formalin, decalcified in “De Castro” solution. Serial sections of 5 m were stained with haematoxy... more formalin, decalcified in “De Castro” solution. Serial sections of 5 m were stained with haematoxylin-eosin and evaluated with Olympus BH-2 light microscope. The knee joint samples were evaluated for the presence of inflammation in the articular and periarticular regions and synovium. Inflammatory changes in the joints were graded according to a five-point scale. Results and Discussions: There was no significant difference belongs to inflammation and cartilage degeneration between control and lornoxicam received knees. Grade 3 inflammatory changes had occurred only one knee at 24 h after injection. No pathological changes were observed in 24 h, 48 h, 7 days, 14 days and 21 days speciemens or in the control joints. Conclusions: Caution should be exerted in its i.a. administration until further studies demonstrate that it is safe to use in human articulates.
The effects on nociception, motor and autonomic function produced by the intrathecal administrati... more The effects on nociception, motor and autonomic function produced by the intrathecal administration of three adenosine analogs: N6-(L-2-phenylisopropyl)-adenosine, N6-cyclohexyladenosine and 5'-(N-ethylcarboxamido)-adenosine were examined in rats. Over the range of 0.3 to 1.0 nmol these agents produced a dose-dependent antinociception in the hot plate and tail-flick tests. In addition, 5'-(N-ethylcarboxamido)-adenosine and N6-(L-2-phenylisopropyl)-adenosine both suppressed the chemically evoked writhing response as well as the touch-evoked hyperesthesia normally observed in rats receiving low doses of intrathecal strychnine. These adenosine analogs examined at doses higher than 1.5 nmol produced a dose-dependent motor impairment as measured behaviorally and by electromyography, and an increase in the volume distention required to evoke micturition. Statistically significant effects on heart rate or blood pressure were not observed at any of the doses tested. The effects of the adenosine analogs on nociceptive and motor endpoints were partially antagonized by pretreatment with intrathecal caffeine (2 mumol). These results suggest a probable association of spinal adenosine receptors with a number of spinal sensory and motor systems other than those involved with nociceptive processing.
Noxious stimulation may enhance implicit learning during general anesthesia. It is unknown, howev... more Noxious stimulation may enhance implicit learning during general anesthesia. It is unknown, however, whether analgesic state can influence this memory processing. Twenty healthy adult volunteers were enrolled our prospective, double-blinded, controlled experiments. Anesthesia was induced with a propofol target controlled infusion (TCI), titrated in step-wise increments to loss of consciousness. In phase A, a 10-word list was played to the subjects while a noxious stimulus was applied (hand immersion in cold water at 2-4 degrees C). In phase B, a remifentanil TCI infusion was added to the steady-state propofol TCI anesthesia, and titrated to loss of hand movement on cold water immersion. A second 10-word list was then played while maintaining the hand in cold water. Memory testing, 2 hours post-recovery revealed no evidence of explicit memory in any subject during either phase of the study. During phase A, the word stem completion test revealed implicit learning for played words. In ...
High doses of opioid associated with low doses of hypnotic is a popular anaesthetic technique sin... more High doses of opioid associated with low doses of hypnotic is a popular anaesthetic technique since the use of remifentanil has become widespread. This type of anaesthesia could result in a higher incidence of implicit memory. Ten patients were anaesthetised with a target-controlled infusion of remifentanil (target concentration of 8 ng mL(-1)) combined with a target-controlled infusion of propofol with progressive stepwise increases until loss of consciousness was reached. A tape containing 20 words was then played to the patients. Bispectral index (BIS, Aspect Medical Systems, Newton, MA, USA) was continuously monitored during the whole study period. Implicit and explicit memories were tested between 2 and 4 h after recovery. Loss of consciousness was obtained with a mean calculated propofol plasma concentration of 1.3 +/- 0.4 microg mL(-1). At this low hypnotic concentration no implicit or explicit memory was found in the three postoperative memory tests. Median (range) BIS value during word presentation was 93 (80-98). In our group of young American Society of Anesthesiologists (ASA) I/II patients, no explicit or implicit memory was found when the calculated concentration of propofol combined with a high concentration of remifentanil was maintained at the level associated with loss of consciousness with high BIS values.
formalin, decalcified in “De Castro” solution. Serial sections of 5 m were stained with haematoxy... more formalin, decalcified in “De Castro” solution. Serial sections of 5 m were stained with haematoxylin-eosin and evaluated with Olympus BH-2 light microscope. The knee joint samples were evaluated for the presence of inflammation in the articular and periarticular regions and synovium. Inflammatory changes in the joints were graded according to a five-point scale. Results and Discussions: There was no significant difference belongs to inflammation and cartilage degeneration between control and lornoxicam received knees. Grade 3 inflammatory changes had occurred only one knee at 24 h after injection. No pathological changes were observed in 24 h, 48 h, 7 days, 14 days and 21 days speciemens or in the control joints. Conclusions: Caution should be exerted in its i.a. administration until further studies demonstrate that it is safe to use in human articulates.
The effects on nociception, motor and autonomic function produced by the intrathecal administrati... more The effects on nociception, motor and autonomic function produced by the intrathecal administration of three adenosine analogs: N6-(L-2-phenylisopropyl)-adenosine, N6-cyclohexyladenosine and 5'-(N-ethylcarboxamido)-adenosine were examined in rats. Over the range of 0.3 to 1.0 nmol these agents produced a dose-dependent antinociception in the hot plate and tail-flick tests. In addition, 5'-(N-ethylcarboxamido)-adenosine and N6-(L-2-phenylisopropyl)-adenosine both suppressed the chemically evoked writhing response as well as the touch-evoked hyperesthesia normally observed in rats receiving low doses of intrathecal strychnine. These adenosine analogs examined at doses higher than 1.5 nmol produced a dose-dependent motor impairment as measured behaviorally and by electromyography, and an increase in the volume distention required to evoke micturition. Statistically significant effects on heart rate or blood pressure were not observed at any of the doses tested. The effects of the adenosine analogs on nociceptive and motor endpoints were partially antagonized by pretreatment with intrathecal caffeine (2 mumol). These results suggest a probable association of spinal adenosine receptors with a number of spinal sensory and motor systems other than those involved with nociceptive processing.
Noxious stimulation may enhance implicit learning during general anesthesia. It is unknown, howev... more Noxious stimulation may enhance implicit learning during general anesthesia. It is unknown, however, whether analgesic state can influence this memory processing. Twenty healthy adult volunteers were enrolled our prospective, double-blinded, controlled experiments. Anesthesia was induced with a propofol target controlled infusion (TCI), titrated in step-wise increments to loss of consciousness. In phase A, a 10-word list was played to the subjects while a noxious stimulus was applied (hand immersion in cold water at 2-4 degrees C). In phase B, a remifentanil TCI infusion was added to the steady-state propofol TCI anesthesia, and titrated to loss of hand movement on cold water immersion. A second 10-word list was then played while maintaining the hand in cold water. Memory testing, 2 hours post-recovery revealed no evidence of explicit memory in any subject during either phase of the study. During phase A, the word stem completion test revealed implicit learning for played words. In ...
High doses of opioid associated with low doses of hypnotic is a popular anaesthetic technique sin... more High doses of opioid associated with low doses of hypnotic is a popular anaesthetic technique since the use of remifentanil has become widespread. This type of anaesthesia could result in a higher incidence of implicit memory. Ten patients were anaesthetised with a target-controlled infusion of remifentanil (target concentration of 8 ng mL(-1)) combined with a target-controlled infusion of propofol with progressive stepwise increases until loss of consciousness was reached. A tape containing 20 words was then played to the patients. Bispectral index (BIS, Aspect Medical Systems, Newton, MA, USA) was continuously monitored during the whole study period. Implicit and explicit memories were tested between 2 and 4 h after recovery. Loss of consciousness was obtained with a mean calculated propofol plasma concentration of 1.3 +/- 0.4 microg mL(-1). At this low hypnotic concentration no implicit or explicit memory was found in the three postoperative memory tests. Median (range) BIS value during word presentation was 93 (80-98). In our group of young American Society of Anesthesiologists (ASA) I/II patients, no explicit or implicit memory was found when the calculated concentration of propofol combined with a high concentration of remifentanil was maintained at the level associated with loss of consciousness with high BIS values.
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