.G. remains a technique of choice for studying recovery, and any sequels of hypoxia during the operation. This should, of course, be accompanied by a clinical evaluation which is particularly important in assessing the state of ventilation (residual curarisation, depression by central analgesics).
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PMID:[An examination of current techniques in anaesthesia (author's transl)]. 90 18

Fentanyl was replaced by R 30730/Janssen (Fentatienyl) for neurolept analgesia (with intubation) of 34 persons who had ophthalmic surgery on account of detachment of the retina. The effects of the drug on the size of the pupils, blood pressure, heart rate and respiration were observed; also the duration of analgesia and the incidence of nausea and vomiting. There was a very slight negative effect on the size of the pupil, similar to that seen with halothane; systolic blood pressure fell by an average of 20%; the duration of analgesia and the degree of respiratory depression varied considerably. 12 of the 35 patients suffered from marked nausea and vomiting after the operation.
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PMID:[Clinical experience with r30730/Janssen in anaesthesia for ophthalmic surgery (author's transl)]. 91 72

Pethidine or an epidural injection of bupivacaine are common forms of obstetric analgesia in Britain. Bupivacaine has been thought to have little effect on the fetus, but neurobehavioural studies have cast doubt on this. We therefore investigated the elimination of these drugs by babies in similar population groups. Bupivacaine was largely eliminated in just over one day, while pethidine required between 2 and 6 days. This could account for the persisting depression in babies whose mothers had received pethidine.
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PMID:Elimination of pethidine and bupivacaine in the newborn. 92 10

During the period January 1969 to November 1974, in a total of 39,800 deliveries, there were two sets of quadruplets. Both parturients had been taking ovulation-inducing drugs. Maternal problems were distended abdomen and heavy uterus, causing supine hypotension and lordosis; toxemia of pregnancy; increased possibility of hemorrhage before, during and/or after delivery; edema of the back; mental depression. The fetal problems were prematurity; intrauterine growth retardation; increased possibility of transfusion syndrome and prolapsed cord; increased obstetric manipulation. An adequate number of obstetricians, pediatricians, anesthesiologists, and nurses, necessary equipment, and blood and blood components should be available. Early hospitalization is necessary. Close observation of the patient before, during, and after delivery is essential. The patient should stay on her side throughout the labor. General anesthesia may add to fetal depression and increase the possibility of uterine atony. Spinal or lumbar epidural anesthesia may be difficult because of the associated lordosis and back edema. Caudal block allowed intrauterine manipulation; provided adequate analgesia, permitted high FIO2 administration, and did not interfere with voluntary bearing down when required.
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PMID:Caudal analgesia for quadruplet delivery. 94 32

Operations under acupuncture analgesia have been performed in Vienna since March 1972. A total of 102 procedures has been performed with "classical" Chinese acupuncture analgesia. Additionally given analgesics, psychodynamic factors and neurophysiological components are of joint importance. Our success rate in these cases was 64 p.c. Since October 1972 we call "two-phase-acupuncture-analgesia". Up to June 1975 72 operations were performed under some modifications of this method. In a neurophysiological study 17 volunteers and in 2 patients undergoing stereothalamotomies depression or even disappearance of evoked potentials was be observed during acupuncture with alectrical stimulation. Thus an interaction between pain stimuli and acupuncture stimuli in the thalamus could for the first time be demonstrated in man.
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PMID:[Clinical and experimental results with acupuncture-analgesia (author's transl)]. 96 34

The effectiveness of naloxone and nalorphine in antagonizing the effects of fentanyl and droperidol on the hot plate reaction time and the respiratory rate of the mouse has been compared. Naloxone was superior to nalorphine, being a more effective antagonist, and was also free from significant agonist effects. However, neither antagonist was completely effective against the respiratory rate depression produced by combinations of fentanyl and droperidol. It is suggested that the duration of the antagonist effects of naloxone are shorter against respiratory depression than against analgesia.
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PMID:A comparison in mice of naloxone and nalorphine as antagonists to neuroleptanalgesic drugs. 99 63


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