Abstract
The effect of nicardipine (NC) on neurologic recovery from ischemic insult after 10-minutes complete global cerebral ischemia was evaluated in dogs by examination of neurologic recovery score (NRS: complete recovery=100, death = 0). Ischemia was achieved by occlusion of ascending aorta, and NC, 10 I1g·kg-1 in bolus followed by infusion of 0.33μg·kg−1·min−1 for 2 hours, was administered immediately after re-establishment of circulation. The mortality at 7th day was 2/9 in the control (C) and 1/9 in the NC group (ns). NRS on 2nd day was 52.3 ±6.8 in the C and 70.6±6.5 in the NC (P<0.05), but that on 7th day did not differ between the two groups. The numbers of dogs recovered to over 80 in NRS on the 2nd day was 1/9 in the C and 5/9 in the NC (P<0.05), but that on the 7th day increased to 3/9 in the C and remained at 5/9 in the NC (ns). These results suggest that NC accelerates the early neurologic recovery from ischemic damage, but influences little the final outcome.
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White BC, Winegar CD, Wilson RF, Hoehner PJ, Tromboley JH: Possible role of calcium blockers in cerebral resuscitation: A review of the literature and synthesis of future studies. Crit Care Med 11:202–207, 1983
Siesji BK: Cerebral circulation and metabolism. J Neurosurg 60:883–908, 1984
Baethmann A, Jansen M: Possible role of calcium entry blockers in brain protection. Eur Neurol 25:suppl. 1, 102–114, 1986
Steen PA, Newberg LA, Milde JH, Michenfelder JD: Cerebral blood flow and neurologic outcome when nimodipine is given after complete cerebral ischemia in the dog. J Cereb Blood Flow Metab 4:82–87, 1984
Steen PA, Gisvold SE, Milde JH, Newberg LA, Scheithauer BW, Lanier WL, Michenfelder JD: Nimodipine improves outcome when given after complete cerebral ischemia in primates. Anesthesiology 62:406–414, 1985
Desphande JK, Wieloch T: Flunarizine, a calcium entry blocker, ameliorates ischemic brain damage in the rat. Anesthesiology 64:214–224, 1986
Vaagenes P, Cantadore R, Safar P, Moossy J, Rao G, Diven W, Alexander H, Stezoski W: Amelioration of brain damage by lidoflazine after prolonged ventricular fibrillation cardiac arrest in dogs. Crit Care Med 12:846–855, 1984
Roine R, Kaste M, Kinnunen A, Nikki P: Safety and efficacy of nimodipine in resuscitation of patients outside hospital. Brit Med J 294:20, 1987
Forsman M, Aarseth HP, Nordby HK, Skulberg A, Steen PA: Effects of nimodipine on cerebral blood flow and cerebrospinal fluid pressure after cardiac arrest: Correlation with neurologic outcome. Anesth Analg 68:436–443, 1989
Iwatsuki N, Ono K, Koga Y, Amaha K: Prevention of postischemic hypoperfusion after canine cardiac arrest by nicardipine. Crit Care Med 15:313–317, 1987
Grotta J, Spydell J, Pettigrew C, Ostrow P, Hunter D: The effect of nicardipine on neuronal function following ischemia. Stroke 17:213–219, 1986
White BC, Winegar CD, Wilson RF, Krause GS: Calcium blockers in cerebral resuscitation. J Trauma 23:788–794, 1983
White BC, Gadzinski DS, Hoehner PJ, Krome C, Hoehner T, White JD, Trombley JH: Effect of flunarizine on canine cerebral cortical blood flow and vascular resistance post cardiac arrest. Ann Emerg Med 11:119–126, 1982
Vaagenes P, Cantadore R, Safar P, Alexander H: The effect of lidoflazine and verapamil on neurological outcome after 10 minutes ventricular fibrillation. Crit Care Med 12:228, 1984
Siesjo BK: Calcium and ischemic brain damage. Eur Neurol 25:suppl. 1, 45–56, 1986
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Iwatsuki, N., Ono, K., Takahashi, M. et al. The effects of nicardipine given after 10-minutes complete global cerebral ischemia on neurologic recovery in dogs. J Anesth 4, 337–342 (1990). https://doi.org/10.1007/s0054000040337
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DOI: https://doi.org/10.1007/s0054000040337