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Reversal of drug-affected breathing

Bijl, J.H.L.

Citation

Bijl, J. H. L. (2006, June 21). Reversal of drug-affected breathing. Retrieved from https://hdl.handle.net/1887/4419

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in theInstitutional Repository of the University of Leiden Downloaded from: https://hdl.handle.net/1887/4419

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Reversal of Drug-Affected Breathing

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Reversal of Drug-Affected Breathing

PROEFSCHRIFT

ter verkrijging van

de graad van Doctor aan de UniversiteitLeiden, op gezag van de Rector M agnificus Dr.D.D.Breimer,

hoogleraar in de faculteitder W iskunde en Natuurwetenschappen en die der Geneeskunde, volgens besluitvan hetCollege voor Promoties

te verdedigen op woensdag 21 juni2006 te klokke 14.15 uur

door

Johan

Hai

ko

Leonard

Bi

j

l

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Promotiecommissie

Promotor: Prof. Dr. A. Dahan Co-promotor: Dr. L.J.S.M. Teppema Referent: Prof. Dr. P.J. Sterk Overige leden: Prof. Dr. J.W. van Kleef

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The investigations described in chapters 2–5 of this thesis were performed in the Anesthesia and Pain Research Unit, Department of Anesthesiology, Leiden University Medical Center, under the supervision of Prof. Dr. A. Dahan (part of the investigations in chapter 2 were performed in the Leiden/Amsterdam Center for Drug Research, Division of Pharmacology, Gorlaeus Laboratory, Leiden). The investigations described in chapters 6 and 7 of this thesis were performed in the Laboratory of Physiology, Department of Anesthesiology, Leiden University Medical Center, under the supervision of Dr. L.J.S.M. Teppema.

Copyright © 2006 by Johan H.L. Bijl

Except cover design © 2006 by Philip Hozier

Printed by PrintPartners Ipskamp, Enschede, The Netherlands ISBN-10: 90-9020693-0

ISBN-13: 978-90-9020693-6

Financial support for the printing of this thesis was provided by:

The Department of Anesthesiology, LUMC, Leiden, The Netherlands Abbott Nederland BV, Hoofddorp, The Netherlands

Schering-Plough BV, Utrecht, The Netherlands

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ʊ CONTENTS ʊ

1 Introduction 9

Section 1 Ceiling and Naloxone-Reversal of Buprenorphine-Induced Respiratory Depression

2 Comparison of the respiratory effects of intravenous buprenorphine and fentanyl in humans and rats

British Journal of Anaesthesia 2005; 94: 825-34

21

3 Buprenorphine induces ceiling in respiratory depression but not in analgesia

British Journal of Anaesthesia 2006; 96: 627-32

35

4 Naloxone-reversal of opioid-induced respiratory depression with special emphasis on buprenorphine

Submitted

45

Section 2 Respiratory Effects of Carbonic Anhydrase Inhibitors and Antioxidants

5 Antioxidants reverse depression of the hypoxic ventilatory response by acetazolamide in man

Journal of Physiology (London) 2006; 572: 849-56

61

6 Effects of low-dose methazolamide on the control of breathing in cats

Advances in Experimental Medicine and Biology 2006; 580: 257-62

75

7 The carbonic anhydrase inhibitors methazolamide and

acetazolamide have different effects on the hypoxic ventilatory response in the anesthetized cat

Submitted

83

8 Summary and Conclusions ʊ Samenvatting en Conclusies 97

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