Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1982-12-2
|
pubmed:abstractText |
Fourteen adult patients were allowed to self-administer small intravenous doses of pethidine to relieve postoperative pain. Thirteen of the patients obtained subjectively satisfactory analgesia while establishing steady-state levels of pethidine in plasma. The individual demand for pethidine was related to individual levels of fraction I endorphins and substance P-like immunoreactivity in the cerebrospinal fluid (CSF). There was a significant and inverse relationship between preoperative fraction I concentrations in CSF and the individual mean pethidine concentrations in plasma (P less than 0.05) and CSF (P less than 0.02) during self-administration. In the 24 h period encompassing surgery and postoperative self-administered analgesia, substance P decreased in 7 patients with calculated CSF pethidine great than 200 ng/ml, but remained virtually unchanged in 7 patients with calculated CSF pethidine less than 200 ng/ml. The results suggest a role for endorphins in the modulation of acute pain and are compatible with experimental evidence for an inhibitory effect of opiates on substance P release.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
0304-3959
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
13
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
171-83
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:6181455-Adult,
pubmed-meshheading:6181455-Endorphins,
pubmed-meshheading:6181455-Female,
pubmed-meshheading:6181455-Humans,
pubmed-meshheading:6181455-Injections, Intravenous,
pubmed-meshheading:6181455-Male,
pubmed-meshheading:6181455-Meperidine,
pubmed-meshheading:6181455-Middle Aged,
pubmed-meshheading:6181455-Pain, Postoperative,
pubmed-meshheading:6181455-Self Administration,
pubmed-meshheading:6181455-Substance P
|
pubmed:year |
1982
|
pubmed:articleTitle |
Postoperative demand for analgesics in relation to individual levels of endorphins and substance P in cerebrospinal fluid.
|
pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|