Opioid analgesics in experimental sepsis: effects on physiological, biochemical, and haemodynamic parameters

Fundam Clin Pharmacol. 2013 Aug;27(4):347-53. doi: 10.1111/j.1472-8206.2012.01041.x. Epub 2012 Apr 5.

Abstract

Cecal ligation and puncture (CLP) is the sepsis model that more closely resembles the human pathology, but it is likely to cause suffering to experimental animals. However, it is not clear whether the use of analgesia may affect some parameters evaluated in experimental sepsis research. Therefore, we investigated the effects of fentanyl and tramadol in experimental sepsis in the rat. The following parameters were evaluated: body temperature, body weight, water and food ingestion, mortality, analgesia, blood leukocytes, mean arterial blood pressure, vascular reactivity to phenylephrine, lung myeloperoxidase activity, and plasma levels of IL1-β, glutamic-oxaloacetic, glutamic-pyruvic, lactate, creatinine and urea. While producing significant analgesia, the opioids modify minimally the parameters, with the exception of sepsis-induced hypotension and mortality. Although fentanyl and tramadol can minimize pain and the general suffering of animals submitted to CLP surgery, their effects on cardiovascular parameters as well as in the mortality indicate that their use in experimental sepsis must be done with caution and with all the proper control groups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / pharmacology*
  • Animals
  • Biochemical Phenomena / drug effects*
  • Body Temperature / drug effects*
  • Body Weight / drug effects*
  • Cardiovascular System / drug effects
  • Cardiovascular System / metabolism
  • Cardiovascular System / physiopathology
  • Disease Models, Animal
  • Eating / drug effects
  • Eating / physiology
  • Female
  • Fentanyl / pharmacology
  • Hemodynamics / drug effects*
  • Hemodynamics / physiology
  • Rats
  • Sepsis / drug therapy*
  • Sepsis / mortality
  • Sepsis / physiopathology*
  • Tramadol / pharmacology
  • Water / metabolism

Substances

  • Analgesics, Opioid
  • Water
  • Tramadol
  • Fentanyl