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. 1980 Oct;70(2):257–267. doi: 10.1111/j.1476-5381.1980.tb07931.x

Effects of ketamine on vascular smooth muscle function

BM Altura, BT Altura, Anthony Carella
PMCID: PMC2044334  PMID: 7426835

Abstract

1 In vitro studies were undertaken on rat aortic strips and portal vein segments to determine whether or not the amine-type anaesthetic, ketamine, can exert direct actions on vascular smooth muscle.

2 Ketamine was found to inhibit development of spontaneous mechanical activity and lower basal tension. This action took place with ketamine concentrations found in anaesthetic plasma concentrations, i.e., 1 × 10-5 to 2 × 10-4 M.

3 Ketamine (10-5 to 10-3 M) dose-dependently attenuated contractions induced by adrenaline, noradrenaline, angiotensin II, vasopressin and KCl. These inhibitory actions were observed with ketamine added either before or after the induced contractions.

4 Ca2+-induced contractions of K+-depolarized aortae and portal veins were also attenuated, dose-dependently, by ketamine.

5 In contrast to the above inhibitory actions, ketamine (2 × 10-6 to 1 × 10-4 M) was found to potentiate specifically 5-hydroxytryptamine(5-HT)-induced contractions of both aortic and venous smooth muscle. However, this was only observed if ketamine was added after 5-HT had initiated a contractile response.

6 All of the inhibitory, as well as 5-HT-potentiating, effects were completely, and almost immediately, reversed upon washing out the anaesthetic from the organ baths.

7 A variety of pharmacological antagonists failed to mimic or affect the inhibitory effects induced by ketamine.

8 These data suggest that rat plasma concentrations of ketamine commonly associated with induction of surgical anaesthesia can induce, directly, relaxation and contractile potentiation of vascular muscle.

9 These diverse findings may aid in explaining the well-known biphasic pressor actions of ketamine.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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