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Lorenz, Wilfried ; Doenicke, A. ; Meyer, R. ; Reimann, H. J. ; Kusche, J. ; Barth, H. ; Geesing, H. ; Hutzel, M. ; Weissenbacher, B.

Histamine release in man by propanidid and thiopentone: pharmacological effects and clinical consequences

Lorenz, Wilfried, Doenicke, A., Meyer, R., Reimann, H. J., Kusche, J., Barth, H., Geesing, H., Hutzel, M. and Weissenbacher, B. (1972) Histamine release in man by propanidid and thiopentone: pharmacological effects and clinical consequences. British journal of anaesthesia 44 (4), pp. 355-369.

Date of publication of this fulltext: 24 Aug 2011 09:54
Article
DOI to cite this document: 10.5283/epub.21885


Abstract

Using a new, highly sensitive and specific method for the determination of histamine in human plasma, it was shown that release of histamine followed injection of propanidid and thiopentone. Observations of gastric secretion, arterial pressure and pulse rate supported these findings. In normal persons the release of histamine had no special clinical significance. On the other hand, when ...

Using a new, highly sensitive and specific method for the determination of histamine in human plasma, it was shown that release of histamine followed injection of propanidid and thiopentone. Observations of gastric secretion, arterial pressure and pulse rate supported these findings. In normal persons the release of histamine had no special clinical significance. On the other hand, when anaphylactoid reactions occurred following propanidid injection histamine release was so massive as to explain the severe clinical signs and symptoms observed. In this study no reactions occurred following thiopentone injection. Although it seems likely that massive histamine release can occur during anaphylactoid reactions with this anaesthetic, we have no observations to confirm this. In one case it was shown that premedication with glucocorticoids and anti-histaminics and therapy with plasma substitutes could prevent the development of a severe reaction.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleBritish journal of anaesthesia
Publisher:Oxford Univ. Press
Volume:44
Number of Issue or Book Chapter:4
Page Range:pp. 355-369
Date1972
InstitutionsMedicine > Zentren des Universitätsklinikums Regensburg > Tumorzentrum e.V.
Medicine > Institut für Epidemiologie und Präventivmedizin > Tumorzentrum e.V.
Identification Number
ValueType
4113349PubMed ID
Classification
NotationType
AdultMESH
AnaphylaxisMESH
ArteriesMESH
BasophilsMESH
Blood PressureMESH
Drug HypersensitivityMESH
ElectrocardiographyMESH
FemaleMESH
Gastric Juice/secretionMESH
Glucocorticoids/administration & dosageMESH
Heart RateMESH
Histamine/bloodMESH
Histamine H1 Antagonists/administration & dosageMESH
Histamine Release/drug effectsMESH
HumansMESH
Leukocyte CountMESH
MaleMESH
Middle AgedMESH
Plasma Substitutes/therapeutic useMESH
Preanesthetic MedicationMESH
Propanidid/pharmacologyMESH
PulseMESH
Skin TestsMESH
SolventsMESH
Thiopental/pharmacologyMESH
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgUnknown
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-218858
Item ID21885

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