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January 1, 1982Angiology

Effect of Fentanyl on Myocardial Metabolism during Ischemia

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Why the study?

Does fentanyl improve myocardial metabolism during ischemia in a canine model?

Population

Dogs in open-chest experiments with ischemia induced by partial occlusion of a coronary artery

Comparison

Fentanyl injected IV 5 minutes before induction… vs The animal as its own control

Design

Preclinical

Authors

RRRobert S. RenemanVascular MedicineGVGer J. VusseGeneral / Preventive / Lipids

Discussion

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Implication

Does not support fentanyl use in human ischemia; leaves open translation of canine metabolic effects to clinical practice.

Structured PICO

Does fentanyl improve myocardial metabolism during ischemia in a canine model?

P
Population
Dogs in open-chest experiments with ischemia induced by partial occlusion of a coronary artery
I
Intervention
Fentanyl (25 microgram/kg-1) injected IV 5 minutes before induction of the second stenosis
C
Comparator
The animal as its own control (first stenosis without fentanyl)
O
Outcome
Myocardial metabolism and hemodynamic variables during ischemiasurrogate

Fentanyl reduces myocardial oxygen demand and improves metabolic parameters during acute ischemia in a canine model, suggesting potential benefits during anesthesia for patients with coronary artery disease.

Limitations

  • Extrapolation to clinical anesthesia should be handled with care

Cite This Study

Reneman et al. (1982) studied this question.

synapsesocial.com/papers/6a901a4bebb21526730d333ahttps://doi.org/10.1177/000331978203300108
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