Document Detail


Nitric oxide-supplemented resuscitation improves early gastrointestinal blood flow in rats subjected to hemorrhagic shock without late consequences.
MedLine Citation:
PMID:  20883974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: we have shown that hemorrhage/resuscitation altered gastrointestinal blood flow (GI-BF) and that gastric perfusion did not recover after resuscitation. This study aimed to determine the effect of nitric oxide (NO) supplemented resuscitation on the mean arterial blood pressure (MAP), GI-BF, and outcome after hemorrhagic shock.
METHODS: rats were subjected to hemorrhage and resuscitation with/without the NO-donor S-nitroso human serum albumin (S-NO-HSA). GI-BF was determined using colored microspheres.
RESULTS: NO supplementation significantly decreased MAP at the end of resuscitation. At the same time point, the GI-BF has significantly increased in the stomach, duodenum, and colon. Two hours after treatment discontinuation, there was no difference in either MAP or GI-BF between NO-supplemented and control groups. The survival times indicated that S-NO-HSA treatment was noninferior compared with control.
CONCLUSIONS: NO-supplemented resuscitation improves the GI-BF during the early stage of resuscitation without a negative impact on short-/long-term survival despite a transient MAP decrease.
Authors:
Babak Sobhian; Mohammad Jafarmadar; Heinz Redl; Soheyl Bahrami
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Publication Detail:
Type:  Journal Article     Date:  2010-09-29
Journal Detail:
Title:  American journal of surgery     Volume:  201     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  100-10     Citation Subset:  AIM; IM    
Copyright Information:
2011 Elsevier Inc. All rights reserved.
Affiliation:
Ludwig Boltzmann Institute of Experimental and Clinical Traumatology and Research Center of the Allgemeine Unfallversicherungsanstalt, Donaueschingenstr 13, A-1200, Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Pressure / drug effects*
Fluid Therapy
Gastrointestinal Tract / blood supply*,  drug effects
Male
Nitroso Compounds / administration & dosage*
Rats
Rats, Sprague-Dawley
Serum Albumin, Bovine / administration & dosage*
Shock, Hemorrhagic / complications,  mortality,  therapy*
Vasodilator Agents / administration & dosage*
Chemical
Reg. No./Substance:
0/Nitroso Compounds; 0/S-nitrosoalbumin; 0/Serum Albumin, Bovine; 0/Vasodilator Agents

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


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