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Vélez PA, Lara-Erazo V, Caballero-Lozada AF, Botero A, Lozada G, Velásquez AF, Villegas LM, Zorrilla-Vaca A. Preoperative pregabalin prevents succinylcholine-induced fasciculation and myalgia: A meta-analysis of randomized trials. Rev Esp Anestesiol Reanim (Engl Ed) 2023:S2341-1929(23)00134-8. [PMID: 37673208 DOI: 10.1016/j.redare.2022.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 12/15/2022] [Indexed: 09/08/2023]
Abstract
Succinylcholine is the gold standard neuromuscular blocker for rapid sequence induction; however, its use is associated with fasciculation and myalgia. We performed a systematic review and meta-analysis of randomized controlled clinical trials comparing gabapentinoids versus placebo for the prevention of fasciculations and succinylcholine-induced myalgias. Six randomized clinical studies were included with a total of 481 patients - 241 in the intervention group and 240 in the placebo group. Gabapentinoids reduced the incidence of succinylcholine-induced myalgia (RR = 0.69, 95% CI 0.56-0.84, P < .001), which remained statistically significant for pregabalin (RR = 0.71, 95% CI 0.54-0.93, P = .013) and gabapentin (RR = 0.61, 95% CI 0.45-0.82, P = .001) separately. There was no difference in fasciculations between the groups (RR = 0.92, 95% CI 0.82-1.03, P = .148). Preoperative use of gabapentinoids is associated with lower incidence of succinylcholine-induced myalgias within the first 24 h of surgery.
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Affiliation(s)
- P A Vélez
- Department of Anesthesiology, Universidad del Valle, Cali, Colombia
| | - V Lara-Erazo
- Anesthesiology Research Department, Mass Eye & Ear Institute, Harvard Medical School, Boston, MA, USA.
| | | | - A Botero
- Department of Anesthesiology, Universidad del Valle, Cali, Colombia
| | - G Lozada
- Department of Anesthesiology, Mass Eye & Ear Institute, Harvard Medical School, Boston, MA, USA
| | - A F Velásquez
- Department of Anesthesiology, Universidad del Valle, Cali, Colombia
| | - L M Villegas
- Department of Anesthesiology, Universidad del Valle, Cali, Colombia
| | - A Zorrilla-Vaca
- Department of Anesthesiology, Universidad del Valle, Cali, Colombia; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA
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Pimenta PFP, Orfano AS, Bahia AC, Duarte APM, Ríos-Velásquez CM, Melo FF, Pessoa FAC, Oliveira GA, Campos KMM, Villegas LM, Rodrigues NB, Nacif-Pimenta R, Simões RC, Monteiro WM, Amino R, Traub-Cseko YM, Lima JBP, Barbosa MGV, Lacerda MVG, Tadei WP, Secundino NFC. An overview of malaria transmission from the perspective of Amazon Anopheles vectors. Mem Inst Oswaldo Cruz 2015; 110:23-47. [PMID: 25742262 PMCID: PMC4371216 DOI: 10.1590/0074-02760140266] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 12/18/2014] [Indexed: 02/07/2023] Open
Abstract
In the Americas, areas with a high risk of malaria transmission are mainly located in the Amazon Forest, which extends across nine countries. One keystone step to understanding the Plasmodium life cycle in Anopheles species from the Amazon Region is to obtain experimentally infected mosquito vectors. Several attempts to colonise Anopheles species have been conducted, but with only short-lived success or no success at all. In this review, we review the literature on malaria transmission from the perspective of its Amazon vectors. Currently, it is possible to develop experimental Plasmodium vivax infection of the colonised and field-captured vectors in laboratories located close to Amazonian endemic areas. We are also reviewing studies related to the immune response to P. vivax infection of Anopheles aquasalis, a coastal mosquito species. Finally, we discuss the importance of the modulation of Plasmodium infection by the vector microbiota and also consider the anopheline genomes. The establishment of experimental mosquito infections with Plasmodium falciparum, Plasmodium yoelii and Plasmodium berghei parasites that could provide interesting models for studying malaria in the Amazonian scenario is important. Understanding the molecular mechanisms involved in the development of the parasites in New World vectors is crucial in order to better determine the interaction process and vectorial competence.
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Affiliation(s)
- Paulo FP Pimenta
- Centro de Pesquisas René Rachou-Fiocruz, Belo Horizonte, MG,
Brasil
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, AM,
Brasil
| | | | - Ana C Bahia
- Instituto Oswaldo Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Ana PM Duarte
- Centro de Pesquisas René Rachou-Fiocruz, Belo Horizonte, MG,
Brasil
| | | | - Fabrício F Melo
- Centro de Pesquisas René Rachou-Fiocruz, Belo Horizonte, MG,
Brasil
| | | | | | - Keillen MM Campos
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, AM,
Brasil
| | | | | | | | - Rejane C Simões
- Instituto Nacional de Pesquisas da Amazônia, Manaus, AM, Brasil
| | - Wuelton M Monteiro
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, AM,
Brasil
| | - Rogerio Amino
- Unité de Biologie et Génétique du Paludisme, Institut Pasteur, Paris,
France
| | | | - José BP Lima
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, AM,
Brasil
- Instituto Oswaldo Cruz-Fiocruz, Rio de Janeiro, RJ, Brasil
| | - Maria GV Barbosa
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, AM,
Brasil
| | - Marcus VG Lacerda
- Fundação de Medicina Tropical Dr Heitor Vieira Dourado, Manaus, AM,
Brasil
- Instituto Leônidas e Maria Deane-Fiocruz, Manaus, AM, Brasil
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Villegas LM, Pimenta PFP. Metagenomics, paratransgenesis and the Anopheles microbiome: a portrait of the geographical distribution of the anopheline microbiota based on a meta-analysis of reported taxa. Mem Inst Oswaldo Cruz 2014; 109:672-84. [PMID: 25185007 PMCID: PMC4156461 DOI: 10.1590/0074-0276140194] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Accepted: 07/28/2014] [Indexed: 12/18/2022] Open
Abstract
Anophelines harbour a diverse microbial consortium that may represent an extended gene pool for the host. The proposed effects of the insect microbiota span physiological, metabolic and immune processes. Here we synthesise how current metagenomic tools combined with classical culture-dependent techniques provide new insights in the elucidation of the role of the Anopheles-associated microbiota. Many proposed malaria control strategies have been based upon the immunomodulating effects that the bacterial components of the microbiota appear to exert and their ability to express anti-Plasmodium peptides. The number of identified bacterial taxa has increased in the current "omics" era and the available data are mostly scattered or in "tables" that are difficult to exploit. Published microbiota reports for multiple anopheline species were compiled in an Excel® spreadsheet. We then filtered the microbiota data using a continent-oriented criterion and generated a visual correlation showing the exclusive and shared bacterial genera among four continents. The data suggested the existence of a core group of bacteria associated in a stable manner with their anopheline hosts. However, the lack of data from Neotropical vectors may reduce the possibility of defining the core microbiota and understanding the mosquito-bacteria interactive consortium.
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