Influence of oral clonidine on the ventilatory response to acute and sustained isocapnic hypoxia in human males.

Br J Anaesth

Department of Anaesthetics, Rayne Laboratory, Edinburgh.

Published: February 1996

AI Article Synopsis

  • Animal studies indicate that alpha 2 agonists like clonidine may lessen the body's response to low oxygen levels (hypoxia).
  • In a study with eight male subjects, the effect of oral clonidine on their ventilatory responses to sustained hypoxia was assessed, comparing results with a placebo.
  • Clonidine significantly decreased both the acute hypoxic response and the hypoxic ventilatory decline compared to the placebo, but did not alter the baseline ventilation or the overall ventilation levels at the end of the hypoxia.

Article Abstract

Animal studies suggest that alpha 2 agonists inhibit the chemoreceptor response to hypoxia. We have examined the effect of oral clonidine on the ventilatory response to sustained, isocapnic hypoxia (SpO2 79.7% (SD 1.1%) for 20 min) in eight male subjects. The hypoxic ventilatory response was measured before and after both clonidine and placebo. Clonidine had no significant effect on baseline ventilation or gas exchange. After clonidine, the acute hypoxic response (AHR) (mean 5.81 (95% confidence limits 1.94, 9.68) litre min-1) was significantly less than control (10.40 (5.97, 14.83) litre min-1) and hypoxic ventilatory decline (HVD) (3.42(2.35, 4.49) litre min-1) was also significantly less than control (6.49(3.92, 9.06) litre min-1) (P < 0.05). After placebo, AHR was similar to control but HVD was significantly larger (6.82(5.28, 8.36) litre min-1) than control (4.79(3.03, 6.55) litre min-1) (P < 0.05). Thus clonidine reduced both AHR and HVD but the absolute level of ventilation at the end of hypoxia was unchanged.

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http://dx.doi.org/10.1093/bja/76.2.214DOI Listing

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