Intrathecal adenosine administration in abdominal hysterectomy lacks analgesic effect

Background: Adenosine (Ado) is known, from studies in both animals and humans, to produce antinociception when administered systemically or intrathecally (IT). The current aim was to evaluate, in a placebo‐controlled, randomised, double‐blind study, whether IT adenosine given before surgery could reduce anaesthetic requirement and the need of opioids during 48 h after visceral surgery.

[1]  A. Sollevi,et al.  Spinal cord morphology after chronic intrathecal administration of adenosine in the rat , 1999, Acta anaesthesiologica Scandinavica.

[2]  A. Sollevi,et al.  The safety and efficacy of intrathecal adenosine in patients with chronic neuropathic pain. , 1999, Anesthesia and analgesia.

[3]  G. Wasner,et al.  Dynamic mechanical allodynia in humans is not mediated by a central presynaptic interaction of Aβ-mechanoreceptive and nociceptive C-afferents , 1999, PAIN.

[4]  A. Sollevi,et al.  Intrathecal Adenosine Administration: A Phase 1 Clinical Safety Study in Healthy Volunteers, with Additional Evaluation of Its Influence on Sensory Thresholds and Experimental Pain , 1998, Anesthesiology.

[5]  A. Sollevi,et al.  Intrathecal administration of the adenosine A1 receptor agonist R-phenylisopropyl adenosine reduces presumed pain behaviour in a rat model of central pain , 1998, Neuroscience Letters.

[6]  A. Sollevi,et al.  Antinociceptive effect of perioperative adenosine infusion in abdominal hysterectomy , 1997, Acta anaesthesiologica Scandinavica.

[7]  A. Sollevi,et al.  Peroperative adenosine infusion reduces isoflurane concentrations during general anesthesia for shoulder surgery , 1996, Acta anaesthesiologica Scandinavica.

[8]  A. Sollevi,et al.  Intrathecal and systemic R-phenylisopropyl-adenosine reduces scratching behaviour in a rat mononeuropathy model. , 1996, Neuroreport.

[9]  T. Yaksh,et al.  Pharmacology of the spinal adenosine receptor which mediates the antiallodynic action of intrathecal adenosine agonists. , 1996, The Journal of pharmacology and experimental therapeutics.

[10]  A. Sollevi,et al.  Systemic Adenosine Infusion Alleviates Spontaneous and Stimulus Evoked Pain in Patients with Peripheral Neuropathic Pain , 1995, Anesthesia and analgesia.

[11]  A. Sollevi,et al.  Peroperative Adenosine Infusion Reduces the Requirements for Isoflurane and Postoperative Analgesics , 1995, Anesthesia and analgesia.

[12]  T. Gordh,et al.  An A1-selective adenosine agonist abolishes allodynia elicited by vibration and touch after intrathecal injection. , 1995, Anesthesia and analgesia.

[13]  A. Sollevi,et al.  Systemic adenosine infusion: a new treatment modality to alleviate neuropathic pain , 1995, Pain.

[14]  T. Gordh,et al.  A neurotoxicologic evaluation of the spinal cord after chronic intrathecal injection of R-phenylisopropyl adenosine (R-PIA) in the rat. , 1993, Anesthesia and analgesia.

[15]  T. Yamamoto,et al.  Spinal pharmacology of thermal hyperesthesia induced by incomplete ligation of sciatic nerve. I. Opioid and nonopioid receptors. , 1991, Anesthesiology.

[16]  A. Basbaum,et al.  Purinergic regulation of bradykinin-induced plasma extravasation and adjuvant-induced arthritis in the rat. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[17]  P. Hartvig,et al.  Effects of Intrathecal Injection of the Adenosine Receptor Agonists R‐Phenylisopropyl‐Adenosine and N‐Ethylcarboxamide‐Adenosine on Nociception and Motor Function in the Rat , 1990, Anesthesia and analgesia.

[18]  R. D. Green,et al.  Identification of A1 and A2 adenosine receptors in the rat spinal cord. , 1987, The Journal of pharmacology and experimental therapeutics.

[19]  T. White,et al.  Classification of adenosine receptors mediating antinociception in the rat spinal cord , 1986, British journal of pharmacology.

[20]  B. Cronstein Adenosine, an endogenous anti-inflammatory agent. , 1994, Journal of applied physiology.