High thoracic epidural anesthesia does not inhibit sympathetic nerve activity in the lower extremities

Anesthesiology

Volumn 91, Issue 5, 1999, Pages 1299-1304

  Magnúsdóttir, Helga ^a   Kirnö, Klaus ^b   Ricksten, Sven Erik ^c   Elam, Mikael ^c  

^a Akureyri Central Hospital   (Iceland)

^b SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^c NONE

Author keywords

Bupivacaine; Microneurography; Skin blood flow

Indexed keywords

BUPIVACAINE;

ADRENERGIC SYSTEM; ADULT; ARTICLE; CLINICAL ARTICLE; EPIDURAL ANESTHESIA; HUMAN; LEG; NERVE CONDUCTION; NEUROGRAPHY; PRIORITY JOURNAL; SKIN BLOOD FLOW; SKIN TEMPERATURE; SYMPATHETIC BLOCKING; SYMPATHETIC TONE; THORACOTOMY;

ANESTHESIA, EPIDURAL; BLOOD PRESSURE; ELECTROPHYSIOLOGY; FOOT; GALVANIC SKIN RESPONSE; HAND; HEART RATE; HUMANS; LEG; MUSCLE, SKELETAL; PERONEAL NERVE; REGIONAL BLOOD FLOW; SKIN; SKIN TEMPERATURE; SYMPATHETIC FIBERS, POSTGANGLIONIC; SYMPATHETIC NERVOUS SYSTEM; THORACOTOMY;

EID: 17644447602     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-199911000-00021     Document Type: Article

References (20)

1. Wallin BG, Elam M: Cutaneous sympathetic nerve activity in humans. Autonomic Innervation of the Skin. Edited by Gibbins IL, Morris JL. Amsterdam, The Netherlands, Harwood Academic Publisher GMBH, 1997, pp 111-32
2. Peters J, Kousulis L, Arndt J: Effects of segmental thoracic extradural analgesia on sympathetic block in conscious dogs. Br J Anaesth 1989; 63:470-6
3. Hopf H-B, Weißbach B, Peters J: High thoracic segmental epidural anesthesia diminishes sympathetic outflow to the legs, despite restriction of sensory blockade to the upper thorax. ANESTHESIOLOGY 1990; 73:882-9
4. Lundin S, Wallin BG, Elam M: Intraneural recording of muscle sympathetic activity during epidural anesthesia in humans. Anesth Analg 1989; 69:788-93
5. Lundin S, Kirnö K, Wallin BG, Elam M: Effects of epidural anaesthesia on sympathetic outflow to the skin. Acta Anaesthesiol Scand 1990; 34:492-7
6. Kirnö K, Lundin S, Elam M: Effects of intrathecal morphine and spinal anesthesia on sympathetic nerve activity in humans. Acta Anaesthesiol Scand 1993; 37:54-9
7. Normell LA: Distribution of impaired cutaneous vasomotor and sudomotor function in paraplegic man. Scand J Clin Lab Invest 1974; 33(Suppl 138):25-41
8. Vallbo ÅB, Hagbarth K-E, Torebjörk HE, Wallin BG: Somatosensory, proprioceptive, and sympathetic activity in human peripheral nerves. Physiol Rev 1979; 59:919-57
9. Holloway GA, Watkins DW: Laser-Doppler measurements of cutaneous blood flow. J Invest Dermatol 1977; 69:306-9
10. Johnson JM, Taylor WF, Park MK: Laser-Doppler measurement of skin blood flow: Comparison with plethysmography. J Appl Physiol 1984; 56:798-803
11. Nilsson GE, Tenland T, Öberg PA: Evaluation of a laser Doppler flowmeter for measurement of tissue blood flow. IEEE Trans Biomed Eng 1980; 27:597-604
12. Berne C, Fagius J: Skin nerve sympathetic activity during insulin-induced hypoglycaemia. Diabetologia 1986; 29:855-60
13. Wallin BG, Elam M: Microneurography and autonomie dysfunction. Clinical Autonomic Disorders: Evaluation and Management, 2nd Edition. Edited by Low P. Boston, Little, Brown, 1997, pp 233-43
14. Taniguchi M, Kasaba T, Takasaki M: Epidural anesthesia enhances sympathetic nerve activity in the unanesthetized segments in cats. Anesth Analg 1997; 84:391-7
15. Kirnö K, Friberg P, Grzegorczyk A, Milocco I, Ricksten S-E, Lundin S: Thoracic epidural anesthesia during coronary artery bypass surgery: Effects on cardiac sympathetic activity, myocardial blood flow and metabolism, and central hemodynamics. Anesth Analg 1994; 79: 1075-81
16. Wallin BG, Stjernberg L: Sympathetic activity in man after spinal cord injury: Outflow to skin below the lesion. Brain 1984; 107:183-98
17. Stjernberg L, Blumberg H, Wallin BG: Sympathetic activity in man after spinal cord injury: Outflow to muscle below the lesion. Brain 1986; 109:695-715.
18. Kirnö K, Lundin S, Elam M: Epidural clonidine depresses sympathetic activity in humans by a supraspinal mechanism. ANESTHESIOLOGY 1993; 78:1021-7
19. Blomberg S, Curelaru I, Emanuelsson H, Herlitz J, Pontén J, Kicksten S-E: Thoracic epidural anaesthesia in patients with unstable angina pectoris. Eur Heart J 1989; 10:437-44
20. Blomberg S, Emanuelsson H, Kicksten S-E: Thoracic epidural anesthesia and central hemodynamics in patients with unstable angina pectoris. Anesth Analg 1989; 69:558-62