scholarly journals Electrochemical detoxification in cancer patients after multiorgan surgery with severe endogenous intoxication

2021 ◽  
Vol 29 (2) ◽  
pp. 52-61
Author(s):  
Y. M. Krutko ◽  
S. O. Pylypenko ◽  
O. S. Pavliuchenko
Keyword(s):  
Cancer Patients ◽  
Sodium Hypochlorite ◽  
High Efficiency ◽  
Abdominal Cavity ◽  
Practical Significance ◽  
Sodium Hypochlorite Solution ◽  
Hypochlorite Solution ◽  
Post Surgery ◽  
Endogenous Intoxication ◽  
Insufficiency Syndrome

Background. Enteral insufficiency syndrome accompanies the development of many acute diseases of the abdominal cavity. According to the statistics, advanced and multi-organ surgical intervention in oncosurgery within the period from 2019 to 2020 resulted in enteral insufficiency being a complication in 39% of all cases, regardless of anatomical and physiological area, while complications in the form of endogenous intoxication syndrome made up 68% of cases. Purpose – studying the effectiveness of treatment of enteral insufficiency syndrome in cancer patients after multiorgan surgery with severe endogenous intoxication by means of indirect electrochemical detoxification with sodium hypochlorite solution. Materials and methods. The study involved 71 cancer patients who underwent multi-organ surgery on different anatomical and physiological areas. The patients were divided into 2 groups: treatment group (n=36) provided with indirect electrochemical detoxification by means of sodium hypochlorite solution at a concentration of 0.06%, comparison group (n=35) undergoing treatment according to standard schemes. The groups were comparable in age and anatomical and physiological areas that were operated on (surgery was performed on the chest and mediastinum as well as abdominal organs). Results. The method of electrochemical detoxification with sodium hypochlorite reducing the indicators that reflect blood toxicity and intoxication level was used for treating patients with enteral insufficiency. This was evidenced by decreased concentration of bilirubin by 23.1%, urea by 91.6%, creatinine by 99.4%, LII (leukocytal intoxication index) by 47.2% and procalcitonin by 68.2%. Being applied this method has made it possible to achieve a detoxifying effect early on day one. Conclusions. The findings of complete physical examination of cancer patients after multiorgan surgery with severe endogenous intoxication have shown a practical significance of sodium hypochlorite being included in comprehensive post-surgery treatment in enteral insufficiency syndrome cases. Infusions of 0.06% NaClO solution within 24 hours have been proved to provide a detoxifying effect: they significantly reduce elevated concentrations of bilirubin, creatinine, urea, LII and improve blood rheology. Administering sodium hypochlorite in the suppre-ssion of antioxidant defense mechanisms leads to the activation of oxidative processes. Including sodium hypochlorite in comprehensive post-surgery treatment in enteric insufficiency syndrome has shown a high efficiency.

Morphology of changes in intestine and peritoneum walls after sanation of the abdominal cavity with sodium hypochlorite solution in rats with peritonitis

2021 ◽  
Vol 2 ◽  
pp. 55-61
Author(s):  
Alla Kashafeeva ◽  
◽  
Sergey Gaimolenko ◽  
Namzhil Tsybikov
Keyword(s):  
Sodium Hypochlorite ◽  
Abdominal Cavity ◽  
Intestinal Wall ◽  
Sodium Hypochlorite Solution ◽  
Ether Anesthesia ◽  
Hypochlorite Solution ◽  
Secondary Damage ◽  
Low Concentrations ◽  
Sexually Mature ◽  
Selection Of

The aim of the study was to reveal the effect of sodium hypochlorite (HCH) solution at concentrations of 0.022%, 0.045% and 0.09% on the morphology of the intestinal wall and peritoneum during peritonitis in the experiment. Materials and methods. The study was carried out on 72 infertile sexually mature rats of both sexes weighting 190-250 g. The animal under ether anesthesia was performed laparotomy and modeling peritonitis according to the method by M.A. Magomedov. On day 1, all rats were irrigated with sodium hypochlorite solution at different concentrations (5 min). Selection of the material for study (part of the intestine) was carried out on the 1, 3 and 7th day of the experiment. Results. Sodium hypochlorite (0.022% and 0.045%) have not a proper antiseptic effect on microorganisms in secondary peritonitis. The HCH solution (0.09%) produces a sufficient bacterial and detergent effect, but contributes to secondary damage to abdominal tissues. Conclusions. 1. As an antiseptic can be recommended 0.09% solution of sodium hypochlorite with an exposure of 3-5 minutes to prevent the development of peritonitis 2. The use of low concentrations of sodium hypochlorite is possible for the purpose of mechanical cleaning of the abdominal cavity.

scholarly journals Safety assessment of an etidronate in a sodium hypochlorite solution: randomized double‐blind trial

2019 ◽  
Vol 52 (9) ◽  
pp. 1274-1282 ◽  
Author(s):  
N. V. Ballal ◽  
P. Gandhi ◽  
P. A. Shenoy ◽  
V. Shenoy Belle ◽  
V. Bhat ◽  
...  
Keyword(s):  
Sodium Hypochlorite ◽  
Safety Assessment ◽  
Sodium Hypochlorite Solution ◽  
Double Blind Trial ◽  
Double Blind ◽  
Hypochlorite Solution ◽  
Blind Trial

Reduction of Microbial Pathogens during Apple Cider Production Using Sodium Hypochlorite, Copper Ion, and Sonication

2004 ◽  
Vol 67 (4) ◽  
pp. 766-771 ◽  
Author(s):  
STEPHANIE L. RODGERS ◽  
ELLIOT T. RYSER
Keyword(s):  
Sodium Hypochlorite ◽  
Copper Ion ◽  
Microbial Pathogens ◽  
Sodium Hypochlorite Solution ◽  
Escherichia Coli O157 ◽  
Hypochlorite Solution ◽  
Apple Cider ◽  
E Coli ◽  
Log Reduction ◽  
Pathogen Reduction

Sodium hypochlorite (100 ppm), copper ion water (1 ppm), and sonication (22 to 44 kHz and 44 to 48 kHz) were assessed individually and in combination for their ability to reduce populations of Escherichia coli O157:H7 and Listeria monocytogenes on apples and in apple cider. Commercial unpasteurized cider was inoculated to contain approximately 106 CFU/ml of either pathogen and then sonicated at 44 to 48 kHz, with aliquots removed at intervals of 30 to 60 s for up to 5 min and plated to determine numbers of survivors. Subsequently, whole apples were inoculated by dipping to contain approximately 106 CFU/g E. coli O157:H7 or L. monocytogenes, held overnight, and then submerged in 1 ppm copper ion water with or without 100 ppm sodium hypochlorite for 3 min with or without sonication at 22 to 44 kHz and examined for survivors. Treated apples were also juiced, with the resulting cider sonicated for 3 min. Populations of both pathogens decreased 1 to 2 log CFU/ml in inoculated cider following 3 min of sonication. Copper ion water alone did not significantly reduce populations of either pathogen on inoculated apples. However, when used in combination with sodium hypochlorite, pathogen levels decreased approximately 2.3 log CFU/g on apples. Sonication of this copper ion–sodium hypochlorite solution at 22 to 44 kHz did not further improve pathogen reduction on apples. Numbers of either pathogen in the juice fraction were approximately 1.2 log CFU/ml lower after being juiced, with sonication (44 to 48 kHz) of the expressed juice decreasing L. monocytogenes and E. coli O157:H7 populations an additional 2 log. Hence, a 5-log reduction was achievable for both pathogens with the use of copper ion water in combination with sodium hypochlorite followed by juicing and sonication at 44 to 48 kHz.

Disinfection and surface changes of gutta‐percha cones after immersion in sodium hypochlorite solution containing surfactant

2019 ◽  
Vol 82 (8) ◽  
pp. 1290-1296
Author(s):  
Filipe C. Vitali ◽  
Lincon H. Nomura ◽  
Débora Delai ◽  
Dilma H. N. Henriques ◽  
Ana M. H. Alves ◽  
...  
Keyword(s):  
Sodium Hypochlorite ◽  
Sodium Hypochlorite Solution ◽  
Hypochlorite Solution ◽  
Gutta Percha ◽  
Surface Changes
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