The administration of metoclopramide with atropine A drug interaction effect on the gastro?oesophageal sphincter in man

Autor: John G. Brock-Utne, M. G. Moshal, M. Naicker, G. E. Dimopoulos, John W. Downing, J. Rubin
Rok vydání: 1976
Předmět:
Zdroj: Anaesthesia. 31:1186-1190
ISSN: 1365-2044
0003-2409
DOI: 10.1111/j.1365-2044.1976.tb11970.x
Popis: The effects of intravenous atropine 0-6 mg alone, metoclopramide (Maxolon) 10mg alone and atropine 0-6 mg and metoclopramide 10 mg in combination, on the lower oesophageal sphincter (LOS) were studied in three groups of normal human volunteers. Atropine decreased the LOS pressure by an average of 8 cm H2O (P less than 0-001), whereas metoclopramide increased the LOS pressure by a mean of 29 cmH2O compared to basal values (P less than 0-001). In contrast, no change in sphincter tone was noted following injection of atropine-metaclopramide mixture. These findings are relevant to the pre-operative preparation of patients presenting for emergency anaesthesia, since gasgro-oesophageal reflux and pulmonary aspiration of acid gastric content continues to be a significant cause of morbidity and mortality.
Databáze: OpenAIRE