Surgical irrigation solution and method for inhibition of pain a

Surgery – Means for introducing or removing material from body for... – Material introduced into and removed from body through...

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6048901, A61M 3100

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058205837

ABSTRACT:
A method and solution for perioperatively inhibiting a variety of pain and inflammation processes at wounds from general surgical procedures including oral/dental procedures. The solution preferably includes multiple pain and inflammation inhibitory at dilute concentration in a physiologic carrier, such as saline or lactated Ringer's solution. The solution is applied by continuous irrigation of a wound during a surgical procedure for preemptive inhibition of pain and while avoiding undesirable side effects associated with oral, intramuscular, subcutaneous or intravenous application of larger doses of the agents. One preferred solution to inhibit pain and inflammation includes a serotonin.sub.2 antagonist, a serotonin.sub.3 antagonist, a histamine antagonist, a serotonin agonist, a cyclooxygenase inhibitor, a neurokinin.sub.1 antagonist, a neurokinin.sub.2 antagonist, a purinoceptor antagonist, an ATP-sensitive potassium channel opener, a calcium channel antagonist, a bradykinin.sub.1 antagonist, a bradykinin.sub.2 antagonist and a .mu.-opioid agonist.

REFERENCES:
patent: 4504493 (1985-03-01), Marshall et al.
patent: 4640912 (1987-02-01), Hausman
patent: 4866088 (1989-09-01), Maurin et al.
patent: 4872865 (1989-10-01), Bloebaum et al.
patent: 4938970 (1990-07-01), Hustead et al.
patent: 5051443 (1991-09-01), Neufeld et al.
patent: 5116615 (1992-05-01), Gokcen et al.
patent: 5228725 (1993-07-01), Witherup et al.
patent: 5272139 (1993-12-01), Cary, Jr.
patent: 5304724 (1994-04-01), Newton
patent: 5350761 (1994-09-01), Van Duzer et al.
patent: 5385889 (1995-01-01), Kyle et al.
patent: 5411743 (1995-05-01), Moore et al.
patent: 5444048 (1995-08-01), Kyle
Cohen, Barry M. et al., Intracoronary Cocktail Infusion during Rotational Ablation: Safety and Efficacy, Abstract Presented At Transcatheter Cardiovascular Therapeutics, Washington D.C. (1 page), Feb. 22-26, 1995.
Araki, Haruo et al., Longitudinal Propagation of Contradiction in the Isolated Conduit Coronary Arteries of Humans and Pigs, Circulation Research, vol. 64, No. 4, 734-741, 1989.
Willerson, J.T., M.D. et al., Specific Platelet Mediators and Unstable Coronary Artery Lesions, Circulation, 80(1):198-205 (1989).
Ashton, J.H. Ph.D. et al., Serotonin as a mediator of cyclic flow variations in stenosed canine coronary arteries, Circulation, 73(3):572-578 (1986).
Golino, P., et al., Failure of nitroglycerin and diltiazem to reduce platelet-mediated vasoconstriction in dogs with coronary artery stenosis and endothelial injury: further evidence for thromboxane A2 and serotonin as mediators of coronary artery vasoconstriction in vivo, J. Amer. Coll. Cardio., vol. 15,No. 3,717-726(1990).
Golino, P., et al., Divergent effects of serotonin on coronary-artery dimensions and blood flow in patients with coronary atherosclerosis and control patients.,New Eng J of Medicine, vol. 324,No. 10,641-48(1991).
Golino, P., et al., Local effects of serotonin released during coronary angioplasty, N Eng J Medicine, vol. 330,No. 8,523-528(1994).
Yoa, S., et al., Combined ADP and thromboxane A2 antagonism prevents cyclic flow variations in stenosed and endothelium-injured arteries in nonhuman primates, Circulation,88,2888-2893(1993).
Golino, P., et al., Endogenous prostaglandin endoperoxides and prostacyclin modulate and thrombolytic activity of tissue plasminogen activator, J Clin Invest.,86,1095-1102(1990).
Ashton,J.H., et al., Serotonin and thromboxane A2-prostaglandin H2 receptor blockade provide protection against epinephrine-induced cyclic flow variations in severely narrowed canine coronary arteries, J Am Cardiol.,13,755-763(1989).
Yao,S., et al., Combination of inhibition of thrombin and blockade of thromboxane A2 synthetase and receptors enhances thrombolysis and delays reocclusion in canine coronary arteries,Circulation,86,1993-1999(1992).
J.T. Willerson, et al.,Lipsosome-Bound Prostaglandin E.sub.1 Often Prevents Cyclic Flow Variations in Stenosed and Endothelium-Injured Canine Coronary Arteries,Circul.Res 89(4):1786-1791(1994).
J.J. Liu, C.I. Johnston & B.F. Buxton,Synergistic Effect of Nisoldipine and Nitroglycerin on Human Internal Mammary Artery,J.Pharmacol.Exp.Therapeutics 268(1): 434-440 (1994).
Cohen,D.J., et al., Intraoperative coronary artery spasm successfully treated with nitroglycerin and nifedipine, Annals of Thor Sur.,36:97-100(1983).
Podesser,B., et al., Combined perioperative infusion of nifedipine and metoprolol provides antiischemic and antiarrhythmic protection in patients undergoing elective aortocoronary bypass surgery, Thorac Cardiovasc Surgeon, 41:173-179(1993).
W. Hannes, et al., Effect of Peri-Operative Diltiazem on Myocardial Ischaemia and Function in Patients Receiving Mammary Artery Grafts, Europ.Heart J. 16(1):87-93 (Jan.1995).
Cohen, B.M. et al., Cocktail Attenuation of Rotational Ablation Flow Effects (CARAPE) Study Pilot, Cath. and Cardio. Diag. Supp., 3:69-72 (1996).
Yao, S-K., et al., Combined Thrombin Inhibition and Thromboxane A.sub.2 Synthesis and Receptor Blockade Enhances Thrombolysis and Delays Arterial Reocclusion, Supplement to Journal of the American College of Cardiology, Abstracts 41st Annual Scientific Session,vol. 19,No. 3, 329 A (1992).
Yao, S-K., et al., Endogenously Produced EDRF Protects Against Platelet Aggregation and Cyclic Flow Variations in Stenosed and Endothelium-Injured Arteries, Supplement to Journal of the American College of Cardiology, Abstracts 41st Annual Scientific Session,vol. 19,No. 3, 376A (1992).
Liu, M.W., et al., Intraluminal Alcohol Delivery Reduced Intimal Hyperplasia After Balloon Injury in Pig Coronary Arteries. A Concept of Chemical Atherectomy?, Am Heart Assoc, Abstracts 66th Scientific Sessions, vol. 88, No. 4, part 2, I-655 (1993).
Golino, P., et al., Inhibition of Neutrophil Adhesion Proteins Reduces Neointimal Hyperplasia Following Arterial Injury in Rabbit Carotid Arteries, Am Heart Assoc, Abstracts 67th Scientific Sessions, vol. 90, No. 4, part 2, I-85 (1994).
Willerson, J.T., et al., Pretreatment with Antagonists to Thromboxane A.sub.2, Serotonin and ADP Reduces Neointimal Proliferation in Canine Coronary Arteries after Endothelial Injury, Special Issue Journal of the American College of Cardiology, Abstracts 43nd Annual Scientific Session, 234A (1994).
Liu, M., et al., A Preliminary Report of Local Alcohol Delivery for Treatment of Restenosis Within Stented Segments After Successful Coronary Angioplasty. The Safety Study of Local Alcohol and Stent Against Restenosis (LASAR) Trial, Journal of the American College of Cardiology, Abstracts 45th Annual Scientific Session, 112A (1996).

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