Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Cirúrgica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502005000600003 |
Resumo: | PEURPOSE: The comparison after 6h of hemorrhagic shock (HS) treatment with NaCl 7.5% (Hypertonic Saline Solution - SSH) or Ringer Lactate (RL) on liver function and integrity. METHODS: Male Wistar rats were submitted to HS (Mean Arterial Pressure - MAP= 45 mmHg) during 60 min and then treated with NaCl 7.5% (SSH, 10% of blood loss, n=8) or Ringer Lactate (RL, 400% of blood loss, n=8). After 6h rats were anesthetized, hepatic function was assessed by bile flow measurement and liver integrity evaluated by determination of alanine aminotransferase (ALT) and bilirubin activities. RESULTS: There was no difference in MAP between the groups during the whole experiments. Biliary flow showed a significant recovery after SSH treatment (p<0.05), and significant decrease of ALT (p<0.001) and bilirubin levels (p<0.001) in comparison to RL. CONCLUSION: Resuscitation of HS with NaCl 7.5% promoted better recovery of liver function and lesser hepatocellular damage after 6h of treatment compared to RL. The improvement is very likely related to increased microvascular perfusion provided by small volume resuscitation. |
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Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatmentIschemiaReperfusionShockHemorrhagicSaline SolutionHypertonicLiverRatsPEURPOSE: The comparison after 6h of hemorrhagic shock (HS) treatment with NaCl 7.5% (Hypertonic Saline Solution - SSH) or Ringer Lactate (RL) on liver function and integrity. METHODS: Male Wistar rats were submitted to HS (Mean Arterial Pressure - MAP= 45 mmHg) during 60 min and then treated with NaCl 7.5% (SSH, 10% of blood loss, n=8) or Ringer Lactate (RL, 400% of blood loss, n=8). After 6h rats were anesthetized, hepatic function was assessed by bile flow measurement and liver integrity evaluated by determination of alanine aminotransferase (ALT) and bilirubin activities. RESULTS: There was no difference in MAP between the groups during the whole experiments. Biliary flow showed a significant recovery after SSH treatment (p<0.05), and significant decrease of ALT (p<0.001) and bilirubin levels (p<0.001) in comparison to RL. CONCLUSION: Resuscitation of HS with NaCl 7.5% promoted better recovery of liver function and lesser hepatocellular damage after 6h of treatment compared to RL. The improvement is very likely related to increased microvascular perfusion provided by small volume resuscitation.Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia2005-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502005000600003Acta Cirúrgica Brasileira v.20 n.6 2005reponame:Acta Cirúrgica Brasileira (Online)instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)instacron:SBDPC10.1590/S0102-86502005000600003info:eu-repo/semantics/openAccessHoppen,Ricardo AntônioCorso,Carlos OtávioGrezzana,Tomáz Jesus MariaSeverino,AntonioDal-Pizzol,FelipeRitter,Cristianeeng2005-11-08T00:00:00Zoai:scielo:S0102-86502005000600003Revistahttps://www.bvs-vet.org.br/vetindex/periodicos/acta-cirurgica-brasileira/https://old.scielo.br/oai/scielo-oai.php||sgolden@terra.com.br0102-86501678-2674opendoar:2005-11-08T00:00Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC)false |
dc.title.none.fl_str_mv |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
title |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
spellingShingle |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment Hoppen,Ricardo Antônio Ischemia Reperfusion Shock Hemorrhagic Saline Solution Hypertonic Liver Rats |
title_short |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
title_full |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
title_fullStr |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
title_full_unstemmed |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
title_sort |
Hypertonic saline and hemorrhagic shock: hepatocellular function and integrity after six hours of treatment |
author |
Hoppen,Ricardo Antônio |
author_facet |
Hoppen,Ricardo Antônio Corso,Carlos Otávio Grezzana,Tomáz Jesus Maria Severino,Antonio Dal-Pizzol,Felipe Ritter,Cristiane |
author_role |
author |
author2 |
Corso,Carlos Otávio Grezzana,Tomáz Jesus Maria Severino,Antonio Dal-Pizzol,Felipe Ritter,Cristiane |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Hoppen,Ricardo Antônio Corso,Carlos Otávio Grezzana,Tomáz Jesus Maria Severino,Antonio Dal-Pizzol,Felipe Ritter,Cristiane |
dc.subject.por.fl_str_mv |
Ischemia Reperfusion Shock Hemorrhagic Saline Solution Hypertonic Liver Rats |
topic |
Ischemia Reperfusion Shock Hemorrhagic Saline Solution Hypertonic Liver Rats |
description |
PEURPOSE: The comparison after 6h of hemorrhagic shock (HS) treatment with NaCl 7.5% (Hypertonic Saline Solution - SSH) or Ringer Lactate (RL) on liver function and integrity. METHODS: Male Wistar rats were submitted to HS (Mean Arterial Pressure - MAP= 45 mmHg) during 60 min and then treated with NaCl 7.5% (SSH, 10% of blood loss, n=8) or Ringer Lactate (RL, 400% of blood loss, n=8). After 6h rats were anesthetized, hepatic function was assessed by bile flow measurement and liver integrity evaluated by determination of alanine aminotransferase (ALT) and bilirubin activities. RESULTS: There was no difference in MAP between the groups during the whole experiments. Biliary flow showed a significant recovery after SSH treatment (p<0.05), and significant decrease of ALT (p<0.001) and bilirubin levels (p<0.001) in comparison to RL. CONCLUSION: Resuscitation of HS with NaCl 7.5% promoted better recovery of liver function and lesser hepatocellular damage after 6h of treatment compared to RL. The improvement is very likely related to increased microvascular perfusion provided by small volume resuscitation. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502005000600003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502005000600003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0102-86502005000600003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
dc.source.none.fl_str_mv |
Acta Cirúrgica Brasileira v.20 n.6 2005 reponame:Acta Cirúrgica Brasileira (Online) instname:Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
instname_str |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
instacron_str |
SBDPC |
institution |
SBDPC |
reponame_str |
Acta Cirúrgica Brasileira (Online) |
collection |
Acta Cirúrgica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Cirúrgica Brasileira (Online) - Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) |
repository.mail.fl_str_mv |
||sgolden@terra.com.br |
_version_ |
1752126437754667008 |