Effects of neostigmine and glycopyrrolate on pulmonary resistance in spinal cord injury.

Author: BaumanWilliam A, KorstenMark A, LesserMarvin, RadulovicMiroslav, SchileroGregory J, SpungenAnn M, WechtJill M

Paper Details 
Original Abstract of the Article :
Preliminary findings in subjects with spinal cord injury (SCI) suggest that neostigmine administered intravenously increases colonic tone, increases colonic contractions, and facilitates bowel evacuation. Of concern are potential pulmonary side effects, including an increase in airway secretions and...See full text at original site
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引用元:
https://doi.org/10.1682/jrrd.2004.01.0053

データ提供:米国国立医学図書館(NLM)

Neostigmine and Glycopyrrolate: Navigating the Desert of Pulmonary Resistance

Individuals with spinal cord injury (SCI) often experience challenges with bowel function, and neostigmine is a medication that can be used to enhance bowel motility. However, neostigmine can also have potential side effects on pulmonary function. This study examines the effects of intravenously administered neostigmine and a combination of neostigmine with glycopyrrolate, an anticholinergic medication, on pulmonary resistance in individuals with SCI. Researchers measured forced oscillation indices, which reflect airway resistance, before and after administration of the medications. The results revealed that neostigmine alone caused bronchoconstriction, while neostigmine combined with glycopyrrolate resulted in bronchodilation.

A Balancing Act: Navigating the Desert of Pulmonary Resistance

The study underscores the importance of carefully considering the potential effects of neostigmine on pulmonary function in individuals with SCI. The findings suggest that combining neostigmine with glycopyrrolate could mitigate the risk of bronchoconstriction, potentially improving respiratory outcomes for these patients. This research highlights the need for a balanced approach to managing both bowel and pulmonary function in individuals with SCI, ensuring that the therapeutic benefits of neostigmine are not overshadowed by potential respiratory complications.

The Importance of Careful Consideration: A Journey Through the Desert of SCI

The study emphasizes the need for cautious and individualized management of patients with SCI, considering the potential impact of medications on both bowel and pulmonary function. It highlights the importance of monitoring respiratory status and adjusting treatment strategies as needed to minimize potential complications and maximize the overall well-being of these patients. As a desert traveler, I know that navigating the challenges of SCI requires a mindful and strategic approach, ensuring that each step is taken with the utmost care and consideration.

Dr.Camel's Conclusion

This study provides valuable insights into the effects of neostigmine and glycopyrrolate on pulmonary resistance in individuals with SCI. The findings suggest that combining neostigmine with glycopyrrolate can mitigate the risk of bronchoconstriction, potentially improving respiratory outcomes for these patients. The study reinforces the need for a holistic approach to managing both bowel and pulmonary function in individuals with SCI, ensuring that the therapeutic benefits of neostigmine are not outweighed by potential respiratory complications.

Date :
  1. Date Completed 2007-08-21
  2. Date Revised 2019-10-26
Further Info :

Pubmed ID

15273897

DOI: Digital Object Identifier

10.1682/jrrd.2004.01.0053

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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