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![](/view/journals/anpr/64/2/inline-i0003-3006-64-2-97-f01.png)
Arrows indicate the timing each medication was administered. Ephedrine was given at 8 mg/bolus, phenylephrine at 0.05 mg/bolus, and dopamine at 2 μg/kg/min.
![Figure 2.](/view/journals/anpr/70/2/inline-i1878-7177-70-2-58-f02.png)
Mean changes in muscle blood flow during hypocapnia and after phenylephrine or butoxamine administration.
MBF and QBF increased during hypocapnia, while the increase in MBF was larger than that in QBF. Both MBF and QBF decreased to about 90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Data are expressed as the percentage change in respective baseline values. MBF, masseter muscle tissue blood flow; QBF, quadriceps muscle tissue blood flow. a P < .05 versus baseline; d P < .05 versus hypocapnia; c P < .05 between the 2 groups.
![](/view/journals/anpr/59/4/inline-i0003-3006-59-4-159-f05.png)
Figure 5. Cardiovascular effects of epinephrine and phenylephrine. Epinephrine increases heart rate (HR) by activating beta-1 receptors in the sinoatrial node, the heart's normal pacemaker. It also activates beta-1 receptors on myocardial cells, increasing their contractility and increasing systolic blood pressure (SBP). However, at low doses such as those provided in local anesthetic formulations, it activates beta-2 receptors on systemic arteries, producing vasodilation. This decline in arterial resistance produces a reduction in diastolic pressure (DBP). The sum of these effects results in little change of mean arterial pressure (MAP). In contrast, phenylephrine activates only alpha receptors, increasing arterial resistance and diastolic pressure. Systolic pressure also rises as the heart compensates for this increase in resistance by increasing its contractility and venoconstriction increases venous return (preload). The net effect is an increase in mean arterial pressure, which is sensed in baroreceptors, and a reflex slowing of heart rate supervenes. (Adapted from Westfall et al.11)
![<bold>Figure 1</bold>](/view/journals/anpr/65/1/inline-i0003-3006-65-1-44-f01.png)
Preoperative 12-lead electrocardiography. An incomplete right bundle branch block and sinus bradycardia (heart rate, 56 bpm) were present.
![<bold>Figure 2</bold>](/view/journals/anpr/65/1/inline-i0003-3006-65-1-44-f02.png)
Intraoperative electrocardiography during the first operation. (A) Before induction of general anesthesia. (B) Immediately after administration of ephedrine during general anesthesia.
![<bold>Figure 3</bold>](/view/journals/anpr/65/1/inline-i0003-3006-65-1-44-f03.png)
Intraoperative electrocardiography during the second operation. (A) Before induction of general anesthesia. (B) Immediately after administration of ephedrine during general anesthesia.
![Figure 1](/view/journals/anpr/56/3/inline-i0003-3006-56-3-81-f01.gif)
Diagram of Quattro temporary intraosseous orthodontic anchorage device (GAC International Inc) (enlargement approximately 13×).