Journals / Türk Yoğun Bakım Dergisi / 2017 / Cilt: 15 - Sayı: 1

Comparing Effects of Intraventricular Hypertonic Saline and Magnesium Sulfate Application on Diffuse Brain Injury in Rats

Ratlardaki Diffüz Beyin Travmasında Hipertonik Salin ve Magnezyum Sülfatın İntraventriküler Uygulamayla Etkilerinin Karşılaştırılması

Pages
34–38
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, the number of damaged neurons did not showsignificant difference between hypertonic saline and control groups, it was significantly lower inmagnesium group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Diffuse brain injury is one of the most common issues encountered in,patients with trauma and it leads to morbidity and mortality via increased intracranial pressure.The aim of the study was to compare the effects of magnesium sulfate and hypertonic saline ondiffuse brain injury in rats.Materials and Methods: In this study 18 male Sprague-Dawley rats weighing 250-300 g were used.The rats were randomly divided into trauma (control), trauma+magnesium, and trauma+hypertonicsaline groups.
📊
Key Findings & Data:Asingle dose of 10 µL isotonic saline, magnesium sulphate and hypertonic saline were appliedintraventricularly to the control, magnesium, and hypertonic saline groups, respectively.
💡
Conclusion & Impact:However, the number of damaged neurons did not showsignificant difference between hypertonic saline and control groups, it was significantly lower inmagnesium group (p
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Diffuse brain injury is one of the most common issues encountered in,patients with trauma and it leads to morbidity and mortality via increased intracranial pressure.The aim of the study was to compare the effects of magnesium sulfate and hypertonic saline ondiffuse brain injury in rats.Materials and Methods: In this study 18 male Sprague-Dawley rats weighing 250-300 g were used.The rats were randomly divided into trauma (control), trauma+magnesium, and trauma+hypertonicsaline groups. Traumatic brain injury was induced by modified Feeney head trauma model. Asingle dose of 10 µL isotonic saline, magnesium sulphate and hypertonic saline were appliedintraventricularly to the control, magnesium, and hypertonic saline groups, respectively. Rats weredecapitated 24 hours after the head trauma. Their brains were dissected immediately and storedwith dry ice at -80 °C for histopathological experiments.Results: The number of damaged neurons were significantly higher in both control and hypertonicsaline groups (p=0.001, p=0.008). However, the number of damaged neurons did not showsignificant difference between hypertonic saline and control groups, it was significantly lower inmagnesium group (p

Özet

Amaç: Diffüz beyin hasarı travmada en yaygın karşılaşılan sorunlardan biridir ve artmış kafa içi basıncı vasıtasıyla morbidite ve mortalite yol açar. Çalışmamızın amacı, sıçanlarda magnezyum sülfat ve hipertonik salinin diffüz beyin hasarı üzerine etkisini karşılaştırmaktır. Gereç ve Yöntem: Çalışmamızda 250-300 gr ağırlığında 18 erkek Sprague-Dawley sıçan kullanıldı. Sıçanlar randomize olarak travma (kontrol), travma+magnezyum ve travma+hipertonik salin olmak üzere üç gruba ayrıldı. Travmatik beyin hasarı modifiye Feeney kafa travması modeli ile oluşturuldu. Sırasıyla gruplara 10 mcL izotonik, magnezyum sülfat ve hipertonik salin tek doz, intraventriküler uygulanmıştır. Sıçanlar travmadan 24 saat sonra dekapite edildi. Beyinleri hemen diseke edildi ve histopatolojik deneyler için -80 °C kuru buz ile saklandı. Bulgular: Hasarlı nöron sayısı hem kontrol hem de hipertonik salin grubunda anlamlı olarak yüksekti (p=0,001, p=0,008). Ancak, hipertonik salin ve kontrol grupları arasında anlamlı bir fark yoktu, magnezyum grubunda anlamlı olarak daha düşüktü (p

🔖

Cite This Article

KIZILCIK, N., YILMAZ, B., KELEŞTEMUR, T., ÇEÇEN, A., KÖNER, Ö., BİLGEN, S., ÇELİKOĞLU, E., İŞ, M. (2022). Comparing Effects of Intraventricular Hypertonic Saline and Magnesium Sulfate Application on Diffuse Brain Injury in Rats. Türk Yoğun Bakım Dergisi, Cilt: 15 - Sayı: 1, 34–38. https://ajindex.com/articles/643443

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Unterberg AW, Stover J, Kress B, Kiening KL. Edema and brain trauma. Neuroscience 2004;129:1021-9.
  2. Alluri H, Wiggins-Dohlvik K, Davis ML, Huang JH, Tharakan B. Bloodbrain barrier dysfunction following traumatic brain injury. Metab Brain Dis 2015;30:1093-104. Fink ME. Osmotherapy for intracranial hypertension: mannitol versus hypertonic saline. Continuum (Minneap Minn) 2012;18:640-54.
  3. Wakai A, McCabe A, Roberts I, Sechierhout G. Mannitol for acute traumatic brain injury. Cochrane Database Syst Rev 2013:CD001049. Davis M, Lucatorto M. Mannitol revisited. J Neurosci Nurs 1994;26:170-4.
  4. Mendelow AD, Teasdale GM, Russell T, Flood J, Patterson J, Murray GD. Effect of mannitol on cerebral blood flow and cerebral perfusion pressure in human head injury. J Neurosurg 1985;63:43-8.
  5. Diringer MN, Scalfani MT, Zazulia AR, Videen TO, Dhar R. Cerebral hemodynamic and metabolic effects of equi-osmolar doses mannitol and 23.4% saline in patients with edema following large ischemic stroke. Neurocrit Care 2011;14:11-7.
  6. Dey M, Jaffe J, Stadnik A, Avad IA. External ventricular drainage for intraventricular hemorrhage. Curr Neurol Neurosci Rep 2012;12:24-33.
  7. Madikians A, Giza CC. Treatment of traumatic brain injury in pediatrics. Curr Treat Options Neurol 2009;11:393-404.
  8. Williams OH, Tallantyre EC, Robertson NP. Traumatic brain injury: pathophysiology, clinical outcome and treatment. J Neurol 2015;262:1394-6.
  9. Lazaridis C, Neyens R, Bodle J, DeSantis SM. High-osmolarity saline in neurocritical care: systematic review and meta-analysis. Crit Care Med 2013;41:1353-60.
  10. Heath DL, Vink R. Neuroprotective effects of MgSO4 and MgC12 in closed head injury: a comparitive phosphorus NMR study. J Neurotrauma 1998;15:183-9.
  11. Esen F, Erdem T, Aktan D, Orhan M, Kaya M, Eraksoy H, et al. Effect of magnesium sulfate administration on blood-brain barrier in a rat model of intraperitoneal sepsis: a randomized controlled experimental study. Crit Care 2005;9:18- 23. Imer M, Omay B, Uzunkol A, Erdem T, Sabancı PA, Karasu A, et al. Effect of magnesium, MK-801 and combination of magnesium and MK-801 on blood-brain barrier permeability and brain edema after experimental traumatic diffuse brain injury. Neurol Res 2009;31:977-81.
  12. Donkin JJ, Vink R. Mechanisms of cerebral edema in traumatic brain injury: therapeutic developments. Curr Opin Neurol 2010;23:293-9.
  13. Helmy A, Vizcaychipi M, Gupta AK. Traumatic brain injury: intensive care management. Br J Anaesth 2007;99:32- 42. Manninen PH, Lam AM, Gelb AW, Bro