Document Detail


Hypothermia following acute carbon-monoxide poisoning increases mortality.
MedLine Citation:
PMID:  2378003     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effect of body temperature during recovery from acute severe carbon monoxide (CO) poisoning on morbidity and mortality was investigated using an unanesthetized animal model. Levine prepared female rats were exposed to 2700 ppm CO for 90 min, displaying the usual hypothermia, hypotension and bradycardia. Body temperature in survivors was either maintained at the terminal CO exposure value for 4 h ('cooled'), rapidly raised to the pre-CO exposure value for 4 h ('heated') or allowed to return to normal naturally ('unheated'). Following this period of recovery, the 'heated' rats sustained the lowest mortality rate (22%), the 'unheated' rats a greater mortality rate (44%), and the 'cooled' rats the highest mortality rate (50%). Inclusive of the surviving rats, there were no significant differences in neurologic deficit between the three groups, after 4, 24 or 48 h of recovery. Aside from a significant delay in recovery of blood pressure in the 'heated' rats relative to the other two treatment groups post-CO, there were no differences in blood pressure, heart rate or plasma glucose. The results suggest that rapid return to euthermia improves survival following acute severe CO poisoning, contrasting with an earlier study showing the detrimental effect of euthermia during CO poisoning.
Authors:
B B Sutariya; D G Penney; B G Nallamothu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Toxicology letters     Volume:  52     ISSN:  0378-4274     ISO Abbreviation:  Toxicol. Lett.     Publication Date:  1990 Jul 
Date Detail:
Created Date:  1990-09-04     Completed Date:  1990-09-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7709027     Medline TA:  Toxicol Lett     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  201-8     Citation Subset:  IM    
Affiliation:
Department of Physiology, Wayne State University School of Medicine, Detroit, MI 48201.
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Glucose / analysis
Blood Pressure / drug effects
Body Temperature
Carbon Monoxide / toxicity
Carbon Monoxide Poisoning / complications*,  mortality
Female
Heart Rate / drug effects
Hyperthermia, Induced
Hypothermia / etiology*,  mortality
Hypothermia, Induced
Models, Biological
Rats
Rats, Inbred Strains
Chemical
Reg. No./Substance:
0/Blood Glucose; 630-08-0/Carbon Monoxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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