作者
Joseph C Watso, Luke N Belval, Frank A Cimino 3rd, Bonnie D Orth, Joseph M Hendrix, Mu Huang, Elias Johnson, Josh Foster, Carmen Hinojosa-Laborde, Craig G Crandall
发表日期
2022/7/7
期刊
American Journal of Physiology-Heart and Circulatory Physiology
卷号
323
期号
1
页码范围
H89
出版商
American Physiological Society
简介
Hemorrhage is a leading cause of preventable battlefield and civilian trauma deaths. Low-dose (ie, an analgesic dose) morphine is recommended for use in the prehospital (ie, field) setting. Morphine administration reduces hemorrhagic tolerance in rodents. However, it is unknown whether morphine impairs autonomic cardiovascular regulation and consequently reduces hemorrhagic tolerance in humans. Thus, the purpose of this study was to test the hypothesis that low-dose morphine reduces hemorrhagic tolerance in conscious humans. Thirty adults (15 women/15 men; 29±6 yr; 26±4 kg· m− 2, means±SD) completed this randomized, crossover, double-blinded, placebo-controlled trial. One minute after intravenous administration of morphine (5 mg) or placebo (saline), we used a presyncopal limited progressive lower-body negative pressure (LBNP) protocol to determine hemorrhagic tolerance. Hemorrhagic …
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