范围审查:推进剂量的诺阿基尼是一个更好的选择吗?
Michael Berkenbush1, Lali Singh1, Kelly Sessa1
1Morristown Medical Center, Sameth Emergency Department, Morristown, New Jersey.
The western journal of emergency medicine
|September 25, 2024
概括
推进剂量的诺阿基尼林在治疗低血压方面是安全有效的,特别是在麻醉中. 这篇评论强调了它对其他血管压缩剂的好处,建议在重症监护机构进行进一步的研究.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 推量血管压缩剂通常用于管理麻醉诱导的低血压.
- 上腺素越来越多地被认为是上腺素和上腺素的替代品.
- 在急救和重症监护中推推剂量诺阿基因弗林的证据有限.
研究的目的:
- 评估临床使用和围绕推推剂量诺阿基因弗林的证据.
- 为了比较推进剂量的诺阿基尼林与其他血管压缩剂的疗效和安全性.
- 识别紧急和重症监护机构的研究缺口.
主要方法:
- 对人类实验中的推推剂量诺拉皮内的出版物进行范围审查.
- 搜索了PubMed和谷歌学者相关的研究研究.
- 包括随机对照试验,比较上腺素与上腺素,上腺素和上腺素.
主要成果:
- 大多数研究集中在剖腹产时的脊髓麻醉;较少的研究集中在全身麻醉.
- 对于紧急情况和重症监护应用,文献有限.
- 在27项审查的研究中,诺阿基因被证明是安全和有效的,其中包括17项随机对照试验.
结论:
- 与其他药物相比,推进剂量的诺阿基因弗林显示出安全性和有效性,具有有利的血液动力学标记.
- 临床益处包括易于施用和减少重复剂量的需要.
- 建议在紧急和重症监护方面进行进一步的高质量研究,以证实研究结果.
相关概念视频
Adrenergic Agonists: Therapeutic Uses
749
Adrenergic agonists have diverse therapeutic uses across various medical conditions and emergencies.
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
Emergency and Intensive Care Unit (ICU) applications: Pressor agents increase blood pressure, heart rate, and contractility in shock and organ failure situations. Dopamine can induce vasodilation and stimulate adrenoceptors. Endogenous catecholamines are effective in treating cardiogenic shock. α2-agonists like clonidine can reverse anesthesia-induced hypertension.
Allergies and...
749
Adrenergic Agonists: Direct-Acting Agents
1.4K
Drugs that mimic the action of endogenous catecholamines like noradrenaline and adrenaline are called adrenergic agonists or sympathomimetics. Based on their mechanism of action, sympathomimetics can be classified as direct-, indirect-, or mixed-acting sympathomimetics. Direct-acting adrenergic agonists activate adrenoceptors without affecting presynaptic neurons, making them independent of neuronal catecholamine-depleting agents like reserpine and guanethidine.
These agents can be classified...
These agents can be classified...
1.4K
Drug Delivery: Enteral Route
389
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
389
Adrenergic Agonists: Mixed-Action Agents
689
Mixed-action adrenergic agonists, like ephedrine and pseudoephedrine, directly and indirectly affect adrenergic receptors. These agents stimulate adrenoceptors and indirectly release stored neurotransmitters, amplifying the adrenergic response.
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
Ephedrine and pseudoephedrine lack a catecholamine group, making them less susceptible to degradation by metabolic enzymes. They have increased oral bioavailability and lipophilicity, resulting in a longer duration of action. Their response is reduced by...
689
Adrenergic Agonists: Indirect-Acting Agents
1.5K
Indirect-acting adrenergic agonists potentiate the effects of endogenous catecholamines through different mechanisms without directly binding to adrenoceptors.
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral...
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral...
1.5K
Drugs Affecting Neurotransmitter Release or Uptake
994
Certain drugs can affect how neurotransmitters called catecholamines, are released or taken back up in the adrenergic neuron. They can have different effects on the body's sympathetic transmission. Reserpine, a natural compound found in the Rauwolfia shrub, blocks a transporter called vesicular monoamine transporter (VMAT), which leads to a buildup of catecholamines in the cell and reduces sympathetic transmission. Another drug called guanethidine works in multiple ways, including blocking...
994


