Low-dose morphine reduces tolerance to central hypovolemia in healthy adults without affecting muscle sympathetic outflow

JC Watso, LN Belval, FA Cimino 3rd… - American Journal …, 2022 - journals.physiology.org
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) …

Low-dose fentanyl does not alter muscle sympathetic nerve activity, blood pressure, or tolerance during progressive central hypovolemia

M Huang, JC Watso, LN Belval… - American Journal …, 2022 - journals.physiology.org
Hemorrhage is a leading cause of battlefield and civilian trauma deaths. Several pain
medications, including fentanyl, are recommended for use in the prehospital (ie, field setting) …

Comparing the effects of low-dose ketamine, fentanyl, and morphine on hemorrhagic tolerance and analgesia in humans

JC Watso, M Huang, JM Hendrix… - Prehospital …, 2023 - Taylor & Francis
Hemorrhage is a leading cause of preventable battlefield and civilian trauma deaths.
Ketamine, fentanyl, and morphine are recommended analgesics for use in the prehospital …

Low-dose morphine reduces pain perception and blood pressure, but not muscle sympathetic outflow, responses during the cold pressor test

JC Watso, LN Belval, FA Cimino 3rd… - American Journal …, 2022 - journals.physiology.org
Our knowledge about how low-dose (analgesic) morphine affects autonomic cardiovascular
regulation is primarily limited to animal experiments. Notably, it is unknown if low-dose …

Bradycardia and hypotension associated with severe hemorrhage are reversed by morphine given centrally or peripherally in anesthetized rats

M Ohnishi, E Kirkman, A Hiraide… - Journal of Trauma and …, 1998 - journals.lww.com
Background Severe simple hemorrhage (blood loss in the absence of tissue damage and
nociception) leads to a reflex bradycardia and hypotension. Earlier studies showed that this …

Morphine blocks the bradycardia associated with severe hemorrhage in the anesthetized rat

M Ohnishi, E Kirkman, HW Marshall, RA Little - Brain research, 1997 - Elsevier
Progressive hemorrhage in the absence of tissue injury produces a biphasic response: an
initial tachycardia, vasoconstriction and maintenance of arterial blood pressure by the …

Activation of central opioid receptors determines the timing of hypotension during acute hemorrhage-induced hypovolemia in conscious sheep

R Frithiof, M Rundgren - American Journal of Physiology …, 2006 - journals.physiology.org
After an initial compensatory phase, hemorrhage reduces blood pressure due to a
widespread reduction of sympathetic nerve activity (decompensatory phase). Here, we …

Naloxone decreases tolerance to hypotensive, hypovolemic stress in healthy humans

TJ Lightfoot, L Katz, K DeBate - Critical care medicine, 2000 - journals.lww.com
Objective: In animal studies, naloxone, an opioid receptor antagonist, improves tolerance to
hemorrhagic shock. The purpose of this study was to determine whether naloxone would …

Time course of compensatory physiological responses to central hypovolemia in high-and low-tolerant human subjects

L Xiang, C Hinojosa-Laborde… - American Journal …, 2018 - journals.physiology.org
Lower body negative pressure (LBNP) simulates hemorrhage in human subjects. Most
subjects (67%) exhibited high tolerance (HT) to hypovolemia, while the remainder (33%) …

The impact of acute central hypovolemia on cerebral hemodynamics: does sex matter?

AJ Rosenberg, VL Kay, GK Anderson… - Journal of Applied …, 2021 - journals.physiology.org
Trauma-induced hemorrhage is a leading cause of disability and death due, in part, to
impaired perfusion and oxygenation of the brain. It is unknown if cerebrovascular responses …