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December 1, 1982Survey of Anesthesiology

Hemodynamic and Catecholamine Changes after Administration of Naloxone

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Key result

Intravenous naloxone fails to alter MAP, HR, or plasma catecholamines in normotensive or hypertensive humans.

  • P not statistically significant
  • n=23

Why the study?

Does intravenous naloxone alter mean arterial pressure, heart rate, or plasma catecholamine levels in normotensive or hypertensive humans?

Population

23 individuals including 12 surgical patients receiving nitrous oxide, oxygen, and halothane anesthesia and…

Comparison

Intravenous naloxone, 0.2 mg followed 30 minutes… vs Baseline values before intravenous naloxone…

Design

Other

Authors

AEApolonia E. EstiloSUNY Downstate Health Sciences UniversityJCJames E. CottrellState University of New York

Discussion

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Implication

May support low-dose naloxone use without hemodynamic concerns in normotensive or hypertensive patients; leaves open confirmation in larger trials.

Structured PICO

Does intravenous naloxone alter mean arterial pressure, heart rate, or plasma catecholamine levels in normotensive or hypertensive humans?

P
Population
23 normotensive and hypertensive surgical patients and unanesthetized volunteers evaluated for hemodynamic and catecholamine responses to intravenous naloxone.
I
Intervention
Intravenous naloxone, 0.2 mg followed 30 minutes later by a 0.4-mg dose.
C
Comparator
Baseline values before intravenous naloxone administration.
O
Outcome
Changes in mean arterial pressure, heart rate, plasma norepinephrine, epinephrine, and dopamine levels.surrogate

Main Result

p-value: p=not statistically significant

Intravenous naloxone does not significantly alter hemodynamics or plasma catecholamine levels in normotensive or hypertensive individuals, whether anesthetized or awake.

Cite This Study

Estilo et al. (1982) studied Normotensive and hypertensive surgical patients and volunteers (n=23). Naloxone vs. Baseline (before intravenous naloxone) was evaluated on Changes in mean arterial pressure, heart rate, plasma norepinephrine, epinephrine, and dopamine levels (p=not statistically significant). Intravenous naloxone administration (0.2 mg and 0.4 mg) did not significantly alter mean arterial pressure, heart rate, or plasma catecholamine levels in normotensive or hypertensive humans.

synapsesocial.com/papers/6aa53ae6d3d41ccc68921bfahttps://doi.org/10.1097/00132586-198212000-00003

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hemodynamic and Catecholamine Changes after Administration of Naloxone1982 · 27 citations
  2. 2Effects of naloxone on hemodynamics and sympathetic activity after exercise1992 · 70 citations
  3. 3Effects of naloxone on catecholamine plasma levels in adult men. A dose-response study1984 · 20 citations
  4. 4Influence of naloxone on muscle sympathetic nerve activity, systemic and calf haemodynamics and ambulatory blood pressure after exercise in mild essential hypertension1995 · 63 citations
  5. 5FACTORS INFLUENCING THE EFFECTS OF INTRAVENOUS NALOXONE ON ARTERIAL PRESSURE AND HEART RATE AFTER HAEMORRHAGE IN CONSCIOUS RABBITS1986 · 17 citations