Methoxyflurane
Ether
Anesthetics
Fluorides
Enflurane
Ethers
Anesthesia, Inhalation
Halothane
Biotransformation
Nitrous Oxide
Secobarbital
Ethyl Ethers
Oxalates
Anesthesia, Obstetrical
Isoflurane
Adjuvants, Anesthesia
Anesthetics, Inhalation
Fluorine
Dichloroacetic Acid
Rats, Inbred F344
Phenobarbital
Chloroform
Hydrocarbons, Fluorinated
Methoxyflurane nephropathy. (1/89)
Investigations of methoxyflurane-induced nephrotoxicity in man have been extensively aided by the use of an animal model. To be of value the animal model must share similar metabolic pathways with man and have the same clinical manifestations of the diseases process. The Fischer 344 rat appears to meet these criteria. The predominant factors in the production of methoxyflurane nephrotoxicity appear to be high methoxyflurane dosage and serum inorganic fluoride concentration. It is likely that secondary factors include: (1) a high rate of methoxyflurane metabolism and sepsitivity of the kidney to inorganic fluoride toxicity: (2) concurrent treatment with other nephrotoxic drugs; (3) preexisting renal disease; (4) surgery of the urogenital tract, aorta, or renal vasculative; (5) repeat administration of methoxyflurane due to accumulation of inorganic fluoride and, perhaps, methoxyflurane induction of its own metabolism: and (6) concurrent treatment with enzyme-inducing drugs such as phenobarbital. (+info)Comparison of the effects of halothane, isoflurane and methoxyflurane on the electroencephalogram of the horse. (2/89)
We have investigated in eight ponies the effects of three different end-tidal concentrations of halothane, isoflurane and methoxyflurane on median (F50) and 95% spectral edge (F95) frequencies of the EEG and the second differential (DD) of the middle latency auditory evoked potential (MLAEP). The three concentrations of each agent were chosen to represent approximately the minimum alveolar concentration (MAC), 1.25 MAC and 1.5 MAC for each agent. During halothane anaesthesia, F95 decreased progressively as halothane concentration increased, from mean 13.9 (SD 2.6) at 0.8% to 11.9 (1.1) at 1.2%. DD was lower during anaesthesia with the highest concentration (21 (6.5)) compared with the lowest (27.6 (11.4)). There were no significant changes in F50. During isoflurane anaesthesia, there was a small, but significant increase in F95 between the intermediate and highest concentrations (10.2 (1.5) to 10.8 (1.6)). There were no changes in F50 and DD. Values of F95, F50 and DD at all isoflurane concentrations were similar to those of halothane at the highest concentration. During methoxyflurane anaesthesia, F95 and F50 decreased progressively as methoxyflurane concentration was increased, from 21.3 (0.7) and 6.5 (1), respectively, at 0.26%, to 20.1 (0.6) and 5.6 (0.8), respectively, at 0.39%. DD was lower during anaesthesia with the highest concentration of methoxyflurane (25.7 (7.8)) compared with the lowest (39.7 (20.6)). Values of F95, F50 and DD at all methoxyflurane concentrations were higher than those seen with halothane at the lowest concentration. The different relative positions of the dose-response curves for EEG and MLAEP changes compared with antinociception (MAC) changes suggest differences in the mechanisms of action of these three agents. These differences may explain the incomplete adherence to the Meyer-Overton rule. (+info)Volatile anesthetics block actin-based motility in dendritic spines. (3/89)
Dendritic spines form the postsynaptic contact sites for most excitatory synapses in the brain. Spines occur in a wide range of different shapes that can vary depending on an animal's experience or behavioral status. Recently we showed that spines on living neurons can change shape within seconds in a process that depends on actin polymerization. We have now found that this morphological plasticity is blocked by inhalational anesthetics at concentrations at which they are clinically effective. These volatile compounds also block actin-based motility in fibroblasts, indicating that their action is independent of neuron-specific components and thus identifying the actin cytoskeleton as a general cellular target of anesthetic action. These observations imply that inhibition of actin dynamics at brain synapses occurs during general anesthesia and that inhalational anesthetics are capable of influencing the morphological plasticity of excitatory synapses in the brain. (+info)Ubiquitin metabolism affects cellular response to volatile anesthetics in yeast. (4/89)
To investigate the mechanism of action of volatile anesthetics, we are studying mutants of the yeast Saccharomyces cerevisiae that have altered sensitivity to isoflurane, a widely used clinical anesthetic. Several lines of evidence from these studies implicate a role for ubiquitin metabolism in cellular response to volatile anesthetics: (i) mutations in the ZZZ1 gene render cells resistant to isoflurane, and the ZZZ1 gene is identical to BUL1 (binds ubiquitin ligase), which appears to be involved in the ubiquitination pathway; (ii) ZZZ4, which we previously found is involved in anesthetic response, is identical to the DOA1/UFD3 gene, which was identified based on altered degradation of ubiquitinated proteins; (iii) analysis of zzz1Delta zzz4Delta double mutants suggests that these genes encode products involved in the same pathway for anesthetic response since the double mutant is no more resistant to anesthetic than either of the single mutant parents; (iv) ubiquitin ligase (MDP1/RSP5) mutants are altered in their response to isoflurane; and (v) mutants with decreased proteasome activity are resistant to isoflurane. The ZZZ1 and MDP1/RSP5 gene products appear to play important roles in determining effective anesthetic dose in yeast since increased levels of either gene increases isoflurane sensitivity whereas decreased activity decreases sensitivity. Like zzz4 strains, zzz1 mutants are resistant to all five volatile anesthetics tested, suggesting there are similarities in the mechanisms of action of a variety of volatile anesthetics in yeast and that ubiquitin metabolism affects response to all the agents examined. (+info)Nuclear magnetic resonance studies of the interaction of general anesthetics with 1,2-dihexadecyl-sn-glycero-3-phosphorylcholine bilayer. (5/89)
Sonicated 1,2-dihexadecyl-sn-glycero-3-phosphorylcholine forms liposomes. Studies by Fourier transform proton magnetic resonance of the interaction of these bilayers with some general anesthetics, i.e., chloroform, halothane, methoxyflurane, and enflurane, show that the addition of a general anesthetic to the liposomes and raising the temperature have a similar effect in cuasing the fluidization of the bilayer. General anesthetics act on the hydrophilic site (choline group) in clinical concentrations and then diffuse into the hydrophobic region with the addition of larger amount of anesthetics. There is evidence that the lecithin choline groups are involved in the interaction with protein and that the general anesthetics change the conformation of some polypeptides and proteins. We conclude that the general anesthetics, by increasing the motion of positively charged choline groups and negatively charged groups in protein, weaken the Coulomb-type interaction and cause the liprotein conformational changes. (+info)Methoxyflurane anesthesia augments the chronotropic and dromotropic effects of verapamil. (6/89)
INTRODUCTION: Inhalation anesthetics have been shown to have electrical suppressant effects on excitable membranes such as the cardiac conduction system. Therefore, the anesthetized patient or laboratory animal may respond differently to cardiac drugs when compared with their conscious counterparts. The purpose of this study was to assess the effects of anesthesia with methoxyflurane (MF) on the dromotropic and chronotropic effects of verapamil (VER) in the rat. METHODS: A lead I ECG was measured using subcutaneous electrodes placed both axilli and over the xyphoid process in male Sprague-Dawley rats. Dromotropic effect was measured using the PR-interval which indicated the electrical spread across the atria to the AV-node and chronotropic effects were determined using RR-interval. A total of six animals were randomized to receive 10 mg/kg s.c. of verapamil in the presence or absence of general anesthesia containing methoxyflurane. In addition, PR-interval and RR-intervals were determined in the presence of only methoxyflurane and at rest without any drug exposure. The time for the ECG to normalize after exposure to methoxyflurane and/or verapamil was also determined. RESULTS: Exposure to verapamil alone resulted in a 5% prolongation in PR-interval and 6% prolongation in RR-interval. Methoxyflurane alone had a larger effect than verapamil demonstrating a 14.5% prolongation in PR-interval and a 12.3% in RR-interval which was statistically significant. The combination of MF + VER resulted in a synergistic prolongation in PR-interval to 28. 7% while the effect on RR-interval was additive with an increase to 17.6%. The time for the ECG to normalize after exposure to VER, MF and VER + MF was 37.5 15.1 min, 69.8 5.3 min, and 148.5 +/- 6.6 min respectively. CONCLUSION: General anesthesia with MF enhances the dromotropic and chronotropic effect of VER. This should be considered when MF-anesthesia is used in experimental procedure. (+info)The quantitative analysis of three action modes of volatile anesthetics on purple membrane. (7/89)
We quantitatively assessed the spectroscopic changes of purple membrane in relation to the concentrations of a volatile anesthetic. As reported previously, volatile anesthetics show three modes of action on purple membrane. By using an anesthetic for which the concentration in solution could be determined spectroscopically and by applying modified analytical methods regarding the M-intermediate lifetime, we were able to clarify the quantitative relation between anesthetic concentration and each mode of action, a relation which in the past has only been described qualitatively. We also determined through the measurement of transient pH changes with pyranine that the proton pump efficiency per photochemical cycle in an action mode induced with low concentrations of anesthetic does not change from that of the native state. Moreover, we dynamically obtained the individual M-bacteriorhodopsin difference spectrum of each state at room temperature using our flash photolysis system equipped with a wavelength-tunable dye laser. These results demonstrated again that we should clearly distinguish different action modes of anesthetics according to their concentrations. (+info)Methoxyflurane anesthesia in pediatric patients: evaluation of anesthetic metabolism and renal function. (8/89)
Serum ionic fluoride concentrations during and following low-dose (6.0 mg/100 ml, 3 hours) methoxyflurane anesthesia and elective operation were measured in 13 pediatric patients (mean age 10.2 years; mean weight 34.5 kg). Peak measured serum ionic fluoride concentration was 21.6 plus or minus 3.3 mumol/1 24 hours after anesthesia. In a previously reported study of adult patients (47.5 years; 71.9 kg), the peak measured serum ionic fluoride concentration was 43.9 plus or minus 5.7 mumol/1 24 hours after low-does (6.8 mg/100 ml,3 hours) methoxyflurane anesthesia. Possible explanations for lower serum ionic fluoride concentrations in pediatric patients comared with adults include 1) slower metabolism of nethoxyflurand; 2) increased renal clearance of ionic fluoride from the blood; 3) greater sorage of ionic fluride in bone; 4) more rapid methoxyflurane elimiantion in the postoperative period. Serum uric acid increased (4.4 to 6.4 mg/100 ml, not significant) 24 hours after anesthesia and operation, while blood urea nitrogen and serum creatinine and osmolality were unchanged postoperatively. (+info)Methoxyflurane is a sweet-smelling, volatile liquid that is used as an inhalational general anesthetic agent. It is chemically described as 2,2-dichloro-1,1-difluoro-1-methoxyethane. Methoxyflurane is a fluorinated hydrocarbon with low blood/gas solubility, which allows for rapid induction and emergence from anesthesia. It has been used for the induction and maintenance of anesthesia in both adults and children. However, its use has been limited due to concerns about nephrotoxicity associated with high concentrations or prolonged exposure.
In medical terms, "ether" is an outdated term that was used to refer to a group of compounds known as diethyl ethers. The most common member of this group, and the one most frequently referred to as "ether," is diethyl ether, also known as sulfuric ether or simply ether.
Diethyl ether is a highly volatile, flammable liquid that was once widely used as an anesthetic agent in surgical procedures. It has a characteristic odor and produces a state of unconsciousness when inhaled, allowing patients to undergo surgery without experiencing pain. However, due to its numerous side effects, such as nausea, vomiting, and respiratory depression, as well as the risk of explosion or fire during use, it has largely been replaced by safer and more effective anesthetic agents.
It's worth noting that "ether" also has other meanings in different contexts, including a term used to describe a substance that produces a feeling of detachment from reality or a sense of unreality, as well as a class of organic compounds characterized by the presence of an ether group (-O-, a functional group consisting of an oxygen atom bonded to two alkyl or aryl groups).
Anesthetics are medications that are used to block or reduce feelings of pain and sensation, either locally in a specific area of the body or generally throughout the body. They work by depressing the nervous system, interrupting the communication between nerves and the brain. Anesthetics can be administered through various routes such as injection, inhalation, or topical application, depending on the type and the desired effect. There are several classes of anesthetics, including:
1. Local anesthetics: These numb a specific area of the body and are commonly used during minor surgical procedures, dental work, or to relieve pain from injuries. Examples include lidocaine, prilocaine, and bupivacaine.
2. Regional anesthetics: These block nerve impulses in a larger area of the body, such as an arm or leg, and can be used for more extensive surgical procedures. They are often administered through a catheter to provide continuous pain relief over a longer period. Examples include spinal anesthesia, epidural anesthesia, and peripheral nerve blocks.
3. General anesthetics: These cause a state of unconsciousness and are used for major surgical procedures or when the patient needs to be completely immobile during a procedure. They can be administered through inhalation or injection and affect the entire body. Examples include propofol, sevoflurane, and isoflurane.
Anesthetics are typically safe when used appropriately and under medical supervision. However, they can have side effects such as drowsiness, nausea, and respiratory depression. Proper dosing and monitoring by a healthcare professional are essential to minimize the risks associated with anesthesia.
Fluorides are ionic compounds that contain the fluoride anion (F-). In the context of dental and public health, fluorides are commonly used in preventive measures to help reduce tooth decay. They can be found in various forms such as sodium fluoride, stannous fluoride, and calcium fluoride. When these compounds come into contact with saliva, they release fluoride ions that can be absorbed by tooth enamel. This process helps to strengthen the enamel and make it more resistant to acid attacks caused by bacteria in the mouth, which can lead to dental caries or cavities. Fluorides can be topically applied through products like toothpaste, mouth rinses, and fluoride varnishes, or systemically ingested through fluoridated water, salt, or supplements.
Enflurane is a volatile halogenated ether that was commonly used as an inhalational general anesthetic agent. Its chemical formula is C3H2ClF5O. It has been largely replaced by newer and safer anesthetics, but it is still occasionally used in certain clinical situations due to its favorable properties such as rapid onset and offset of action, stable hemodynamics, and low blood solubility. However, it can cause adverse effects such as respiratory depression, arrhythmias, and neurotoxicity, particularly with prolonged use or high doses. Therefore, its use requires careful monitoring and management by anesthesia professionals.
In medical or clinical terms, "ethers" do not have a specific relevance as a single medical condition or diagnosis. However, in a broader chemical context, ethers are a class of organic compounds characterized by an oxygen atom connected to two alkyl or aryl groups. Ethers are not typically used as therapeutic agents but can be found in certain medications as solvents or as part of the drug's chemical structure.
An example of a medication with an ether group is the antihistamine diphenhydramine (Benadryl), which has a phenyl ether moiety in its chemical structure. Another example is the anesthetic sevoflurane, which is a fluorinated methyl isopropyl ether used for inducing and maintaining general anesthesia during surgeries.
It's important to note that 'ethers' as a term primarily belongs to the field of chemistry rather than medicine.
Inhalational anesthesia is a type of general anesthesia that is induced by the inhalation of gases or vapors. It is administered through a breathing system, which delivers the anesthetic agents to the patient via a face mask, laryngeal mask airway, or endotracheal tube.
The most commonly used inhalational anesthetics include nitrous oxide, sevoflurane, isoflurane, and desflurane. These agents work by depressing the central nervous system, causing a reversible loss of consciousness, amnesia, analgesia, and muscle relaxation.
The depth of anesthesia can be easily adjusted during the procedure by changing the concentration of the anesthetic agent. Once the procedure is complete, the anesthetic agents are eliminated from the body through exhalation, allowing for a rapid recovery.
Inhalational anesthesia is commonly used in a wide range of surgical procedures due to its ease of administration, quick onset and offset of action, and ability to rapidly adjust the depth of anesthesia. However, it requires careful monitoring and management by trained anesthesia providers to ensure patient safety and optimize outcomes.
Halothane is a general anesthetic agent, which is a volatile liquid that evaporates easily and can be inhaled. It is used to produce and maintain general anesthesia (a state of unconsciousness) during surgical procedures. Halothane is known for its rapid onset and offset of action, making it useful for both induction and maintenance of anesthesia.
The medical definition of Halothane is:
Halothane (2-bromo-2-chloro-1,1,1-trifluoroethane) is a volatile liquid general anesthetic agent with a mild, sweet odor. It is primarily used for the induction and maintenance of general anesthesia in surgical procedures due to its rapid onset and offset of action. Halothane is administered via inhalation and acts by depressing the central nervous system, leading to a reversible loss of consciousness and analgesia.
It's important to note that Halothane has been associated with rare cases of severe liver injury (hepatotoxicity) and anaphylaxis (a severe, life-threatening allergic reaction). These risks have led to the development and use of alternative general anesthetic agents with better safety profiles.
Biotransformation is the metabolic modification of a chemical compound, typically a xenobiotic (a foreign chemical substance found within an living organism), by a biological system. This process often involves enzymatic conversion of the parent compound to one or more metabolites, which may be more or less active, toxic, or mutagenic than the original substance.
In the context of pharmacology and toxicology, biotransformation is an important aspect of drug metabolism and elimination from the body. The liver is the primary site of biotransformation, but other organs such as the kidneys, lungs, and gastrointestinal tract can also play a role.
Biotransformation can occur in two phases: phase I reactions involve functionalization of the parent compound through oxidation, reduction, or hydrolysis, while phase II reactions involve conjugation of the metabolite with endogenous molecules such as glucuronic acid, sulfate, or acetate to increase its water solubility and facilitate excretion.
Nitrous oxide, also known as laughing gas, is a colorless and non-flammable gas with a slightly sweet odor and taste. In medicine, it's commonly used for its anesthetic and pain reducing effects. It is often used in dental procedures, surgery, and childbirth to help reduce anxiety and provide mild sedation. Nitrous oxide works by binding to the hemoglobin in red blood cells, which reduces the oxygen-carrying capacity of the blood, but this effect is usually not significant at the low concentrations used for analgesia and anxiolysis. It's also considered relatively safe when administered by a trained medical professional because it does not cause depression of the respiratory system or cardiovascular function.
Secobarbital is a barbiturate medication that is primarily used for the treatment of short-term insomnia and as a preoperative sedative. It works by depressing the central nervous system, producing a calming effect and helping to induce sleep. Secobarbital has a rapid onset of action and a relatively short duration of effect.
It is available in various forms, including capsules and injectable solutions, and is typically prescribed for use on an as-needed basis rather than as a regular medication. Secobarbital can be habit-forming and carries a risk of dependence and withdrawal, so it should only be used under the close supervision of a healthcare provider.
It's important to note that Secobarbital is not commonly prescribed in modern medical practice due to its high potential for abuse and the availability of safer and more effective sleep aids.
Ethyl ether, also known as diethyl ether or simply ether, is a type of organic compound that is classified as a simple ether. It is a colorless and highly volatile liquid with a characteristic odor that is often described as sweet or fruity. In medical contexts, ethyl ether has been historically used as an anesthetic agent due to its ability to produce unconsciousness and insensitivity to pain when inhaled. However, its use as an anesthetic has largely been replaced by safer and more effective alternatives due to its flammability, explosiveness, and potential for causing serious adverse effects such as heart problems and liver damage.
Ethyl ether is a simple ether consisting of two ethyl groups (-C2H5) linked to an oxygen atom (O), with the molecular formula C4H10O. It is produced by the reaction of ethanol with sulfuric acid, followed by distillation to separate the resulting ethyl ether from other products.
In addition to its historical use as an anesthetic, ethyl ether has been used in various industrial and laboratory applications, such as a solvent for fats, oils, resins, and waxes, and as a starting material for the synthesis of other chemicals. However, due to its flammability and potential for causing harm, it is important to handle ethyl ether with care and follow appropriate safety precautions when using it.
Methyl ethers are a type of organic compound where a methyl group (CH3-) is attached to an oxygen atom, which in turn is connected to another carbon atom. They are formed by the process of methylation, where a methyl group replaces a hydrogen atom in another molecule.
Methyl ethers can be found in various natural and synthetic substances. For example, dimethyl ether (CH3-O-CH3) is a common fuel used in refrigeration systems and as a propellant in aerosol sprays. Anisole (CH3-O-C6H5), another methyl ether, is found in anise oil and is used as a flavoring agent and solvent.
It's worth noting that some methyl ethers have been associated with potential health risks, particularly when they are volatile and can be inhaled or ingested. For example, exposure to high levels of dimethyl ether can cause respiratory irritation, headaches, and dizziness. Therefore, it's important to handle these substances with care and follow appropriate safety guidelines.
Oxalates, also known as oxalic acid or oxalate salts, are organic compounds that contain the functional group called oxalate. Oxalates are naturally occurring substances found in various foods such as spinach, rhubarb, nuts, and seeds. They can also be produced by the body as a result of metabolism.
In the body, oxalates can bind with calcium and other minerals to form crystals, which can accumulate in various tissues and organs, including the kidneys. This can lead to the formation of kidney stones, which are a common health problem associated with high oxalate intake or increased oxalate production in the body.
It is important for individuals with a history of kidney stones or other kidney problems to monitor their oxalate intake and limit consumption of high-oxalate foods. Additionally, certain medical conditions such as hyperoxaluria, a rare genetic disorder that causes increased oxalate production in the body, may require medical treatment to reduce oxalate levels and prevent complications.
Obstetrical anesthesia refers to the use of anesthetic techniques and medications during childbirth or obstetrical procedures. The goal is to provide pain relief and comfort to the birthing person while ensuring the safety of both the mother and the baby. There are different types of obstetrical anesthesia, including:
1. Local anesthesia: Injection of a local anesthetic agent to numb a specific area, such as the perineum (the area between the vagina and the anus) during childbirth.
2. Regional anesthesia: Numbing a larger region of the body using techniques like spinal or epidural anesthesia. These methods involve injecting local anesthetic agents near the spinal cord to block nerve impulses, providing pain relief in the lower half of the body.
3. General anesthesia: Using inhaled gases or intravenous medications to render the birthing person unconscious during cesarean sections (C-sections) or other surgical procedures related to childbirth.
The choice of anesthetic technique depends on various factors, including the type of delivery, the mother's medical history, and the preferences of both the mother and the healthcare team. Obstetrical anesthesia requires specialized training and expertise to ensure safe and effective pain management during labor and delivery.
Isoflurane is a volatile halogenated ether used for induction and maintenance of general anesthesia. It is a colorless liquid with a pungent, sweet odor. Isoflurane is an agonist at the gamma-aminobutyric acid type A (GABAA) receptor and inhibits excitatory neurotransmission in the brain, leading to unconsciousness and immobility. It has a rapid onset and offset of action due to its low blood solubility, allowing for quick adjustments in anesthetic depth during surgery. Isoflurane is also known for its bronchodilator effects, making it useful in patients with reactive airway disease. However, it can cause dose-dependent decreases in heart rate and blood pressure, so careful hemodynamic monitoring is required during its use.
An adjuvant in anesthesia refers to a substance or drug that is added to an anesthetic medication to enhance its effects, make it last longer, or improve the overall quality of anesthesia. Adjuvants do not produce analgesia or anesthesia on their own but work synergistically with other anesthetics to achieve better clinical outcomes.
There are several types of adjuvants used in anesthesia, including:
1. Opioids: These are commonly used adjuvants that enhance the analgesic effect of anesthetic drugs. Examples include fentanyl, sufentanil, and remifentanil.
2. Alpha-2 agonists: Drugs like clonidine and dexmedetomidine are used as adjuvants to provide sedation, analgesia, and anxiolysis. They also help reduce the requirement for other anesthetic drugs, thus minimizing side effects.
3. Ketamine: This NMDA receptor antagonist is used as an adjuvant to provide analgesia and amnesia. It can be used in subanesthetic doses to improve the quality of analgesia during general anesthesia or as a sole anesthetic for procedural sedation.
4. Local anesthetics: When used as an adjuvant, local anesthetics can prolong the duration of postoperative analgesia and reduce the requirement for opioids. Examples include bupivacaine, ropivacaine, and lidocaine.
5. Neostigmine: This cholinesterase inhibitor is used as an adjuvant to reverse the neuromuscular blockade produced by non-depolarizing muscle relaxants at the end of surgery.
6. Dexamethasone: A corticosteroid used as an adjuvant to reduce postoperative nausea and vomiting, inflammation, and pain.
7. Magnesium sulfate: This non-competitive NMDA receptor antagonist is used as an adjuvant to provide analgesia, reduce opioid consumption, and provide neuroprotection in certain surgical settings.
The choice of adjuvants depends on the type of surgery, patient factors, and the desired clinical effects.
Inhalational anesthetics are a type of general anesthetic that is administered through the person's respiratory system. They are typically delivered in the form of vapor or gas, which is inhaled through a mask or breathing tube. Commonly used inhalational anesthetics include sevoflurane, desflurane, isoflurane, and nitrous oxide. These agents work by depressing the central nervous system, leading to a loss of consciousness and an inability to feel pain. They are often used for their rapid onset and offset of action, making them useful for both induction and maintenance of anesthesia during surgical procedures.
Fluorine is not a medical term itself, but it is a chemical element that is often discussed in the context of dental health. Here's a brief scientific/chemical definition:
Fluorine is a chemical element with the symbol F and atomic number 9. It is the most reactive and electronegative of all elements. Fluorine is never found in its free state in nature, but it is abundant in minerals such as fluorspar (calcium fluoride).
In dental health, fluoride, which is a compound containing fluorine, is used to help prevent tooth decay. It can be found in many water supplies, some foods, and various dental products like toothpaste and mouthwash. Fluoride works by strengthening the enamel on teeth, making them more resistant to acid attacks that can lead to cavities.
Anesthesiology is a medical specialty concerned with providing anesthesia, which is the loss of sensation or awareness, to patients undergoing surgical, diagnostic, or therapeutic procedures. Anesthesiologists are responsible for administering various types of anesthetics, monitoring the patient's vital signs during the procedure, and managing any complications that may arise. They also play a critical role in pain management before, during, and after surgery, as well as in the treatment of chronic pain conditions.
Anesthesiologists work closely with other medical professionals, including surgeons, anesthetists, nurses, and respiratory therapists, to ensure that patients receive the best possible care. They must have a thorough understanding of human physiology, pharmacology, and anatomy, as well as excellent communication skills and the ability to make quick decisions under high pressure.
The primary goal of anesthesiology is to provide safe and effective anesthesia that minimizes pain and discomfort while maximizing patient safety and comfort. This requires a deep understanding of the risks and benefits associated with different types of anesthetics, as well as the ability to tailor the anesthetic plan to each individual patient's needs and medical history.
In summary, anesthesiology is a critical medical specialty focused on providing safe and effective anesthesia and pain management for patients undergoing surgical or other medical procedures.
Dichloroacetic acid (DCA) is a chemical compound with the formula CCl2CO2H. It is a colorless liquid that is used as a reagent in organic synthesis and as a laboratory research tool. DCA is also a byproduct of water chlorination and has been found to occur in low levels in some chlorinated drinking waters.
In the medical field, DCA has been studied for its potential anticancer effects. Preclinical studies have suggested that DCA may be able to selectively kill cancer cells by inhibiting the activity of certain enzymes involved in cell metabolism. However, more research is needed to determine whether DCA is safe and effective as a cancer treatment in humans.
It is important to note that DCA is not currently approved by regulatory agencies such as the U.S. Food and Drug Administration (FDA) for use as a cancer treatment. It should only be used in clinical trials or under the supervision of a qualified healthcare professional.
F344 is a strain code used to designate an outbred stock of rats that has been inbreeded for over 100 generations. The F344 rats, also known as Fischer 344 rats, were originally developed at the National Institutes of Health (NIH) and are now widely used in biomedical research due to their consistent and reliable genetic background.
Inbred strains, like the F344, are created by mating genetically identical individuals (siblings or parents and offspring) for many generations until a state of complete homozygosity is reached, meaning that all members of the strain have identical genomes. This genetic uniformity makes inbred strains ideal for use in studies where consistent and reproducible results are important.
F344 rats are known for their longevity, with a median lifespan of around 27-31 months, making them useful for aging research. They also have a relatively low incidence of spontaneous tumors compared to other rat strains. However, they may be more susceptible to certain types of cancer and other diseases due to their inbred status.
It's important to note that while F344 rats are often used as a standard laboratory rat strain, there can still be some genetic variation between individual animals within the same strain, particularly if they come from different suppliers or breeding colonies. Therefore, it's always important to consider the source and history of any animal model when designing experiments and interpreting results.
Phenobarbital is a barbiturate medication that is primarily used for the treatment of seizures and convulsions. It works by suppressing the abnormal electrical activity in the brain that leads to seizures. In addition to its anticonvulsant properties, phenobarbital also has sedative and hypnotic effects, which can be useful for treating anxiety, insomnia, and agitation.
Phenobarbital is available in various forms, including tablets, capsules, and elixirs, and it is typically taken orally. The medication works by binding to specific receptors in the brain called gamma-aminobutyric acid (GABA) receptors, which help to regulate nerve impulses in the brain. By increasing the activity of GABA, phenobarbital can help to reduce excessive neural activity and prevent seizures.
While phenobarbital is an effective medication for treating seizures and other conditions, it can also be habit-forming and carries a risk of dependence and addiction. Long-term use of the medication can lead to tolerance, meaning that higher doses may be needed to achieve the same effects. Abruptly stopping the medication can also lead to withdrawal symptoms, such as anxiety, restlessness, and seizures.
Like all medications, phenobarbital can have side effects, including dizziness, drowsiness, and impaired coordination. It can also interact with other medications, such as certain antidepressants and sedatives, so it is important to inform your healthcare provider of all medications you are taking before starting phenobarbital.
In summary, phenobarbital is a barbiturate medication used primarily for the treatment of seizures and convulsions. It works by binding to GABA receptors in the brain and increasing their activity, which helps to reduce excessive neural activity and prevent seizures. While phenobarbital can be effective, it carries a risk of dependence and addiction and can have side effects and drug interactions.
Chloroform is a volatile, clear, and nonflammable liquid with a mild, sweet, and aromatic odor. Its chemical formula is CHCl3, consisting of one carbon atom, one hydrogen atom, and three chlorine atoms. Chloroform is a trihalomethane, which means it contains three halogens (chlorine) in its molecular structure.
In the medical field, chloroform has been historically used as an inhaled general anesthetic agent due to its ability to produce unconsciousness and insensibility to pain quickly. However, its use as a surgical anesthetic has largely been abandoned because of several safety concerns, including its potential to cause cardiac arrhythmias, liver and kidney damage, and a condition called "chloroform hepatopathy" with prolonged or repeated exposure.
Currently, chloroform is not used as a therapeutic agent in medicine but may still be encountered in laboratory settings for various research purposes. It's also possible to find traces of chloroform in drinking water due to its formation during the disinfection process using chlorine-based compounds.
Fluorinated hydrocarbons are organic compounds that contain fluorine and carbon atoms. These compounds can be classified into two main groups: fluorocarbons (which consist only of fluorine and carbon) and fluorinated aliphatic or aromatic hydrocarbons (which contain hydrogen in addition to fluorine and carbon).
Fluorocarbons are further divided into three categories: fully fluorinated compounds (perfluorocarbons, PFCs), partially fluorinated compounds (hydrochlorofluorocarbons, HCFCs, and hydrofluorocarbons, HFCs), and chlorofluorocarbons (CFCs). These compounds have been widely used as refrigerants, aerosol propellants, fire extinguishing agents, and cleaning solvents due to their chemical stability, low toxicity, and non-flammability.
Fluorinated aliphatic or aromatic hydrocarbons are organic compounds that contain fluorine, carbon, and hydrogen atoms. Examples include fluorinated alcohols, ethers, amines, and halogenated compounds. These compounds have a wide range of applications in industry, medicine, and research due to their unique chemical properties.
It is important to note that some fluorinated hydrocarbons can contribute to the depletion of the ozone layer and global warming, making it essential to regulate their use and production.
Methoxyflurane
Fluoride toxicity
Inhaler
Patient-controlled analgesia
History of general anesthesia
General anaesthetic
William T. Miller
Inhalational anesthetic
Capreomycin
Tobramycin
Haloalkane
Organofluorine chemistry
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Penthrox4
- Methoxyflurane, sold under the brand name Penthrox among others, is an inhaled medication primarily used to reduce pain following trauma. (wikipedia.org)
- Methoxyflurane, delivered via a self-administered Penthrox® inhaler, belongs to the fluorinated hydrocarbon group of volatile anaesthetics and is unique among the group in having analgesic properties at low doses. (biomedcentral.com)
- This is an international multi-centre randomised, double-blind, placebo-controlled phase III trial assessing the efficacy and safety of methoxyflurane delivered via the Penthrox® inhaler for the management of moderate to severe acute traumatic pain in children and young people aged 6-17 years. (biomedcentral.com)
- The Methoxyflurane AnalGesia for Paediatric InjuriEs (MAGPIE) trial will provide efficacy and safety data for methoxyflurane administered via the Penthrox® inhaler, in children and adolescents who present to EDs with moderate to severe injury-related pain. (biomedcentral.com)
Halothane3
- Compared with halothane, methoxyflurane produces dose-dependent abnormalities in kidney function. (wikipedia.org)
- Area and personal breathing zone samples were collected to measure concentrations of nitrous - oxide (10024972), methoxyflurane (76380), and halothane (151677). (cdc.gov)
- Personal breathing zone samples in the client surgery area indicated exposure concentrations of 2.56 parts per million (ppm) methoxyflurane and 0.133ppm halothane. (cdc.gov)
Analgesia2
Anesthetic3
- The National Institute for Occupational Safety and Health maintains a recommended exposure limit for methoxyflurane as waste anesthetic gas of 2 ppm (13.5 mg/m3) over 60 minutes. (wikipedia.org)
- In 1966, Crandell and colleagues reported a series in which 17/95 (18%) of patients developed an unusual type of nephropathy after operations in which methoxyflurane was used as a general anesthetic. (wikipedia.org)
- The emerging therapy in the pipeline is barren with no specific candidate targeting burn pain, while methoxyflurane is an anesthetic agent which is in the pipeline for minor traumatic injuries including burn pain for pediatric patients but is not considerable due unspecific indication and limited target population of the trial. (guwahatimail.in)
Nephrotoxicity1
- The authors showed that subclinical nephrotoxicity occurred following methoxyflurane at minimum alveolar concentration (MAC) for 2.5 to 3 hours (2.5 to 3 MAC hours), while overt toxicity was present in all patients at dosages greater than five MAC hours. (wikipedia.org)
Renal toxicity2
- Furthermore, the concurrent use of tetracyclines and methoxyflurane has been reported to result in fatal renal toxicity. (wikipedia.org)
- Fatal renal toxicity with concomitant methoxyflurane. (renalandurologynews.com)
Self-administered1
- We used a multiple criteria decision analysis (MCDA) approach to consider the organizational impact of methoxyflurane (self-administered) in the ED, introduced alone or supported by a trauma care pathway. (plos.org)
Acute1
- gt;We have read with careful attention the article, "Methoxyflurane Versus Standard of Care for Acute Trauma-Related Pain in the Emergency Setting: Protocol for a Randomised, Controlled Study in Italy" by Fabbri et al. (hautetfort.com)
Placebo1
- Following written informed consent, eligible participants are randomised to self-administer either inhaled methoxyflurane (maximum dose of 2 × 3 ml) or normal saline placebo (maximum dose 2 × 5 ml). (biomedcentral.com)
Dose2
- Low-dose methoxyflurane was approved based on the STOP! (hautetfort.com)
- The Urology Care Foundation notes that nocturia can also be caused by the timing or dose of certain medications (such as diuretic medicine, cardiac glyocides, demeclocycline, lithium, methoxyflurane, and excessive vitamin D) and sleep disorders like insomnia and sleep apnea. (vitacost.com)
Pain3
- Methoxyflurane is used for relief of moderate or severe pain as a result of trauma. (wikipedia.org)
- We agree with the authors that there is a need for better evidence for the use of methoxyflurane in pain management in the emergency department. (hautetfort.com)
- Description: The training in the use of Methoxyflurane (MOF) will include the effective use of Paracetamol as a total pain management regime. (surflifesaving.org.nz)
Fatal1
- Reports of severe and even fatal hepatotoxicity related to the use of methoxyflurane began to appear in 1966. (wikipedia.org)
Including children1
- A portable, disposable, single-use inhaler device, along with a single 3 milliliter brown glass vial of methoxyflurane allows people who are conscious and hemodynamically stable (including children over the age of 5 years) to self-administer the medication, under supervision. (wikipedia.org)
Brands1
- Your search ' methoxyflurane ' did not match any chemicals or brands. (pharmac.govt.nz)
Manufacturer1
- In 1999, the manufacturer discontinued methoxyflurane in the United States, and in 2005 the Food and Drug Administration withdrew it from the market. (wikipedia.org)
Total1
- Methoxyflurane alone obtained 59 as a total score, with a putative positive impact for eight criteria, and a neutral effect on one. (plos.org)
Associated with metho1
- Hepatic coma associated with methoxyflurane anesthesia. (nih.gov)
Methotrexate1
- digoxin, methotrexate, methoxyflurane, or oral anticoagulants (warfarin) because the risk of their side effects may be increased by Tetracycline. (pharmaplax.com)
Acitretin1
- if you are taking acitretin or methoxyflurane. (pharmaplax.com)
Nephropathy1
- Methoxyflurane nephropathy. (nih.gov)
Renal2
- Furthermore, the concurrent use of tetracyclines and methoxyflurane has been reported to result in fatal renal toxicity. (wikipedia.org)
- Hepatorenal failure with renal oxalosis after methoxyflurane anesthesia. (nih.gov)
Hepatotoxicity1
- Reports of severe and even fatal hepatotoxicity related to the use of methoxyflurane began to appear in 1966. (wikipedia.org)
Hepatitis1
- Recurrent hepatitis due to methoxyflurane anesthesia. (nih.gov)
Concurrent1
- 5) repeat administration of methoxyflurane due to accumulation of inorganic fluoride and, perhaps, methoxyflurane induction of its own metabolism: and (6) concurrent treatment with enzyme-inducing drugs such as phenobarbital. (nih.gov)
Kidney disease1
- Due to the risk of kidney toxicity, methoxyflurane is contraindicated in people with pre-existing kidney disease or diabetes mellitus, and is not recommended to be administered in conjunction with tetracyclines or other potentially nephrotoxic or enzyme-inducing drugs. (wikipedia.org)
Administration1
- In 1999, the manufacturer discontinued methoxyflurane in the United States, and in 2005 the Food and Drug Administration withdrew it from the market. (wikipedia.org)
Study1
- An overview of Genetic Toxicology Bacterial Mutagenicity study conclusions related to Methoxyflurane (76-38-0). (nih.gov)