scholarly journals CHANGES IN HYDROGEN INDEX AND BLOOD ELECTROLYTES DURING RECOVERY PERIOD AFTER BLOOD LOSS WITH FOLLOWING ADMINISTRATION OF MAGNETITE NANOPARTICLES

2021 ◽  
Vol 21 (2) ◽  
pp. 156-159
Author(s):  
O.V. Semaka ◽  
R.V. Lutsenko ◽  
E.M. Vazhnichaya
Keyword(s):  
Blood Loss ◽  
Magnetite Nanoparticles ◽  
Therapeutic Potential ◽  
Hematological Parameters ◽  
Recovery Period ◽  
White Male ◽  
Hydrogen Index ◽  
Male Rats ◽  
Acute Blood Loss ◽  
Blood Electrolytes

Magnetite nanoparticles are one of the extensively investigated and implemented into medical practice. They are known as having significant therapeutic potential in providing rapid recovery of hematological parameters after acute blood loss. Since the pathogenesis of acute blood loss, except of anaemia, includes other components (hypoxia, hypovolemia, acidosis), it is important to know how magnetite nanoparticles affect the parameters of these processes. The aim of this study was to investigate the effect of magnetite nanoparticles on changes in hydrogen index (pH) and blood electrolytes induced by acute blood loss. Materials and methods. The experiment was performed on 47 white male rats. Blood loss (25% of circulating blood) was simulated by puncture of the heart under the ether anesthesia. The nanoparticles’ solution (5-8 nm) was administered intraperitoneally immediately after the blood loss in a dose of 6.75 mg Fe/kg in a volume of at least 1 ml. In 3, 24 and 72 hours, and in 5 day interval, the blood pH and content of HCO3–, Na+, K+ and Ca2+ were checked. The data obtained were processed using one-way variance analysis ANOVA (Statistica for Windows 8.0). Results and discussion. It is shown that magnetite nanoparticles elevated the pH level in 3 hours, reduced in 24 hours and did not affect it in 72 hours and 5 days as compared to the control pathology. The administration of magnetite nanoparticles after 3 hours, 24 hours and 5 days resulted in increase in Na+ content compared to that in blood loss. An increase in the content of K+ took place after 24 hours as compared to the control pathology. Magnetite nanoparticles contributed to the normalization of Ca2+ after 72 hours. The content of HCO3– in all terms of observations ranged within normal limits, except for that in blood loss with magnetite nanoparticles introduced after 24 hours caused the increase of HCO3–in 1.2 times compared to the control pathology. Conclusion. Magnetite nanoparticles, administered to manage the acute blood loss syndrome, are able to modify the acid-base balance and electrolyte content in the blood for 5 days of recovery period that largely depends on the ability of non-iron to accelerate erythropoiesis and thus to restrain other components in the pathogenesis.

scholarly journals Therapeutic effect of thiocetam on the manifestations of ischemia-reperfusion complicated by massive blood loss and mechanical trauma

2020 ◽  
Vol 10 (12) ◽  
pp. 382-393
Author(s):  
Nataliya Volotovska
Keyword(s):  
Blood Loss ◽  
Ischemia Reperfusion ◽  
White Male ◽  
Early Period ◽  
Male Rats ◽  
Antioxidant Defenses ◽  
Mechanical Trauma ◽  
Massive Blood Loss ◽  
Post Traumatic ◽  
Positive Effect

Among the current medical and social problems, injuries and blood loss occupy a prominent place, causing stress on the antioxidant defenses. Hypoxia, which underlies the pathogenesis of the post-traumatic period of both diseases, leads to a significant imbalance in the work of internal organs. Scientists are increasingly attracted by the need to use a tourniquet or intraoperative ligatures, as reperfusion local and systemic damage develops. Antioxidants are considered a promising means of correction.The aim of the study was to investigate the features of metabolic disorders in the liver in the early post-traumatic period on the background of the use of a tourniquet and the effectiveness of thiocetam correction.Materials and methods. The experiment was perfomed on 130 white male rats (200-250 g), which were divided into 4 groups: control – the CG, the EG-1 – combination of limb ischemia-reperfusion (IR) with blood loss, the EG-2 – combination of limb IR with blood loss and mechanical trauma of the thigh; the EG-3 combination of limb IR, blood loss, mechanical injury and thiocetam administration. The Malonic dialdehide level catalase activity were estimated in the liver.Results. The use of thiocetam, which is able to struggle against of ischemia and lipid peroxidation by reactivating antiradical enzymes: superoxide dismutase, catalase and glutathione peroxidase, had a positive effect on the state of antioxidant and prooxidant units in the organ, located far from the place of primary ischemia-reperfusion. If in the group of untrated animals (the EG-2, where massive blood loss was combined with a thigh fracture and the use of hemostatic tourniquet) in the early period, the MDA level exceeded the CG data in 5,4 times, and on the 7th and 14th days remained high – being higher on 2,1 times and on 2,7 times, then in the EG-3 (group of treated animals) on the 1st day the level of MDA exceeded the CG data in 4,3 times, but on the 7th and 14th days was higher by 90,5 % and 64 % respectively. The supportive effect of thiocetam on the activity of catalase in the liver was also noted. Thus, in EG-2 the level of antioxidant enzyme on the 1st day decreased by 71,7 %, and remained almost at this level throughout the all post-experimental period. As for the group of treated animals, the level of activity on the 1st day after the intervention decreased by 44,7%, and was so for almost the entire period. On the 14th day, it remained reduced compared to the CG by 35,1 %, while in EG-2 this index was lower compared to the CG by 70,5 %.Conclusion. Having the positive effect of the introduction of thiocetam in the ischemic area, we can eventually add new complex, given the world experience, which would affect the development of the inflammatory response and the rheological properties of blood.

Dynamics of chemiluminescence in the small intestine during anesthetic preconditioning in hemorrhagic hypotension

2021 ◽  
pp. 86-93
Author(s):  
А.В. Ефремов ◽  
Т.П. Храмых ◽  
Н.В. Говорова ◽  
П.А. Ермолаев
Keyword(s):  
Small Intestine ◽  
Blood Loss ◽  
White Male ◽  
Free Radical Oxidation ◽  
Male Rats ◽  
Ether Group ◽  
Radical Oxidation ◽  
Hemorrhagic Hypotension ◽  
Sevoflurane Group ◽  
Anesthetic Preconditioning

Введение. Ведущим патогенетическим фактором массивной кровопотери является гипоксия, инициирующая активацию процессов свободнорадикального окисления (СРО) в органах и тканях и системный воспалительный ответ. Показано, что одним из универсальных звеньев формирования множественной органной дисфункции при кровопотере является изменение проницаемости кишечной стенки с транслокацией микрофлоры и токсинов в системный кровоток на фоне реперфузии. В последнее время внимание исследователей привлекает эффект анестетического прекондиционирования, в том числе при операциях, сопровождающихся геморрагической гипотензией (ГГ). Цель исследования - оценка в эксперименте динамики процессов СРО в тонкой кишке при геморрагической гипотензии на фоне применения анестетика севофлурана, обладающего эффектом анестетического прекондиционирования. Методика. Эксперименты проведены на 105 белых крысах-самцах. ГГ моделировали, используя в 1-й группе в качестве анестетика эфир во 2-й - анестетик севофлуран. Контролем служили 2 группы интактных животных: одна - с эфиром, другая - с севофлураном. Для оценки процессов СРО через 15 мин, 30 мин, 1 ч, 2 ч ГГ забирали фрагменты тонкой кишки. Исследование хемилюминесценции (ХЛ) гомогенатов тонкой кишки проводили по методу Р.Р. Фархутдинова, используя хемилюминомер “Флюорат АБЛФ-2Т”. Регистрировались показатели СРО: спонтанная светимость (СС), вспышка (В), светосумма (С∑). Результаты. Через 15 мин ГГ (2-я группа,. севофлуран) обнаружено повышение показателя СС в тощей кишке на 33%; снижение показателя В в 12-пк в 2 раза, в тощей и подвздошной кишке - на 24 и 36% соответственно. Показатель С∑ снижался в 12-пк на 36%, в тощей и подвздошной кишке - на 45% и 52% соответственно по сравнению с 1-й группой (эфир). На 30-й мин показатель СС в тощей кишке повышался на 80%. На фоне ГГ при применении севофлурана отмечено снижение показателя В в 12-пк на 38%, в тощей кишке на 22%, а в подвздошной в 3 раза. Через 1 ч ГГ при использовании севофлурана наблюдалось повышение СС в в тощей кишке в 2 раза, в 12-пк и подвздошной - на на 38% и 15% соответственно. Показатель В снижался в 12-пк на 67, в тощей - на 43%; Показатель С∑ в 12-пк и тощей кишке снижался в 2,6 и 2,5 раза, в подвздошной - на 70% по сравнению с группой «эфир». Через 2 ч ГГ в группе «севофлуран» обнаружено увеличение СС в тощей и подвздошной кишках на 80% и в 3 раза, соответственно, по сравнению с эфирным наркозом. При этом наблюдалось уменьшение С∑ в 12-п и тощей кишке - на на 24% и 15% соответственно. Заключение. На фоне ГГ наблюдается активация процессов СРО в тонкой кишке при использовании эфира; прекондиционирование анестетиком севофлураном способствовало значительному ограничению окислительного стресса в тонкой кишке крыс возможно за счет активации антиоксидантной системы. Introduction. The major pathogenetic factor of massive blood loss is hypoxia, which triggers activation of free-radical oxidation (FRO) processes in organs and tissues and the systemic inflammatory response. A universal factor of multiple organ dysfunction in blood loss is altered intestinal wall permeability with translocation of microflora and toxins into the systemic circulation during reperfusion. Recently, much of the attention has been focused on effects of anesthetic preconditioning, including during operations associated with hemorrhagic hypotension (HH). The aim of this study was to evaluate in experiment the dynamics of small intestinal FRO in HH during the use of the anesthetic sevoflurane, which has an effect of anesthetic preconditioning. Methods. Experiments were performed on 105 white male rats divided into two groups; groups 1 and 2 were exposed to HH with ether or sevoflurane as the anesthetic, respectively. Two groups of intact animals treated with ether or sevoflurane were used as the controls. Five animals died during the experiment. To evaluate FRO processes, samples of the duodenum, jejunum, and ileum were taken at 15 min, 30 min, 1 h, and 2 h of HH. The chemiluminescence (CL) study of small intestine homogenates was performed according to the Farukhutdinov method on a Fluorate ABLF-2T chemiluninometer. The following FRO indexes were recorded: spontaneous luminosity (SL), flash (F), and light sum (L∑). Significance of differences was determined with the Mann-Whitney test. Results. In the sevoflurane group 2 compared to the ether group after 15 min of HH, SL was increased in the jejunum by 33%; F was decreased in the duodenum by 50%, in the jejunum by 24%, and in the ileum by 36%; L∑ was decreased in the duodenum by 36%, in the jejunum by 45%, and in the ileum by 52%. At 30 min, SL in the jejunum was increased by 80%. In the HH+sevoflurane group, F was decreased in the duodenum by 38%, in the jejunum by 22%, and in the ileum by 27%; L∑ in the duodenum was decreased by 44%, in the jejunum by 45%, and in the ileum by 67%. After 1 h of HH+sevofluran, SL was increased in the jejunum twofold, in the duodenum by 38% and in the ileum by 15%; F was decreased in the duodenum by 67% and in the jejunum by 43%; L∑ in the duodenum was decreased by 62%, in the jejunum by 60%, and in the ileum by 70% compared to the ether group. After 2 h of HH+sevofluran, SL was increased in the jejunum and ileum by 80% and 67%, respectively, compared to the ether group. In this process, L∑ in the duodenum was decreased by 24% and in the jejunum by 15%. Conclusion. The HH+diethyl ether exposure was associated with activation of FRO processes in the small intestine. The sevoflurane preconditioning provided a significant restriction of oxidative stress in the rat small intestine due to activation of the antioxidant system in the duodenum, jejunum, and ileum at 1 h, 15 min, and 30 min of HH, respectively.

Assessment of long-term effects of smoke from wildfires on white rats

2020 ◽  
Vol 60 (11) ◽  
pp. 720-722
Author(s):  
Elizaveta S. Andreeva
Keyword(s):  
Cognitive Abilities ◽  
Memory Performance ◽  
Recovery Period ◽  
White Male ◽  
Reproductive Function ◽  
Male Rats ◽  
Long Term Effects ◽  
Wildfire Smoke ◽  
White Rats

Introduction. The study of the effects of wildfire smoke on the reproductive function is the most important scientific problem at the present stage. The aim of study is to study the behavior and cognitive abilities of sexually mature offspring obtained from white male rats exposed to the smoke of wildfires. Materials and methods. Experiments were carried out on 30 white male rats and 60 adult male of their offspring. The duration of exposure was 4 weeks, 4 hours/day. To obtain progeny exposed males were mated with intact females immediately after the exposure and in long-term period after exposure. Examination of adult progeny was performed using the "open field", Morris water maze, and histological examination of brain tissue. Results. Behavioral and cognitive alterations in offspring of male rats exposed to wildfire smoke were obtained: significant decrease in motor activity and research on higher level of negative emotional state, impaired spatial memory performance. Individuals from offspring obtained in a long-term period after exposure to smoke showed a normalization of the studied parameters to background values. Conclusions. The long-term consequences of exposure to the smoke of wildfires were revealed, manifested in the offspring of the first generation in the form of impaired behavior and cognitive abilities. The recovery period after prolonged smoke intoxication, which is 60 days and is comparable in duration with the duration of spermatogenesis in rats, is important for reducing the risk of developing CNS disorders in offspring.

scholarly journals Dynamics of endogenous intoxication indicators in condition of acute blood loss complicated by ischemia-reperfusion of the limb, and their correction by carbacetam

2020 ◽  
Vol 10 (12) ◽  
pp. 394-405
Author(s):  
I. Strelbytska ◽  
A. Hudyma
Keyword(s):  
Blood Loss ◽  
Blood Serum ◽  
Ischemia Reperfusion ◽  
Male Rats ◽  
Control Group ◽  
Acute Blood Loss ◽  
Internal Organs ◽  
Endogenous Intoxication ◽  
Limb Injuries ◽  
Experimental Group

Introduction. In the structure of injuries from gunshot wounds dominate the limb injuries that are often complicated by massive bleeding from the main vessels. The only means of rescue on the battlefield is a timely application of a tourniquet. This ensures complete exsanguination of the limb. The duration of exsanguination should not exceed 2 hours. It is proved that in conditions of acute blood loss complicated by ischemia-reperfusion of the limb, there are prerequisites for the development of dysfunction of internal organs, which in turn exacerbates dysmetabolic and functional disorders, stimulates endotoxicosis and may be complicated by multiple organ failure. However, the patterns of formation of the syndrome of endogenous intoxication in the conditions of ischemia-reperfusion of the limb, acute blood loss and their combinations have not been studied. There are no data on the effect of Carbacetam on these processes. It is known that Carbacetam has proven itself to reduce the manifestations of dysfunction of internal organs in the conditions of ischemic-reperfusion syndrome of the limb.The objective of research: To establish the dynamics of endogenous intoxication in the conditions of ischemia-reperfusion of the limb, acute blood loss and their combination. To evaluate the effectiveness of Carbacetam in the correction of identified abnormalities.Materials and methods. The experimental studies were conducted on 108 white nonlinear male rats weighing 200-220 g, which were housed in standard vivarium conditions. All animals were divided into five groups: control and four experimental. Under thiopental-sodium anesthesia in the first experimental group was simulated ischemia-reperfusion of the limb, in the second – acute blood loss, and in the third – these injuries were combined. In the fourth experimental group, animals with acute blood loss and ischemia-reperfusion of the limb were intraperitoneally administered Carbacetam at a dose of 5 mg per kilogram of animal weight. After 1 and 2 hours, as well as after 1, 7 and 14 days in the blood serum was determined the content of middle-mass molecules (MMM254, MMM280).The results and discussion. It was found that ischemia-reperfusion of the limb in comparison with the control group is accompanied by a significant increase of the MMM254 fraction in the blood serum content. From the first hour of the experiment with a maximum after 1 day and normalization of the index up to 14 days. The content in the blood serum of the MMM280 fraction became significantly higher, from the control only after 1 day with subsequent normalization in the following terms of the experiment. After simulation of acute blood loss, both studied fractions of MMM increased from 1 hour of the experiment, reached a maximum after 1 day and did not return to the control level after 14 days. For the first time it was found that two-hour ischemia-reperfusion of the limb significantly aggravates the course of acute blood loss, which revealed a significantly higher content in the serum of fractions MMM254 and MMM280 compared to other experimental groups in almost all periods of the experiment. Due to the use of Carbacetam, the content of both studied fractions of MMM in the serum compared with animals without correction was significantly reduced after 7 and 14 days of the experiment. Although the studied parameters did not return to the level of the Carbacetam control group, it can be considered a pathogenetically justified means of reducing the level of endotoxicosis in the conditions of ischemia-reperfusion of the limb and acute blood loss.Conclusions. Simulation of limb ischemia-reperfusion is accompanied by accumulation of MMM254-280 fractions with a maximum after 1 day of the experiment and normalization up to 14 days. Acute blood loss causes an increase in the serum content of fractions MMM254-280 from 1 hour of the experiment, which up to 14 days do not reach the level of control. The detected disorders are significantly exacerbated after a combination of acute blood loss and ischemia-reperfusion of the limb. The use of Carbacetam in comparison with animals without correction is accompanied by a significant decrease in the content of MMM254-280 fractions in the serum after 7 and 14 days of the experiment.

scholarly journals INFLUENCE OF TWO-HOUR TOURNIQUETS ISCHEMIA OF LIMB AND ACUTE BLOOD LOSS ON SYSTEMIC DISORDERS OF THE BODY IN THE REPERFUSION PERIOD (EXPERIMENTAL STUDY)

2020 ◽  
Vol 73 (7) ◽  
pp. 1330-1333
Author(s):  
Ivanna I. Horban ◽  
Arsen A. Hudyma ◽  
Roman V. Maksymiv ◽  
Iryna V. Antonyshyn
Keyword(s):  
Blood Loss ◽  
Negative Impact ◽  
Control Level ◽  
The Body ◽  
Male Rats ◽  
Acute Ischemia ◽  
Acute Blood Loss ◽  
Reperfusion Period ◽  
Bile Excretion ◽  
Experimental Group

The aim: to find out the effect of a two-hour tourniquets ischemia of the limb and acute blood loss on systemic disorders of the body in the postperfusion period. Materials and methods: The experiments were performed on 96 nonlinear male rats weighing 200-220 g. All experiments were performed under sodium thiopental anesthesia. In the first experimental group, two-hour tourniquets limb ischemia was simulated. In the second experimental group, acute blood loss was modeled. In the third experimental group, these lesions were combined. In 1 and 2 hours, as well as in 1, 7 and 14 days, the biliary function of the liver was determined in the experimental animals. Results: Two-hour tourniquets ischemia of the limb in the reperfusion period compared with the control was accompanied by a significant decrease in the rate of bile excretion, which reached a minimum value in 3 h – 1 day of the experiment and returned to the control level in 14 days. After the simulation of acute blood loss, the rate disturbance of bile excretion became significantly greater in all observation periods. The complication of acute ischemia-limb reperfusion caused a greater decrease in the rate of bile excretion with a maximum in 1 day of the experiment. Under these conditions, at 1, 7, and 14 days, the indicator was statistically significantly lower than in the other study groups. Conclusions: In the case of acute blood loss, complicated by two-hour tourniquets ischemia of the limb, the reperfusion period is accompanied by a summation of the negative impact of blood loss, ischemia and reperfusion of the limb on the functional state of the liver, which is a significant decrease in the rate of bile excretion with a maximum in 1 day, which further increases, but up to 14 days does not reach the level of control.

Prior immobilization stress alters adrenal hormone responses to hemorrhage in rats

1989 ◽  
Vol 257 (3) ◽  
pp. R661-R667 ◽  
Author(s):  
J. Graessler ◽  
R. Kvetnansky ◽  
D. Jezova ◽  
M. Dobrakovova ◽  
G. R. Van Loon
Keyword(s):  
Blood Loss ◽  
Immobilization Stress ◽  
Recovery Period ◽  
Male Rats ◽  
Acute Hemorrhage ◽  
Adrenal Hormone ◽  
Arterial Blood ◽  
Hormone Responses ◽  
Initial Blood ◽  
Increased Susceptibility

The effect of prior immobilization stress (IMO) on the plasma epinephrine (EPI), norepinephrine (NE), adrenocorticotropic hormone (ACTH), and corticosterone (CS) responses to acute hemorrhage was studied in conscious male rats with chronic catheters in tail artery, using two combinations of IMO and hemorrhage. IMO per se led to significant increases of EPI, NE, ACTH, and CS in all animals. Hemorrhage of 25% of estimated blood volume (EBV) performed immediately after 150 min IMO caused exaggerated release of EPI and NE, whereas CS remained unchanged at the level previously elevated by IMO. ACTH response to initial blood loss of 12.5% was diminished in previously immobilized rats. Hemorrhage of 35% EBV after 60 min IMO and a 10-min recovery period also resulted in potentiated increases in EPI and NE, suppressed ACTH secretion, and no further change in stress-elevated CS concentration. No differences between groups were observed in relative mean arterial blood pressure, plasma protein, and lactate responses to 35% hemorrhage. Posthemorrhagic increase of plasma concentration of several tissue enzyme activities was significantly higher in prestressed rats. Furthermore, 24-h mortality rate increased by 49%. In summary, our results indicate that prior IMO potentiated activation of the sympathoadrenomedullary system and suppressed ACTH response to subsequent hemorrhage. Altered neuroendocrine responsiveness and stress-induced prehemorrhagic tissue damage may play roles in the increased susceptibility of the organism to blood loss.

scholarly journals Mechanisms of metabolic brain disturbances after acute fatal blood loss

2002 ◽  
Vol 1 (4) ◽  
pp. 13-22
Author(s):  
V. T. Dolgikh
Keyword(s):  
Lipid Peroxidation ◽  
Metabolic Acidosis ◽  
Blood Loss ◽  
Clinical Death ◽  
Male Rats ◽  
Acute Blood Loss ◽  
Metabolic Disturbances ◽  
Block Scheme ◽  
Ca Ions ◽  
White Mongrel

In the course of experiments in 210 white mongrel male rats, endured 5-min clinical death from acute blood loss the mechanisms of energy, carbohydrate, lipid metabolism disturbance in postresuscitated brain tissue have been studied. It has been established that primary and secondary hypoxia, metabolic acidosis, excessive lipid peroxidation process activity, endotoxemia, neuron overload by Ca ions appeared to be the principle pathogenetic factors of the abovementioned disturbances. Pathogenetic block-scheme of early postresuscitation metabolic disturbances in brain was presented. The validity of this block-scheme principle theses was demonstrated by means of gutimin antihypoxanths (50 mg/kg) and sodium γ-hydroxybutyrate (300 mg/kg), ionolantioxidant (100 mg/kg), slow isoptin Ca-canals blocker (0,1 mg/kg) injected before clinical death.

scholarly journals CHARACTERISTICS OF BILIGENIC FUNCTION OF LIVER IN RESPONSE TO CRANIO-SKELETAL TRAUMA COMPLICATED BY HAEMORRHAGE

2019 ◽  
pp. 58-62
Author(s):  
T. A. Zaiets ◽  
T. V. Boiko ◽  
S. V. Dzyha ◽  
H. H. Habor
Keyword(s):  
Blood Loss ◽  
Bile Acids ◽  
White Male ◽  
Male Rats ◽  
Skeletal Trauma ◽  
Skeletal Injury ◽  
Function Change ◽  
Post Traumatic ◽  
Main Components ◽  
Total Bile Acids

The aim of the work. To find out the dynamics of indicators of biligenic function of the liver in response to cranial skeletal trauma associated with haemorrhage. Materials and Methods. Experiments were performed on 54 outbred white male rats, weighing 180–200 g. Animals were divided into three groups: a control one and two experimental. Closed cranio-skeletal injury according to the established technique in our own modification was mo­delled under thiopental-sodium anaesthesia. A single hit on each hip that caused a closed fracture of femoral bones, was performed by means of an individually designed device. The striking force was 0.375 J, which corresponded to a moderate injury. Results and Discussion. It has been first established that the complication of cranio-skeletal trauma with additional blood loss exa­cerbates and accelerates liver dysfunction. The content in bile of total bile acids, cholesterol, the degree of conjugation of bilirubin, the rate of biliary excretion and excretion of the main components of bile, as well as absorption-excretory and glycogen synthesizing functions are impaired already on the first day of the post-traumatic period and in all times of the follow-up period they significantly differ from the similar indices of the injured animals with no blood loss. Conclusions. In the presence of experimental cranio-skeletal trauma, the rates of liver biligenic function change up to a maximum declination in 7 days of post-traumatic period. Additional haemorrhage intensifies the revealed abnormalities: the content of total bile acids and cholesterol in bile, as well as the amount of direct bilirubin and the degree of its conjugation in post-traumatic period are significantly lower during the whole period of observation.

scholarly journals Dynamics of violations the absorption function of the small intestine in conditions of acute blood loss complicated by ischemia-reperfusion of the limbs and their correction

2021 ◽  
Vol 11 (1) ◽  
pp. 351-360
Author(s):  
I. Strelbytska ◽  
A. Hudyma
Keyword(s):  
Small Intestine ◽  
Blood Loss ◽  
Ischemia Reperfusion ◽  
Limb Ischemia ◽  
Male Rats ◽  
Control Group ◽  
Acute Blood Loss ◽  
Absorption Function ◽  
Reperfusion Period ◽  
Experimental Group

Introduction. In the structure of modern injuries in wartime and peacetime the share of gunshot wounds increased significantly. The timeliness of applying a tourniquet is one of the main methods of saving lives on the battlefield. The patterns of formation of enteral insufficiency syndrome in conditions of acute blood loss complicated by ischemia-reperfusion of the limb have not been studied enough. There are no data on the features of violations of the absorption function of the small intestine in these conditions and the effectiveness of correction with Carbacetam, which is able to reduce the manifestations of acute hemic hypoxia and ischemic-reperfusion syndrome.The objective of research: To establish the peculiarities of the absorption function of the small intestine in the pathogenesis of acute blood loss, ischemia-reperfusion of the limb and their combination. To evaluate the effectiveness of Carbacetam in the correction of identified abnormalities.Materials and methods. The experimental studies were conducted on 108 white nonlinear male rats weighing 200-220 g, which were housed in standard vivarium conditions. All animals were divided into five groups: control and four experimental. Under thiopental-sodium anesthesia in the first experimental group was simulated ischemia-reperfusion of the limb, in the second group – acute blood loss, and in the third group – these injuries were combined. In the fourth experimental group, animals with acute blood loss and ischemia-reperfusion of the limb were intraperitoneally administered Carbacetam at a dose of 5 mg per kilogram of animal weight. After 1 and 2 hours, as well as after 1, 7 and 14 days studied the absorption function of the intestines by D-xylose test.The results and discussion. Simulation of limb ischemia-reperfusion compared with the control group causes a decrease in the content of D-xylose in the urine after 1 day of the reperfusion period. Also, acute blood loss is accompanied by a significant decrease in this indicator after 1 day. Until the end of the experiment the rate increases, but up to 14 days does not reach the level of control. The combination of acute blood loss and ischemia-reperfusion of the limb causes a decrease in the content of D-xylose in the urine starting from 1 hour of the experiment, which reaches a minimum after 1 day and remains at the same level until 14 days. In these terms the rate was the lowest compared to other studied groups. The use of Carbacetam for corrective purposes in rats with acute blood loss complicated by ischemia-reperfusion of the limb, compared with animals without correction significantly reduces the detected abnormalities after 7 days and more after 14 days of use.Conclusions. Complications of acute blood loss by ischemia-reperfusion of the limb causes a significant decrease in the absorption function of the small intestine after 1 day of the experiment. The intensity of disorders was significantly higher compared to other experimental groups. The use of Сarbacetam for 7-14 days in the reperfusion period in animals with acute blood loss complicated by limb ischemia-reperfusion, compared with animals without correction, causes a significant increase in the absorption function of the small intestine. This indicates the protective effect of the drug under the conditions of simulated pathology.

scholarly journals The effect of cranioskeletal trauma complicated by blood loss on the functional state of the liver in the early period of traumatic disease in rats with different resistance to hypoxia and their correction

2021 ◽  
Vol 11 (2) ◽  
pp. 256-269
Author(s):  
D. O. Sikirynska ◽  
A. A. Hudyma ◽  
A. H. Shulhai ◽  
K. A. Pokhodun
Keyword(s):  
Blood Loss ◽  
Organ Dysfunction ◽  
Functional State ◽  
Early Period ◽  
Male Rats ◽  
Acute Blood Loss ◽  
Loss Model ◽  
Resistance To Hypoxia ◽  
Bile Excretion ◽  
Experimental Group

Introduction. Traumatic events are considered to be one of the current problems in modern urban society. Beyond being the immediate cause of the death of the injured, the development of multiple organ failure syndrome is a perilous complication of severe multiple and combined trauma. An experimental cranioskeletal trauma is known to be accompanied by internal organ dysfunction. Nonetheless, the development of organ dysfunction in terms of hypoxia resistance in the presence of cranioskeletal trauma remains insufficiently studied.The objective of research: to establish the dynamics of the functional state of the liver in the presence of cranioskeletal trauma, complicated by blood loss in rats with different hypoxia resistance in the early period of traumatic disease and evaluate the efficacy of Thiocetam in the correction of identified abnormalities.Material and methods: The experimental studies were conducted on 196 white non-linear male rats weighing 180-200g. Initially, an individual resistance to hypoxia of the rats was estimated, and the animals demonstrated high- and low- resistance value to hypoxia (HR and LR, respectively) were selected for the further study. The HR- and LR-rats were separately divided into 4 groups: control and three experimental once. In the first experimental groups the HR-and LR-animals were induced the cranioskeletal trauma under thiopental sodium anesthesia (40 mg·kg-1); the animals of the second experimental groups were inflicted the acute blood loss of 20-22% of circulating blood volume; in the third experimental groups, the HR and LR animals were subjected to an acute blood loss following the cranioskeletal trauma and administered the intraperitoneal injection of the Thiocetam at a dose of 250 mg·кg-1 of body weight once a day for correction. The bile excretion function of the liver was analyzed in the controls and experimental groups of animals 1, 3 and 7 days after trauma.The results and discussion. The conducted studies indicated the higher rate of bile excretion in the control group of LR-rats compared to the control of HR-rats. The rate of bile excretion was occurred decreased in both HR- and LR-rats under the influence of the cranioskeletal trauma. However, the degree of decrease in the studied parameter of the LR-rats was considerably greater than the corresponding value of the HR-rats. An additional blood loss model resulted in more marked abnormalities, particularly in the experimental group of LR-rats. The 7-day administration of Thiocetam led to the significant decrease in the abnormal bile excretion rate in the experimental groups of HR- and LR-rats compared to the animals without corrective medication. The analysis of deviation degree of the studied parameter in the animals administered Thiocetam in relation to the animals without correction evidenced better efficacy of the medication in the experimental group consisted of LR-rats compared to the group of HR-rats, especially under the conditions of additional acute blood loss model. Consequently, Thiocetam is able to compensate less-developed defense mechanisms of LR-rats compared to the HR-rats, which should be taken into consideration in real-life clinical practice settings in the comprehensive treatment of the injured with cranioskeletal trauma complicated by blood loss considering the possibility to determine their resistance to hypoxia.Conclusions. The rate of bile excretion as a basic indicator of the functional state of the liver in the intact LR-rats is found to be substantially higher than in HR-rats. The degree of decrease in the rate of bile excretion is significantly greater in LR-rats after 7 days of the post-traumatic period under the influence of cranioskeletal trauma complicated by acute blood loss. The administration of Thiocetam is accompanied by a marked positive effect on the rate of bile excretion in the HR- and LR-rats, but the degree of increase in the studied parameter is considerably greater in the experimental group of LR-rats.

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