• Arch Surg Chicago · Jun 1988

    Comparative Study

    Evaluation of naloxone therapy for Escherichia coli sepsis in the baboon.

    • L B Hinshaw, L T Archer, B K Beller, A C Chang, D J Flournoy, R B Passey, J B Long, and J W Holaday.
    • Oklahoma Medical Research Foundation, Oklahoma City 73104.
    • Arch Surg Chicago. 1988 Jun 1; 123 (6): 700-4.

    AbstractThis study evaluated the effects of naloxone hydrochloride in the treatment of Escherichia coli-induced shock in baboons. The baboons were studied for 12 hours and monitored for survival times. All baboons were intravenously infused for two hours with E coli and treated as follows: group 1, E coli (control); group 2, E coli plus naloxone hydrochloride, 0.5 mg/kg bolus plus 0.5 mg/kg/h for 9.5 hours; and group 3, E coli plus naloxone hydrochloride, 2.0 mg/kg bolus plus 2.0 mg/kg/h for 3.8 hours. Naloxone was administered after arterial pressure had reached the nadir (more than two hours following initiation of E coli infusion). Mean arterial pressure was supported by the lower dose of naloxone; however, sustained leukopenia and neutropenia were not reversed by its infusion. Naloxone prevented the increase in plasma beta-endorphin level and blunted the increase in plasma cortisol level. Despite these effects, naloxone did not prevent multiple-organ disease and did not decrease mortality.

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