Influence of dixyrazine on intestinal and renal vasoconstrictor responses during fentanyl-nitrous oxide anaesthesia

Acta Anaesthesiol Scand. 1983 Dec;27(6):458-63. doi: 10.1111/j.1399-6576.1983.tb01987.x.

Abstract

In cats (n = 24) anaesthetized with fentanyl-nitrous oxide and diazepam, stimulation of the hypothalamic defence-alarm area (DA) or afferent activation of somatic pain fibres (SA), elicited a pronounced increase in intestinal (DA 297%, SA 107%) and renal (DA 214%, SA 90%) vascular resistance as well as a decrease in diuresis. These stress-related responses were markedly counteracted by dixyrazine (0.15-0.5 mg X kg-1 b.w.i.v.), especially in the kidney where the subsequent increase in vascular resistance to DA and SA stimulations amounted to only 25% and 13%, respectively, while diuresis increased. Corresponding data for stimulation-induced increases in intestinal vascular resistance after dixyrazine were DA 156% and SA 28%. Dixyrazine is suggested to act both through interaction with peripheral alpha-adrenergic mechanisms in control of vascular tone and through central nervous cardiovascular reflex depression. In man (n = 7), during a similar form of anaesthesia, portal vein blood flow (1137 +/- 177 ml) was measured by the continuous thermodilution method. Preportal tissue vascular resistance during surgery decreased significantly (11.3 vs 8.7 kPa X min X ml-1 X 10(-3] after i.v. dixyrazine (0.15 mg X kg-1 b.w.). A concomitant increase in oxygen uptake in preportal tissues occurred (19.9 ml min-1 vs 24.5 ml X min-1).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Anesthesia, Intravenous
  • Animals
  • Cats
  • Dose-Response Relationship, Drug
  • Fentanyl / pharmacology*
  • Humans
  • Jejunum / blood supply*
  • Kidney / blood supply*
  • Middle Aged
  • Nitrous Oxide / pharmacology*
  • Phenothiazines / pharmacology*
  • Portal Vein
  • Regional Blood Flow
  • Vascular Resistance / drug effects
  • Vasoconstriction / drug effects*

Substances

  • Phenothiazines
  • dixyrazine
  • Nitrous Oxide
  • Fentanyl