Postpartum Changes in the Minimum Alveolar Concentration of Isoflurane

1995 ◽  
Vol 82 (6) ◽  
pp. 1360-1363. ◽  
Author(s):  
Matthew T. V. Chan ◽  
Tony Gin
Keyword(s):  
Minimum Alveolar Concentration ◽  
Normal Values ◽  
Venous Blood ◽  
Rank Correlation ◽  
Tubal Ligation ◽  
Progesterone Concentration ◽  
Electric Stimulus ◽  
Plasma Progesterone ◽  
The Mean ◽  
End Tidal

Background Minimum alveolar concentration (MAC) is decreased in pregnancy, but it is not known how quickly after delivery MAC returns to normal. We measured the MAC of isoflurane in a group of women undergoing elective tubal ligation after delivery. Methods After delivery, 20 patients underwent inhalational induction of anesthesia with isoflurane and tracheal intubation. MAC was determined in each patient by observing the response to a 10-s, 50-Hz, 80-mA transcutaneous tetanic electric stimulus to the ulnar nerve at various concentrations of isoflurane. The end-tidal concentration of isoflurane was kept constant for at least 10 min before each stimulus, and the concentration of isoflurane was ultimately varied in steps of 0.05 vol% until we obtained a sequence of three alternate responses: move-not move-move or not move-move-not move. The MAC for each subject was taken as the mean of the two concentrations just permitting and just preventing movement. A venous blood sample was taken immediately before induction of anesthesia for measurement of progesterone concentration. MAC was compared with time after delivery and plasma progesterone concentrations by Kendall's rank correlation. Results There was a positive correlation between MAC and the time after delivery (P < 0.001). The median MAC of isoflurane was 0.775 vol% (range 0.675-0.775 vol%) in five women 24-36 h postpartum. MAC was more variable, 0.825 vol% (0.675-0.975 vol%) in nine women 36-72 h postpartum, whereas six patients more than 72 h postpartum had a MAC of 1.125 vol% (1.025-1.175 vol%). The correlation between MAC and plasma progesterone concentration was almost statistically significant (P = 0.060). Conclusions The MAC of isoflurane was reduced in women 24-36 h postpartum and gradually increased to normal values by 72 h postpartum.

PROGESTERONE CONCENTRATION IN THE PERIPHERAL PLASMA OF PREGNANT GOATS

1972 ◽  
Vol 53 (3) ◽  
pp. 447-452 ◽  
Author(s):  
G. IRVING ◽  
D. E. JONES ◽  
A. KNIFTON
Keyword(s):  
Cord Blood ◽  
Venous Blood ◽  
Progesterone Concentration ◽  
Plasma Progesterone ◽  
Peripheral Plasma ◽  
Significant Difference ◽  
Competitive Protein Binding ◽  
The Mean ◽  
Serial Samples ◽  
Twin Pregnancies

SUMMARY Plasma progesterone concentration was measured by a competitive protein-binding method in serial samples of jugular venous blood from 21 pregnant goats, 11 with twin and 10 with single foetuses. Progesterone levels in twin pregnancies were significantly greater than in singletons. The mean progesterone concentration (ng/ml plasma) in the twin pregnancies was greatest during the 3rd month of gestation (10·7 ± 0·4 (s.e.m.)) and in the singletons during the 4th month (7·8 ± 0·2 (s.e.m.)). There was a significant decrease in mean progesterone concentration in the last month of pregnancy due to a steady decline in the last 7 days before parturition. The mean progesterone concentrations at parturition in five twin and eight single pregnancies were 2·2 ± 0·4 and 1·5 ± 0·2 (s.e.m.) ng/ml plasma respectively; there was no significant difference between these values. In cord blood from nine kids immediately after delivery the progesterone concentration was 0·9 ± 0·1 ng/ml.

Age does not necessarily influence latency of event-related potentials

2014 ◽  
Vol 33 (10) ◽  
pp. 723-727
Author(s):  
M. Westermann ◽  
I. W. Husstedt ◽  
A. Okegwo ◽  
S. Evers
Keyword(s):  
Normal Values ◽  
Rank Correlation ◽  
Event Related Potentials ◽  
Intrinsic Property ◽  
Total Sample ◽  
Oddball Paradigm ◽  
Age Dependent ◽  
Related Potentials ◽  
The Mean ◽  
P3 Component

SummaryEvent-related potentials (ERP) are regarded as age dependent. However, it is not known whether this is an intrinsic property of ERP or an extrinsic factor. We designed a setting in which ERP were evoked using a modified oddball paradigm with highly differentiable and detectable target and non-target stimuli. A total of 98 probands were enrolled in this study. We evaluated the latency and amplitude of the P3 component of visually evoked ERP. The mean P3 latency was 294 ± 28 ms and was not related to age (r = –0.089; p = 0.382; Spearman-rank-correlation). The P3 amplitude was related to age in the total sample (r = –0.323; p = 0.001; Spearmanrank-correlation) but not in the probands under the age of 60 years. There were no significant differences regarding sex. Our findings suggest that ERP are not age dependent if highly differentiable and detectable stimuli are used. This should be considered when normal values of ERP are created for clinical use.

PROGESTERONE IN THE HUMAN PERIPHERAL BLOOD IN THE PREOVULATORY PERIOD OF THE MENSTRUAL CYCLE

1967 ◽  
Vol 55 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Benno Runnebaum ◽  
Josef Zander
Keyword(s):  
Menstrual Cycle ◽  
Corpus Luteum ◽  
Peripheral Blood ◽  
Human Peripheral Blood ◽  
Progesterone Concentration ◽  
Plasma Progesterone ◽  
Progesterone Secretion ◽  
Graafian Follicle ◽  
The Mean ◽  
Mean Concentration

ABSTRACT Progesterone was determined and identified in human peripheral blood during the preovulatory period of the menstrual cycle, by combined isotope derivative and recrystallization analysis. The mean concentration of progesterone in 1.095 ml of plasma obtained 9 days before ovulation was 0.084 μg/100 ml. However, the mean concentration of progesterone in 1.122 ml of plasma obtained 4 days before ovulation was 0.279 μg/100 ml. These data demonstrate a source of progesterone secretion other than the corpus luteum. The higher plasma-progesterone concentration 4 days before ovulation may indicate progesterone secretion of the ripening Graafian follicle of the ovary.

PROGESTERONE IN THE UTERINE VENOUS BLOOD OF WOMEN DURING THE FIRST HALF OF GESTATION

1963 ◽  
Vol 27 (3) ◽  
pp. 333-336 ◽  
Author(s):  
F. FUCHS ◽  
ANNA-RIITTA FUCHS ◽  
R. V. SHORT
Keyword(s):  
Peripheral Blood ◽  
Venous Blood ◽  
Progesterone Concentration ◽  
The Mean

SUMMARY Progesterone determinations were carried out in twenty-eight samples of uterine venous blood collected from women between the 9th and 22nd weeks of pregnancy. The mean progesterone concentration was 35·4 μg./100 ml. plasma (range 8–97), which is ten times as high as the concentration in the peripheral blood.

Xenon Provides Faster Emergence from Anesthesia than Does Nitrous Oxide-sevoflurane or Nitrous Oxide-isoflurane 

1997 ◽  
Vol 86 (6) ◽  
pp. 1273-1278 ◽  
Author(s):  
Takahisa Goto ◽  
Hayato Saito ◽  
Masahiro Shinkai ◽  
Yoshinori Nakata ◽  
Fumito Ichinose ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Minimum Alveolar Concentration ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Patient Demographics ◽  
The Mean ◽  
American Society ◽  
End Tidal ◽  
To Receive ◽  
Rapid Emergence

Background Xenon, an inert gas with anesthetic properties (minimum alveolar concentration [MAC] = 71%), has an extremely low blood:gas partition coefficient (0.14). Therefore, we predicted that xenon would provide more rapid emergence from anesthesia than does N2O+isoflurane or N2O+sevoflurane of equivalent MAC. Methods Thirty American Society of Anesthsiologists class I or II patients undergoing total abdominal hysterectomy were randomly assigned to receive 60% xenon, 60% N2O + 0.5% isoflurane, or 60% N2O + 0.70% sevoflurane (all concentrations are end-tidal: n = 10 per group). After placement of an epidural catheter, anesthesia was induced with standardized doses of midazolam, thiopental, and fentanyl. Thirty minutes later, xenon, N2O+isoflurane, or N2O+sevoflurane was started as previously assigned. These regimens were supplemented with epidural anesthesia with mepivacaine so that the mean arterial pressure and heart rate were controlled within 20% of the preoperative values. At the end of operation lasting approximately 2 h, all inhalational anesthetics were discontinued, and the patients were allowed to awaken while breathing spontaneously on an 8 l/min inflow of oxygen. A blinded investigator recorded the time until the patient opened her eyes on command (T1), was judged ready for extubation (T2), could correctly state her name, her date of birth, and the name of the hospital (T3), and could count backward from 10 to 1 in less than 15 s (T4). Results Emergence times from xenon anesthesia were: T1, 3.4 +/- 0.9 min; T2, 3.6 +/- 1 min; T3, 5.2 +/- 1.4 min; and T4, 6.0 +/- 1.6 min (mean +/- SD). These were one half to one third of those from N2O+sevoflurane (T1, 6.0 +/- 1.7 min; T4, 10.5 +/- 2.5 min) or N2O+isoflurane (T1, 7.0 +/- 1.9 min; T4, 14.3 +/- 2.8 min) anesthesia. The three groups did not differ in terms of patient demographics, the duration of anesthesia, the amount of epidural mepivacaine administered, or the postoperative pain rating. No patient could recalls intraoperative events. Conclusions Emergence from xenon anesthesia is two or three times faster than that from equal-MAC N2O+isoflurane or N2O+sevoflurane anesthesia.

THE PROGESTERONE CONCENTRATION IN THE PLASMA OF THE GOAT DURING THE OESTROUS CYCLE AND PREGNANCY

1972 ◽  
Vol 52 (1) ◽  
pp. 23-36 ◽  
Author(s):  
G. D. THORBURN ◽  
W. SCHNEIDER
Keyword(s):  
Binding Assay ◽  
Progesterone Concentration ◽  
Maternal Circulation ◽  
Plasma Progesterone ◽  
Pregnant Uterus ◽  
Main Site ◽  
Peripheral Plasma ◽  
Protein Binding Assay ◽  
The Mean ◽  
Mean Concentration

SUMMARY Progesterone concentrations in the peripheral plasma of goats were measured by a protein-binding assay. The mean concentration was extremely low on the day of oestrus (0·2 ng/ml) and was not significantly different from that found in anoestrous or ovariectomized animals. The concentration increased to a maximum of 4 ng/ml on about day 10 of the 21-day cycle, and decreased rapidly during the last 3 days of the cycle. Plasma progesterone concentration during early pregnancy (2·5–3·5 ng/ml) was similar to the luteal phase value and remained steady from day 8 to day 60. Between days 60 and 70 there was a secondary increase in progesterone concentration which was maintained at this increased level (4·5–5·5 ng/ml) until just before parturition. In twin-bearing animals, the secondary increase was greater. Progesterone concentration decreased rapidly during the 1–2 days preceding parturition, but the concentration was still quite high on the day of parturition (1·25 ng/ml). The progesterone concentration in peripheral plasma was markedly increased during anaesthesia and the operation. After bilateral ovariectomy of the pregnant goat, peripheral progesterone concentration fell rapidly from 9 to 2·5 ng/ml during the first ½ h and then more slowly during the next 5–6 h. The animals aborted 36–48 h later. A consistent positive arterio—venous difference for progesterone was observed across the pregnant uterus in two unanaesthetized goats. These results indicate that the ovary is the main site of progesterone production in the pregnant goat and that production by the placenta is small and unlikely to influence the level of this hormone in the maternal circulation.

scholarly journals Effects of nitrous oxide on minimum alveolar concentration of desflurane in dogs

2007 ◽  
Vol 59 (1) ◽  
pp. 97-104 ◽  
Author(s):  
C.T. Nishimori ◽  
N. Nunes ◽  
D.P. Paula ◽  
M.L. Rezende ◽  
A.P. Souza ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Nitrous Oxide ◽  
Body Temperature ◽  
Minimum Alveolar Concentration ◽  
Electric Stimulus ◽  
Oxyhemoglobin Saturation ◽  
End Tidal Carbon Dioxide ◽  
Desflurane Concentration ◽  
Blood Pressures ◽  
End Tidal

Effects of nitrous oxide (N2O) on minimum alveolar concentration (MAC) of desflurane were studied. For that purpose, 30 dogs were randomly allocated into two groups: desflurane group (GD) and N2O and desflurane group (GDN). GD animals received propofol to intubation, and 11.5V% of desflurane diluted in 100% O2. After 30 minutes, they received electric stimulus and if the animal did not react to stimulus, desflurane concentration was reduced by 1.5V%. This protocol was repeated at each 15 minutes, and stimulus was interrupted when voluntary reaction was observed. GDN dogs were submitted to diluent flow 30% O2 and 70% N2O. Desflurane's MAC; heart (HR) and respiratory (RR) rates; systolic, diastolic and mean arterial pressures (SAP, DAP, and MAP, respectively); end tidal carbon dioxide (ETCO2); oxyhemoglobin saturation (SpO2) and body temperature (T) were evaluated. In both groups increase in HR and ETCO2, and decrease in RR and T were associated with administration of the highest dose of desflurane. Blood pressures decreased 30 minutes after desflurane administration in GDN, and after this measurement the values increased. Reduction in desflurane's MAC was observed as well. It is concluded that N2O associated with desflurane reduced desflurane's MAC by 16% with increase in HR and respiratory depression.

Effect of pattern of lighting and time of birth on occurrence of puberty in female goat kids

1984 ◽  
Vol 38 (1) ◽  
pp. 83-89 ◽  
Author(s):  
E. A. Amoah ◽  
M. J. Bryant
Keyword(s):  
Live Weight ◽  
Progesterone Concentration ◽  
Plasma Progesterone ◽  
Blood Samples ◽  
Treatment Interaction ◽  
The Mean

ABSTRACTThirty-six British Saanen female kids, born between either 20 March and 6 April (E) or 10 April and 16 June (L), were reared under three different patterns of lighting — a constant 18-h light: 6-h dark (C); or a weekly step-wise reduction from 18-h to 10-h light: 14-h dark over 10 weeks, commencing at either 6 (R6) or 10 (R10) weeks of age. Vasectomized males were used to test for oestrus; blood samples were collected to determine plasma progesterone concentration. Thirty-three goats attained puberty; all but two kids showed oestrus at first ovulation. The mean ( ± s.d.) age and live weight at puberty were 174·6 (± 4·1) and 141·7 (± 4·3) days (P < 0·001), and 28·6 (± 0·9) and 22·8 (± 1·0) kg (P < 0·001), for E and L treatments, respectively. For R6, R10 and C treatments, the ages and weights wer e 151·6 (± 4·7), 160·4 (± 5·2) and 164·7 (± 4·9) days (NS), respectively, and 24·5 (± 1·1), 25·3 (± 1·2) and 27·8 (± 1·1) kg (NS), respectively. A significant date of birth × lighting-pattern treatment interaction was found for date at puberty (P < 0·001), with puberty occurring earlier for E than L kids only when a reduction in daylength occurred. Puberty occurred earlier on R6 than R10 treatments only for L kids.

Anesthetic Doses of Sevoflurane To Block Cardiovascular Responses to Incision when Administered with Xenon or Nitrous Oxide 

1999 ◽  
Vol 91 (2) ◽  
pp. 369-373 ◽  
Author(s):  
Yoshinori Nakata ◽  
Takahisa Goto ◽  
Yoshiki Ishiguro ◽  
Katsuo Terui ◽  
Yoshinari Niimi ◽  
...  
Keyword(s):  
Heart Rate ◽  
Nitrous Oxide ◽  
Mean Arterial Pressure ◽  
Minimum Alveolar Concentration ◽  
Cardiovascular Response ◽  
Cardiovascular Responses ◽  
Suppressive Effect ◽  
Skin Incision ◽  
The Mean ◽  
End Tidal

Background The authors' previous study demonstrated that xenon (Xe) and nitrous oxide (N2O) in combination with sevoflurane can attenuate cardiovascular responses to skin incision. To quantitatively evaluate their suppressive effects on cardiovascular responses, the authors compared the MAC-BAR (minimum alveolar concentration that blocks adrenergic or cardiovascular response to incision) values of sevoflurane when administered with Xe or N2O. Methods Forty-three patients received sevoflurane with one of three anesthetics; 1 MAC Xe, 0.7 MAC Xe and 0.7 MAC N2O. The MAC-BAR of sevoflurane was determined in each anesthetic using the "up and down" method. The response was considered positive if the heart rate or mean arterial pressure increased 15% or more. The end-tidal sevoflurane concentration given to the next patient was increased or decreased by 0.3 MAC if the response was positive or negative in the previous patient, respectively. The MAC-BAR was calculated as the mean of four independent cross-over responses. Results The MAC-BAR of sevoflurane, including the contribution of Xe or N2O, was 2.1+/-0.2 MAC and 2.7+/-0.2 MAC when administered with 1 MAC and 0.7 MAC Xe, respectively, and 2.6+/-0.4 MAC when administered with 0.7 MAC N2O (mean +/- SD). Conclusions Although 1 MAC Xe has a more potent suppressive effect on cardiovascular responses to incision than 0.7 MAC Xe or N2O, Xe and N2O have a similar suppressive effect at 0.7 MAC.

Effects of ovulation status and stage of oestrous cycle on plasma progesterone concentrations in cattle with or without a history of twin calvings

1987 ◽  
Vol 45 (2) ◽  
pp. 205-209 ◽  
Author(s):  
C. A. Morris ◽  
A. M. Day ◽  
A. J. Peterson
Keyword(s):  
Oestrous Cycle ◽  
The Other ◽  
Control Group ◽  
Progesterone Concentration ◽  
Breeding Experiment ◽  
Plasma Progesterone ◽  
History Of ◽  
The Mean ◽  
Rectal Palpation ◽  
Group Effects

ABSTRACTPlasma progesterone concentrations were measured over two collection periods from two groups of mature non-pregnant cows involved in a twin-breeding experiment. One group (T) consisted of cows obtained from private herds after having produced at least two sets of twins each; the other was a control group of similar ages and breeds. Yearling heifers from the same breeding experiment were also included. The mean progesterone concentration from cows in the T group was proportionally 0·83 of the value in control cows and the cow group effects were consistent in direction for samples obtained after single or double ovulations. Results were also consistent in early oestrous cycle (days 3 to 7, oestrus = day 0), mid cycle (days 8 to 13) but not late cycle (days 14 to 18). Concentrations were significantly higher in yearling heifers than in control cows. There was a trend for higher progesterone concentrations after double than after single ovulations assessed by rectal palpation, but differences were not significant.

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