Effect of morphine on pulmonary blood volume in convalescents from high altitude pulmonary oedema.

نویسندگان

  • S B Roy
  • I Singh
  • M L Bhatia
  • P K Khanna
چکیده

Morphine proved effective when anxiety, restlessness, and laboured breathing associated with high altitude pulmonary cedema did not respond satisfactorily to oxygen therapy (Singh et al., 1965). Pharmacologically, no primary effect of morphine on the pulmonary circuit in man has so far been demonstrated (Daley, Goodwin, and Steiner, '1960). However, more than one explanation exists for the beneficial effect of morphine in pulmonary cedema: (1) morphine helps to reduce the central venous pressure by allaying anxiety and restlessness, (2) morphine suppresses the respiratory centre and relieves the sensation of suffocation, (3) in laboured breathing there is considerable negativity of intrathoracic pressures; this causes the alveolar blood vessels to collapse, thus impeding the oxygenation of blood: morphine abolishes this by restoring normal breathing. In 18 subjects, convalescing from high altitude pulmonary cedema, hLmodynamic studies revealed that in the majority pulmonary blood volume remained increased for 3 to 24 weeks after they had been evacuated to the plains and relieved of their symptoms. This was not so in 25 healthy male controls of comparable age and occupation. It occurred to us that the beneficial effect of morphine in patients with high altitude pulmonary odema may result from reduction of pulmonary blood volume. This report, which records the effects of intracardiac morphine on the pulmonary blood volume and circulatory dynamics in four convalescents from high altitude pulmonary cedema, lends support to our idea.

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عنوان ژورنال:
  • British heart journal

دوره 27 6  شماره 

صفحات  -

تاریخ انتشار 1965