Mauro José Pantoja Fontelles, R. M. Carvalho, Luana Maria Relvas D'Oliveira, André Vilarino Madeira, Pablo Vaz Gonçalves Borges, M. D'Oliveira
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The animals were bled to a mean arterial pressure of 40mmHg and were maintained at this level, by further blood withdrawal, during 20 minutes, followed by 15 minutes of resuscitation using lactated Ringer’s solution and remaining shed blood volume (3:1) to mean arterial pressure equal 80mmHg, and 120 minutes of reperfusion. Arterial blood gas, serum lactate and electrolytes (sodium and potassium) samples were measured at baseline, hemorrhagic shock, at the time of resuscitation, and at the time of reperfusion (30, 60, 90 and 120min). Results: the mean of initial values of hemodynamic parameters were – MAP=82.3mmHg, RR=51.4breaths/min, HR=141.5beats/min; gasometric parameters - pH=7.358, PaCO 2 =46.6mmHg, PaO 2 =271.9mmHg, HCO 3 - =25.0mmol/L, base deficit=1.5mmol/L, serum lactate=2.6mmol/L; electrolytic parameters – Na + =131.7mEq/L and K + =3.4mEq/L. Conclusions: this study presents a reproducible model of hemorrhagic shock in Californian rabbits, which describes the progressive hemodynamic and metabolic changes that reflect the changes seen frequently in the clinical situation, besides offers a model to assess novel therapeutics interventions in a controlled setting.","PeriodicalId":285704,"journal":{"name":"Revista Paraense De Medicina","volume":"18 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Profile of hemodynamic and gasometric parameters in rabbits submitted to controlled hemorrhagic shock\",\"authors\":\"Mauro José Pantoja Fontelles, R. M. Carvalho, Luana Maria Relvas D'Oliveira, André Vilarino Madeira, Pablo Vaz Gonçalves Borges, M. D'Oliveira\",\"doi\":\"10.5123/S0101-59072007000400003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"SUMMARY Objective: the aim of this study was to assess the values of hemodynamic, gasometric and electrolytic parameters, in rabbits submitted to controlled hemorrhagic shock, using an experimental model for catheterization of right carotid artery and jugular vein. Methods: fourteen male California rabbits were submitted to intramuscular anesthesia, and medium cervicotomy was performed for catheterization of right carotid artery and right jugular vein. The animals were bled to a mean arterial pressure of 40mmHg and were maintained at this level, by further blood withdrawal, during 20 minutes, followed by 15 minutes of resuscitation using lactated Ringer’s solution and remaining shed blood volume (3:1) to mean arterial pressure equal 80mmHg, and 120 minutes of reperfusion. Arterial blood gas, serum lactate and electrolytes (sodium and potassium) samples were measured at baseline, hemorrhagic shock, at the time of resuscitation, and at the time of reperfusion (30, 60, 90 and 120min). Results: the mean of initial values of hemodynamic parameters were – MAP=82.3mmHg, RR=51.4breaths/min, HR=141.5beats/min; gasometric parameters - pH=7.358, PaCO 2 =46.6mmHg, PaO 2 =271.9mmHg, HCO 3 - =25.0mmol/L, base deficit=1.5mmol/L, serum lactate=2.6mmol/L; electrolytic parameters – Na + =131.7mEq/L and K + =3.4mEq/L. 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引用次数: 3
摘要
摘要目的:采用右侧颈动脉和颈静脉置管实验模型,观察控制性失血性休克兔的血流动力学、血气学和电解质参数的变化。方法:对14只雄性加利福尼亚兔进行肌内麻醉,行中颈切开术置管右颈动脉和右颈静脉。动物放血至平均动脉压40mmHg,并在20分钟内通过进一步抽血将其维持在这一水平,然后用乳酸林格液和剩余流出血量(3:1)复苏15分钟,使平均动脉压等于80mmHg,再灌注120分钟。在基线、失血性休克、复苏时和再灌注时(30,60,90,120min)测量动脉血气、血清乳酸和电解质(钠和钾)样本。结果:血流动力学参数初始值均值为- MAP=82.3mmHg, RR=51.4次/min, HR=141.5次/min;气相参数- pH=7.358, paco2 =46.6mmHg, pao2 =271.9mmHg, hco3 - =25.0mmol/L,碱亏=1.5mmol/L,血清乳酸=2.6mmol/L;电解参数- Na + =131.7mEq/L, K + =3.4mEq/L。结论:本研究建立了加利福尼亚家兔失血性休克的可重复模型,该模型描述了进行性血流动力学和代谢变化,反映了临床情况中常见的变化,并为在受控环境下评估新治疗干预提供了模型。
Profile of hemodynamic and gasometric parameters in rabbits submitted to controlled hemorrhagic shock
SUMMARY Objective: the aim of this study was to assess the values of hemodynamic, gasometric and electrolytic parameters, in rabbits submitted to controlled hemorrhagic shock, using an experimental model for catheterization of right carotid artery and jugular vein. Methods: fourteen male California rabbits were submitted to intramuscular anesthesia, and medium cervicotomy was performed for catheterization of right carotid artery and right jugular vein. The animals were bled to a mean arterial pressure of 40mmHg and were maintained at this level, by further blood withdrawal, during 20 minutes, followed by 15 minutes of resuscitation using lactated Ringer’s solution and remaining shed blood volume (3:1) to mean arterial pressure equal 80mmHg, and 120 minutes of reperfusion. Arterial blood gas, serum lactate and electrolytes (sodium and potassium) samples were measured at baseline, hemorrhagic shock, at the time of resuscitation, and at the time of reperfusion (30, 60, 90 and 120min). Results: the mean of initial values of hemodynamic parameters were – MAP=82.3mmHg, RR=51.4breaths/min, HR=141.5beats/min; gasometric parameters - pH=7.358, PaCO 2 =46.6mmHg, PaO 2 =271.9mmHg, HCO 3 - =25.0mmol/L, base deficit=1.5mmol/L, serum lactate=2.6mmol/L; electrolytic parameters – Na + =131.7mEq/L and K + =3.4mEq/L. Conclusions: this study presents a reproducible model of hemorrhagic shock in Californian rabbits, which describes the progressive hemodynamic and metabolic changes that reflect the changes seen frequently in the clinical situation, besides offers a model to assess novel therapeutics interventions in a controlled setting.