• Anesthesia and analgesia · Jun 2012

    Cannabinoid receptor 1 inhibition causes seizures during anesthesia induction in experimental sepsis.

    • Inga Küster, Rieke Kuschnereit, Melanie Kelly, Juan Zhou, Sara Whynot, Mandana Kianian, Orlando Hung, Romesh Shukla, Vladimir Cerny, Dragan Pavlovic, and Christian Lehmann.
    • Department of Anesthesiology and Intensive Care Medicine, Ernst Moritz Arndt University Greifswald, Greifswald, Germany.
    • Anesth. Analg.. 2012 Jun 1;114(6):1217-9.

    AbstractWe report on seizures during anesthesia induction in animals treated with a cannabinoid receptor 1 (CB1R) antagonist for experimental sepsis. Animals received surgery for colon ascendens stent peritonitis-induced sepsis or sham surgery followed by treatment of CB1R antagonist, CB1R agonist, or placebo. Fourteen hours later, animals received pentobarbital or ketamine for anesthesia induction and animal behavior was observed. Tonic-clonic seizures were observed in 5 of 12 septic animals (42%) treated with CB1R antagonist after induction of anesthesia with pentobarbital. The data suggest that CB1R inhibition in combination with pentobarbital may increase the incidence of anesthetic-induced seizures in the case of sepsis.

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