Journals / Gazi Medical Journal / 2018 / Cilt: 29 - Sayı: 2

Üreter Obstrüksiyonu Oluşturulan Ratlarda HES 130/0.4’ün Eritrosit Deformabilitesi Üzerine Etkileri

The Effects of HES 130/0.4 Application on Erythrocyte Deformability in Ureteral Obstructed Rats

Pages
107–109
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)

Results and Discussion: Relative resistance was increased in all groups compared to the control group (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The administration of plasma expanders is crucial for managing critically ill patients across a range of clinical conditions, including major surgery, hemorrhagic shock, and trauma.
📊
Key Findings & Data:For this reason, we aimed to investigate the effects of HES 130/0.4, performed renal insufficiency by experimentally unilateral ureteral obstruction, on erythrocyte deformability.
💡
Conclusion & Impact:Results and Discussion: Relative resistance was increased in all groups compared to the control group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The administration of plasma expanders is crucial for managing critically ill patients across a range of clinical conditions, including major surgery, hemorrhagic shock, and trauma. However, the effects of hydroxyethyl starch (HES) on erythrocyte aggregation remain controversial. For this reason, we aimed to investigate the effects of HES 130/0.4, performed renal insufficiency by experimentally unilateral ureteral obstruction, on erythrocyte deformability. Materials and Methods: A total of 24 rats were divided into 4 groups; Control, HES 130/0.4, Ureter Obstruction (UO) and UO-HES130/0.4. Urethral obstruction groups were treated with ketamine anesthesia with a low abdominal incision and reached to the distal of right ureter and sutured with 2.0 mersilen then waited for 3 weeks for late term renal insufficiency. 20 mL.kg-1 of HES 130/0.4 (Voluven) were infused intravenously to the HES 130/0.4 and UO-HES130/0.4 group. After 24-hour, rats were sacrificed. Deformability measurements were performed using 5% haematocrit in a phosphate-buffered saline (PBS) buffer. Results and Discussion: Relative resistance was increased in all groups compared to the control group (p

Özet

Amaç: Plazma genişleticilerinin uygulanması, önemli cerrahi, hemorajik şok ve travmayı içeren çeşitli klinik koşullardaki kritik hastaları yönetmek için çok önemlidir. Bununla birlikte, hidroksietil nişastanın (HES) eritrosit agregasyonu üzerindeki etkileri tartışmalıdır. Bu nedenle, deneysel tek taraflı üreteral tıkanıklık ile oluşturulan böbrek yetmezliğinde HES 130/0.4'ün eritrosit deformabilitesi üzerindeki etkilerini araştırmayı amaçladık. Yöntem: Toplam 24 rat kontrol, HES 130/0.4, Üreter Obstrüksiyon (ÜO) ve ÜOHES 130/0.4 olmak üzere dört gruba ayrıldı. Üreteral tıkanıklık gruplarına ketamin anestezisi altında düşük abdominal insizyon yapıldı. Sağ üreterin distaline ulaşıldıktan sonra 2.0 mersilen ile bağlandı, daha sonra geç dönemde böbrek yetmezliği için 3 hafta bekledi. 20 mL.kg-1 HES 130/0.4 (Voluven), HES 130/0.4 ve ÜO-HES 130/0.4 grubuna intravenöz olarak verildi. 24 saat sonra ratlar sakrifiye edildi. Deformabilite ölçümleri bir fosfat tamponlu salin (PBS) tamponu içinde% 5 hematokrit kullanılarak gerçekleştirildi. Bulgular: Her grupta rölatif rezistans kontrol grubuna göre arttı (p

🔖

Cite This Article

GÜNEŞ, I., ALKAN, M., KÜÇÜK, A., ÇOMU, F. M., ŞIVGIN, V., ÜNAL, Y., ARSLAN, M. (2022). Üreter Obstrüksiyonu Oluşturulan Ratlarda HES 130/0.4’ün Eritrosit Deformabilitesi Üzerine Etkileri. Gazi Medical Journal, Cilt: 29 - Sayı: 2, 107–109. https://ajindex.com/articles/650782

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Bagshaw SM, Bellomo R. The influence of volume management on outcome. Curr Opin Crit Care 2007;13:541–8
  2. Standl T, Burmeister MA, Schroeder F, Currlin E, Schulte am Esch J, Freitag M, et al. hydroxyethyl starch (HES) 130/0.4 provides larger and faster increases in tissue oxygen tension in comparison with prehemodilution values than HES 70/0.5 or HES 200/0.5 in volunteers undergoing acute normovolemic hemodilution. Anesth Analg 2003;96:936–43
  3. Neff TA, Fischler L, Mark M, Stocker R, Reinhart WH. The influence of two different hydroxyethyl starch solutions (6% HES 130/0.4 and 200/0.5) on blood viscosity. Anesth Analg 2005;100:1773–80
  4. Vijoen M, de Oliveria AA, Milne F. Physical properties of the red blood cells in chronic renal failure. Nephron 1991; 59:271-8
  5. Rosenmund A, Binswanger U, Straub PW. Oxidative injury to erythrocytes, red cell rigidity and splenic hemolysis in hemodialyzed uremic patients. Ann Intern Med 1975; 82:460-5
  6. Pekpak MA, Ercan M, Konukoğlu D, Erek E. Erythrocyte membrane stiffness (or) red cell deformability, blood and plasma viscosity in proteinüric patients. Office Journal of the Turkish Nephrology, Association 1999;4:206-12, 7. Çavdar C, Temiz A, Yeniçerioğlu Y, Çalışkan S, Çelik A, Sifil A, et al. The effects of intravenous iron treatment on oxidant stress and erythrocyte deformability in hemodialysis patients. Official Journal of the Turkish Society of Nephrology 2001;10:77-82
  7. Çomu FM, Andıç MF, Edremitlioğlu M, Dikmenoğlu N. Quercetin ve Pentoksifilinin akut böbrek yetmezliğinde böbrek perfüzyonu ve eritrosit deformabilitesine etkisi. Türk Fizyolojik Bilimler Derneği 35. Ulusal Fizyoloji Kongresi, özet kitabı,2009; poster no 31, sayfa 102
  8. Schortgen F, Girou E, Deye N, Brochard L, CRYCO Study Group. The risk associated with hyperoncotic colloids in patients with shock. Intensive Care Med 2008, 34:2157-68
  9. Schortgen F, Lacherade JC, Bruneel F, Cattaneo I, Hemery F, Lemaire F, et al. Effects of hydroxyethylstarch and gelatin on renal function in severe sepsis: a multicentre randomised study. Lancet 2001, 357:911-6
  10. Brunkhorst F, Engel C, Bloos F, Meier-Hellmann A, Ragaller M, Weiler N, et al. German Competence Network Sepsis (SepNet): Intensive insulin therapy and pentastarch resuscitation in severe sepsis. N Engl J Med 2008; 358:125-39
  11. Jungheinrich C, Neff TA. Pharmacokinetics of hydroxyethyl starch. Clin Pharmacokinet 2005; 44:681-99
  12. Westphal M, James MF, Kozek-Langenecker S, Stocker R,