Source:http://linkedlifedata.com/resource/pubmed/id/10212714
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1999-6-16
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pubmed:abstractText |
We studied dosage optimization for metaraminol when managing hypotension during subarachnoid anaesthesia. Twenty patients aged 53 to 84 years, were recruited. Non-invasive blood pressure (BP) and heart rate were recorded one-minutely. A series of four i.v. metaraminol boluses (0.25 to 1.0 mg per 50 kg adult) were administered. From individual patient time plots of BP predicted dosages for a 25% elevation in BP were estimated. Dose-related elevations in systolic BP [mean (SD)] occurred following dosages of 0.5 mg [25 (11)%] and 1.0 mg [50 (23)%]. Similar elevations occurred in mean and diastolic BP. Overall estimated dosage (median) to produce a 25% elevation in systolic BP was 0.5 mg (per 50 kg adult). However, individual patient responses varied (10-90th centiles = 0.23 to 0.80 mg). Thus, we now recommend a starting dose of 0.25 mg, increasing to 0.5 mg if necessary, to treat hypotension (25% decrease in systolic BP) during subarachnoid anaesthesia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0310-057X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
170-4
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pubmed:dateRevised |
2006-8-28
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pubmed:meshHeading |
pubmed-meshheading:10212714-Aged,
pubmed-meshheading:10212714-Aged, 80 and over,
pubmed-meshheading:10212714-Anesthesia, Conduction,
pubmed-meshheading:10212714-Blood Pressure,
pubmed-meshheading:10212714-Dose-Response Relationship, Drug,
pubmed-meshheading:10212714-Electrocardiography,
pubmed-meshheading:10212714-Female,
pubmed-meshheading:10212714-Heart Rate,
pubmed-meshheading:10212714-Humans,
pubmed-meshheading:10212714-Hypotension,
pubmed-meshheading:10212714-Infusions, Intravenous,
pubmed-meshheading:10212714-Male,
pubmed-meshheading:10212714-Metaraminol,
pubmed-meshheading:10212714-Middle Aged,
pubmed-meshheading:10212714-Monitoring, Intraoperative,
pubmed-meshheading:10212714-Subarachnoid Space,
pubmed-meshheading:10212714-Vasoconstrictor Agents
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pubmed:year |
1999
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pubmed:articleTitle |
A study to determine the optimum dose of metaraminol required to increase blood pressure by 25% during subarachnoid anaesthesia.
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pubmed:affiliation |
Dept of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
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pubmed:publicationType |
Journal Article
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