RESUMO
Presented herein is a case of successful surgical treatment of infrarenal aortic aneurysm in a 95-year-old patient with coexistent pathology. The patient underwent replacement of the abdominal aorta with implantation of the inferior mesenteric artery. After treatment of complications which occurred in the postoperative period, the patient was discharged home in a satisfactory condition. The success of surgical treatment of infrarenal aortic aneurysm in elderly patients depends on the anesthesiological control and postoperative care of patients.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos , Idoso , Idoso de 80 Anos ou mais , Humanos , MasculinoRESUMO
Hexadecamethonium as well as its alkylating derivatives significantly decrease the effect of organophosphorous acetylcholinesterase inhibitor armine on the amplitude and duration of the EPPs. It seems possible that these substances prevent inhibition of acetylcholinesterase. This property of the substances seems to be due to a polymethelene chain with two nitrogens as the basic part of the molecule structure.
Assuntos
Alquilantes/farmacologia , Armina/farmacologia , Inibidores da Colinesterase/farmacologia , Compostos de Decametônio/farmacologia , Junção Neuromuscular/efeitos dos fármacos , Transmissão Sináptica/efeitos dos fármacos , Animais , Interações Medicamentosas , Estimulação Elétrica , Técnicas In Vitro , Masculino , Microeletrodos , Junção Neuromuscular/fisiologia , Rana temporaria , Federação Russa , Relação Estrutura-Atividade , Transmissão Sináptica/fisiologiaRESUMO
The treatment of m. cutaneus pectoris-n. pectoralis preparations with 0.5 microM of alkylating derivate of hexadecamethonium, hexadecamethylene-bis-methylchloroethylamine, led to irreversible decrease of the amplitude of EPPs. The decrease was shown to be of a postsynaptic nature. After pretreatment of the neuromuscular preparations with alkylating derivate the effects of cholinesterase inhibitors were strongly diminished.
Assuntos
Alquilantes/farmacologia , Compostos de Decametônio/farmacologia , Junção Neuromuscular/efeitos dos fármacos , Compostos de Mostarda Nitrogenada/farmacologia , Transmissão Sináptica/efeitos dos fármacos , Animais , Inibidores da Colinesterase/farmacologia , Interações Medicamentosas , Técnicas In Vitro , Masculino , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologia , Microeletrodos , Placa Motora/efeitos dos fármacos , Placa Motora/fisiologia , Junção Neuromuscular/fisiologia , Rana temporaria , Sinapses/efeitos dos fármacos , Sinapses/fisiologia , Transmissão Sináptica/fisiologiaRESUMO
The dependence of the end-plate potentials inhibition upon the prevention of the muscle twitches either by tubocurarine, or alpha-neurotoxin, or cutting of the fibers was studied during nerve tetanization in the frog isolated cutaneous pectoral muscles. The decrease in end-plate potentials in the course of tetanization was the strongest under the effect of tubocurarine. The latter seems to inhibit the quantum release of acetylcholine during the nerve tetanization.
Assuntos
Junção Neuromuscular/efeitos dos fármacos , Receptores Colinérgicos/efeitos dos fármacos , Sinapses/efeitos dos fármacos , Tubocurarina/farmacologia , Acetilcolina/metabolismo , Animais , Técnicas In Vitro , Masculino , Junção Neuromuscular/fisiologia , Rana ridibunda , Transmissão Sináptica/efeitos dos fármacosRESUMO
The effect of d-tubocurarine on quantal release of acetylcholine elicited with nerve pulses 0.5 to 1 Hz was studied in the frog isolated cutaneous pectoris muscle. The muscle twitches were prevented either by lowering Ca++ and raising Mg++ or by cutting the muscle fibers. In none of these cases d-tubocurarine (3.10(-7) to 5.10(-6) M) was found to affect quantal release of acetylcholine.
Assuntos
Acetilcolina/metabolismo , Placa Motora/efeitos dos fármacos , Junção Neuromuscular/efeitos dos fármacos , Tubocurarina/farmacologia , Animais , Cálcio/fisiologia , Relação Dose-Resposta a Droga , Estimulação Elétrica , Magnésio/farmacologia , Masculino , Potenciais da Membrana/efeitos dos fármacos , Placa Motora/fisiologia , Contração Muscular/efeitos dos fármacos , Junção Neuromuscular/fisiologia , Rana temporariaRESUMO
The dependence of amplitude of synaptic potentials (EPP and mEPP) upon the d-tubocurarine concentration was studied in the frog cutaneous pectoral muscle. In the presence of d-tubocurarine up to 5 x 10(-7) M, the amplitude of EPP and mEPP decreased to the extent which strictly followed competitive action of d-tubocurarine. At a higher concentration, the inhibition of synaptic potentials was stronger than would be expected assuming that d-tubocurarine can only act as a competitive antagonist.