Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
1987-11-18
pubmed:abstractText
The efficacy and safety of nalbuphine hydrochloride as an IV analgesic used in combination with pretreatment and supplemental doses of diazepam with and without N2O were assessed in 15 patients scheduled to undergo aortocoronary bypass (n = 11) or valve replacement surgery (n = 4). The loading infusion of 3.0 mg/kg nalbuphine given in 20 min 5 min after conclusion of IV injection of 0.4 mg/kg/5 min diazepam caused no significant changes in systolic or diastolic systemic and pulmonary arterial blood pressures or in heart rate, cardiac index, stroke index, systemic and pulmonary vascular resistance, or right and left ventricular stroke work index. After the initial 1-hr loading infusion of 6.66 +/- 0.89 mg/kg nalbuphine (mean +/- SE), additional nalbuphine infusion maintenance doses of 4.73 +/- 0.77, 1.87 +/- 0.31, 2.16 +/- 0.23, 1.65 +/- 0.22, and 2.35 +/- 0.44 were used in the subsequent hourly periods to maintain a pain-free state throughout surgery. Hemodynamic changes during the three most stressful periods, tracheal intubation, skin incision, and sternotomy, were not statistically significant. Normal plasma catecholamine and cortisol levels indicate that these patients experienced neither stress nor pain during the maintenance of anesthesia. Nalbuphine caused no significant histamine release. All patients had uncomplicated maintenance of and emergence from anesthesia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0003-2999
pubmed:author
pubmed:issnType
Print
pubmed:volume
66
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1155-64
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:3499096-Adult, pubmed-meshheading:3499096-Aged, pubmed-meshheading:3499096-Analgesia, pubmed-meshheading:3499096-Anesthesia Recovery Period, pubmed-meshheading:3499096-Catecholamines, pubmed-meshheading:3499096-Coronary Artery Bypass, pubmed-meshheading:3499096-Diazepam, pubmed-meshheading:3499096-Double-Blind Method, pubmed-meshheading:3499096-Drug Administration Schedule, pubmed-meshheading:3499096-Female, pubmed-meshheading:3499096-Heart Valve Diseases, pubmed-meshheading:3499096-Hemodynamics, pubmed-meshheading:3499096-Humans, pubmed-meshheading:3499096-Male, pubmed-meshheading:3499096-Middle Aged, pubmed-meshheading:3499096-Morphinans, pubmed-meshheading:3499096-Nalbuphine, pubmed-meshheading:3499096-Nitrous Oxide, pubmed-meshheading:3499096-Pancuronium, pubmed-meshheading:3499096-Random Allocation
pubmed:year
1987
pubmed:articleTitle
Nalbuphine as an analgesic component in balanced anesthesia for cardiac surgery.
pubmed:affiliation
Department of Anesthesiology, University of Illinois Medical Center, Chicago.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't