Abstract
In order to reveal interactions between the calcium antagonist nimodipine and the drugs used in anesthesia during neurosurgical procedures, we have performed hemodynamic, respiratory, metabolic, and endocrine investigations to address the following questions:
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1.
What is the role of nimodipine as well as alcohol, the solvent of its preparation, in achieving intraoperative hypotension in normo- and hypertensive patients?
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2.
Where is the site of action of nimodipine in producing hemodynamic alterations, and are there differences from other vasodilative drugs, such as nitroglyc-erin?
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3.
Apart from its vasoactive properties, does nimodipine also influence pulmonary circulation, gas exchange, metabolism, and endocrine responses?
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References
Müller H, Kafurke H, Marek P, Zierski J, Hempelmann G (1988) Interactions between nimodipine and general anaesthesia — clinical investigations in 124 patients during neurosurgical operations. Acta Neurochir (Wien) [Suppl] 45:29–35
Müller H, Marek P, Otto O, Gips H, Börner U, Hempelmann G (1986) Intraoperative Anwendung von Nimodipin bei Operation von zerebralen Aneurysmen. In: Kazner E (ed) Nimotop in der Prophylaxe and Therapie neurologischer Ausfälle durch zerebrale Ischämie. G. Braun, Karlsruhe, pp 35–47
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© 1990 Springer-Verlag Berlin Heidelberg
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Müller, H., Zierski, J. (1990). Interactions Between Nimodipine and Anesthetics Used in Neurosurgical Procedures. In: Bushe, KA., Brock, M., Klinger, M. (eds) Stabilizing Craniocervical Operations Calcium Antagonists in SAH Current Legal Issues. Advances in Neurosurgery, vol 18. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75283-4_32
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DOI: https://doi.org/10.1007/978-3-642-75283-4_32
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-51967-6
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