Carotid bifurcation sympathectomy and deafferentation: respiration during hypercapnia

1988 ◽  
Vol 255 (2) ◽  
pp. R252-R258
Author(s):  
D. B. Jennings ◽  
P. C. Szlyk
Keyword(s):  
Carotid Sinus ◽  
Carotid Bifurcation ◽  
The Other ◽  
Afferent Activity ◽  
Nerve Section ◽  
Absolute Level ◽  
Respiratory Effects ◽  
Percent Change ◽  
Fractional Concentration ◽  
Awake Cats

The respiratory effects of hypercapnia were studied in six awake cats 1) after bilateral sympathectomy of the carotid bifurcations and 2) after bilateral section of the carotid sinus nerves. When cats breathed either 2 or 4% CO2 in air, neither denervation affected the absolute level of ventilation, the percent change in ventilation, or the range of breath-to-breath variability in ventilation (V). However, in all six cats tidal volume (VT) increased for some levels of breath V after sympathectomy of the carotid bifurcations during inhalation of 4% CO2 in air. Moreover, after the subsequent carotid deafferentation, increased VT during fractional concentration of inspired CO2 (FICO2) of 4% persisted in four of six cats. Thus increased VT after sympathectomy could not be attributed to increased carotid chemoreceptor afferent activity but may have been due to reduced baroreceptor activity. On the other hand, sympathectomy-induced differences in breath timing, present during inhalation of 2% CO2, were reversed to intact values after sinus nerve section. In contrast to 2% CO2, changes in respiratory timing in intact cats associated with 4% CO2 were not altered significantly by sympathectomy or deafferentation of the carotid bifurcations. The latter indicates that above a critical FICO2 central mechanisms, unrelated to the carotid bifurcation, dominated respiratory timing in the hypercapnic awake cats.

Respiration in awake cats: sympathectomy and deafferentation of carotid bifurcations

1987 ◽  
Vol 62 (3) ◽  
pp. 932-940 ◽  
Author(s):  
P. C. Szlyk ◽  
D. B. Jennings
Keyword(s):  
Carotid Sinus ◽  
Minute Ventilation ◽  
Reflex Modulation ◽  
Carotid Sinus Nerve ◽  
Inspiratory Time ◽  
Nerve Section ◽  
Arterial Pco2 ◽  
Bilateral Carotid ◽  
Arterial Po2 ◽  
Awake Cats

Respiratory effects of sympathectomy of the carotid bifurcations and, in a subsequent experiment, bilateral carotid sinus nerve section were examined in six awake resting cats. In each intact and denervated state, sequential breaths were analyzed at 10-min intervals up to 80 min. Individual breath frequency (f), tidal volume (VT), and ventilation (V = f X VT) were determined. In individual cats, sympathectomy or deafferentation could cause significant increases or decreases in ventilation or no change. Thus the range of spontaneous variability in breath V as well as minute ventilation (VE), averaged for the group, were not consistently altered in the same direction by either sympathectomy or deafferentation of the carotid bifurcations. Interestingly, in most cats after both sympathectomy (5 of 6) and deafferentation (4 of 6), VT increased and f decreased relative to V. Despite this, after sinus nerve section in two cats arterial PO2 decreased and arterial PCO2 tended to increase relative to VE, suggesting possible effects of deafferentation on ventilation-perfusion balance. Sympathectomy also affected timing such that inspiratory time began to exceed 0.5 of the breath duration at a lower breath f; this effect of sympathectomy was reversed to intact values by subsequent sinus deafferentation. Thus, in eupneic awake cats, sympathetics normally suppress reflex modulation of central timing from carotid chemoreceptors and/or baroreceptors.

Relief of facial pain after combined removal of precentral and postcentral cortex

1971 ◽  
Vol 34 (4) ◽  
pp. 537-543 ◽  
Author(s):  
Richard A. Lende ◽  
Wolff M. Kirsch ◽  
Ralph Druckman
Keyword(s):  
Facial Pain ◽  
The Other ◽  
Precentral Gyrus ◽  
Nerve Section ◽  
Content Type ◽  
Burning Pain ◽  
Cortical Localization ◽  
The Brain ◽  
Fine Print ◽  
Frontal Lobotomy

✓ Cortical removals which included precentral and postcentral facial representations resulted in relief of facial pain in two patients. Because of known failures following only postcentral (SmI) ablations, these operations were designed to eliminate also the cutaneous afferent projection to the precentral gyrus (MsI) and the second somatic sensory area (SmII). In one case burning pain developed after a stroke involving the brain stem and was not improved by total fifth nerve section; prompt relief followed corticectomy and lasted until death from heart disease 20 months later. In the other case persistent steady pain that developed after fifth rhizotomy for trigeminal neuralgia proved refractory to frontal lobotomy; relief after corticectomy was immediate and has lasted 14 months. Cortical localization was established by stimulation under local anesthesia. Each removal extended up to the border of the arm representation and down to the upper border of the insula. Such a resection necessarily included SmII, and in one case responses presumably from SmII were obtained before removal. The suggestions of Biemond (1956) and Poggio and Mountcastle (1960) that SmII might be concerned with pain sensibility may be pertinent in these cases.

Interaction of right and left carotid sinus baroreflexes in the dog

1986 ◽  
Vol 250 (1) ◽  
pp. H96-H107 ◽  
Author(s):  
A. S. Greene ◽  
M. J. Brunner ◽  
A. A. Shoukas
Keyword(s):  
Heart Rate ◽  
Tidal Volume ◽  
Carotid Sinus ◽  
The Other ◽  
Reflex Response ◽  
Pentobarbital Sodium ◽  
Simultaneous Excitation ◽  
Carotid Sinus Baroreflex ◽  
The Right ◽  
Sinus Pressure

Carotid sinus reflex interactions were studied in 10 dogs anesthetized with pentobarbital sodium. The right and left carotid sinus regions were isolated and perfused at controlled pressures. Pressure in the right and left carotid sinuses were independently varied, and the resulting steady-state reflex changes in arterial pressure, heart rate, respiratory frequency, tidal volume, and total ventilation were measured. Reflex changes when carotid sinus pressure was changed on one side were strongly influenced by pressure in the contralateral carotid sinus (P less than 0.05). Right carotid sinus gain was found to be 0.628 +/- 0.058 at a left carotid sinus pressure of 50 mmHg and 0.148 +/- 0.027 when left carotid sinus pressure was 200 mmHg. Similar results were found for left carotid sinus gain. Suppression was also found for heart rate, respiratory rate, tidal volume, and total ventilation. The hypothesis that rapid resetting of one carotid sinus baroreflex might influence responses from the other side was also tested. Although ipsilateral resetting was consistently observed, no contralateral component of the resetting was detected. An additional inhibitory summation between the right and left carotid sinuses was found such that simultaneous excitation of both receptors resulted in a smaller reflex response than did the sum of individual responses. Sympathetic denervation of the carotid sinus region had no effect.

EFFECTS OF CHEMORECEPTOR AND BARORECEPTOR STIMULATION ON THE DISCHARGE OF HYPOTHALAMIC SUPRAOPTIC NEURONES IN RATS

1979 ◽  
Vol 82 (1) ◽  
pp. 115-125 ◽  
Author(s):  
M. C. HARRIS
Keyword(s):  
Supraoptic Nucleus ◽  
Carotid Sinus ◽  
Carotid Bifurcation ◽  
Cardiovascular Reflexes ◽  
Nacl Solution ◽  
Baroreceptor Stimulation ◽  
Vasopressin Secretion ◽  
Carotid Body Chemoreceptors ◽  
Hypothalamic Supraoptic Nucleus ◽  
Slight Inhibition

SUMMARY Experiments have been performed to examine the effects of activating the carotid body chemoreceptors and the arterial baroreceptors on the discharge of neurones within the hypothalamic supraoptic nucleus of the rat. Chemoreceptors were activated by intracarotid injection of 0·9% NaCl solution equilibrated with 100% CO2. The baroreceptors of the carotid sinus and aortic arch were activated by raising the blood pressure with an intravenous injection of phenylephrine. Chemoreceptor stimulation activated and baroreceptor stimulation inhibited the discharge of all the phasically discharging neurones tested. Neither stimulus had any consistent effect on non-phasically discharging neurones, although slight inhibition occasionally occurred. Anaesthesia of the carotid bifurcation abolished the effects of cardiovascular stimulation on the supraoptic neurones. Responses resumed when the anaesthesia wore off. However, the anaesthesia also seemed to alter the phasic pattern of discharge. The results are discussed with reference to the influence of the cardiovascular receptors upon the neurones in the supraoptic nucleus, and with reference to possible roles for the cardiovascular reflexes in control of vasopressin secretion.

scholarly journals Propofol Induction for Laryngeal Mask Airway Insertion: Dose Requirement and Cardiorespiratory Effects

1992 ◽  
Vol 20 (4) ◽  
pp. 479-483 ◽  
Author(s):  
D. W. Blake ◽  
P. Dawson ◽  
G. Donnan ◽  
A. Bjorksten
Keyword(s):  
Plasma Concentration ◽  
Laryngeal Mask Airway ◽  
Cardiovascular Effects ◽  
Laryngeal Mask ◽  
The Other ◽  
Laryngeal Mask Airway Insertion ◽  
Dose Requirement ◽  
Respiratory Effects

The dosage, haemodynamic and respiratory effects of propofol for laryngeal mask airway (LMA) insertion were investigated. Fifty patients (ASA I-II) were randomly assigned one of four induction doses of propofol (1.5–2.5 mg/kg) delivered over 30 seconds and the first attempt at LMA insertion was made at 90 seconds. The LMA was inserted at 90 seconds in 35 patients and by 300 seconds in 13 others (mean plasma concentration at 90 seconds was 7.7 mcg/ml (no delay) versus 5.2 mcg/ml (insertion delayed), P < 0.01). Insertion was less successful after 1.5 mcg/kg (failed at 90 seconds in 6 of 12 patients), but did not vary with the other doses. Additional propofol (0.5 mg/kg/30s) was required in 22 patients for LMA insertion or to prevent movement, resulting in propofol concentrations at 120–180 seconds above 7 mcg/ml. Respiratory effects were minor, but MAP decreased by 18±1.4 mmHg at 90 seconds. Cardiovascular effects did not differ significantly between dosage groups or with the use of additional propofol.

Efferent inhibition of carotid body chemoreception in chronically hypoxic cats

1983 ◽  
Vol 245 (5) ◽  
pp. R678-R683 ◽  
Author(s):  
S. Lahiri ◽  
N. Smatresk ◽  
M. Pokorski ◽  
P. Barnard ◽  
A. Mokashi
Keyword(s):  
Sea Level ◽  
Chronic Exposure ◽  
Chronic Hypoxia ◽  
Carotid Sinus ◽  
Afferent Activity ◽  
Efferent Inhibition ◽  
Before And After ◽  
Steady State Responses ◽  
Chemosensory Response ◽  
State Responses

The effects of chronic hypoxia on carotid chemoreceptor afferent activity before and after sectioning the carotid sinus nerves (CSN) were studied in cats exposed to 10% O2 for 21–49 days in a chamber at sea level. For comparison, chronically normoxic cats at sea level were also studied. The cats were anesthetized, paucifiber preparation for the measurement of carotid chemosensory activity from a small slip of CSN was made, and their steady-state responses to 4–5 levels of arterial pressure of O2 (PaO2) at a constant PaCO2 and to 3–4 levels of PaCO2 in hyperoxia were measured before and after sectioning the CSN. The chemosensory response to hypoxia in the cats with intact CSN after chronic exposure to hypoxia was not reduced relative to the cats that breathed room air at sea level. Sectioning the CSN significantly augmented the chemosensory responses to hypoxia in all the chronically hypoxic but not significantly in the normoxic cats. The responses to moderate hypercapnia during hyperoxia were not significantly changed by cutting the CSN in either group. We conclude that there is a significant CSN efferent inhibition of chemosensory activity due to chronic hypoxia in the cat. This implies that without the efferent inhibition the hypoxic chemosensitivity is increased by chronic hypoxia.

Reflex limb dilatation following norepinephrine and angiotensin II in conscious dogs

1976 ◽  
Vol 230 (3) ◽  
pp. 557-563 ◽  
Author(s):  
SF Vatner ◽  
RJ McRitchie
Keyword(s):  
Angiotensin Ii ◽  
Iliac Artery ◽  
Carotid Sinus ◽  
Conscious Dogs ◽  
Beta Blockade ◽  
Prostaglandin Synthetase ◽  
Nerve Section ◽  
Iliac Arteries ◽  
Bilateral Carotid ◽  
Bilateral Vagotomy

Effects of intravenous and intra-arterial norepinephrine (NE) and angiotensin II (AN) were compared in 18 conscious dogs instrumented with Doppler or electromagnetic flow probes on the iliac, mesenteric, and renal arteries, and catheters in the aorta and iliac arteries. NE and AN administered intravenously constricted the mesenteric and renal beds, and constricted the iliac bed when administered directly into the iliac artery. In contrast, intravenous NE and AN caused striking reflex increases in iliac flow and reductions in iliac resistance, respectively, in 12 of 18 dogs studied. The reflex iliac dilatation was not prevented by beta blockade with propranolol, cholinergic blockade with atropine, or prostaglandin synthetase inhibition with indomethacin. However, the responses were abolished by either phentolamine, 1 mg/kv iv, or after local blockade of the limb with either phentolamine, 0.5 mg/kg, or with tripelennamine, 2 mg/kg. The dilatation was not prevented by either bilateral carotid sinus and aortic nerve section or by bilateral vagotomy alone, but was prevented by a combination of these procedures. Thus, intravenous NE and AN cause striking reflex iliac dilatation in the limb in the conscious dog; the afferent arc of this reflex involves both arterial baroreceptor and vagal pathways, while the efferent mechanism involves an interaction of alpha-adrenergic and histaminergic receptors.

scholarly journals Respiratory Effects of Division of the Carotid Sinus Nerve in the Lamb Soon After the Initiation of Breathing

1968 ◽  
Vol 2 (4) ◽  
pp. 264-270 ◽  
Author(s):  
H S Harned ◽  
R T Herrington ◽  
C A Griffin ◽  
W S Berryhill ◽  
L G MacKinney
Keyword(s):  
Carotid Sinus ◽  
Carotid Sinus Nerve ◽  
Respiratory Effects
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