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find Keyword "Hyperoxia management" 1 results
  • Hyperoxia Management During Deep Hypothermia for Cerebral Protection in a Circulatory Arrest Rabbit Model

    Abstract: Objective To investigate the cerebral protective effects of hyperoxia management during deep hypothermia circulatory arrest(DHCA) rabbit by the blood gas indexes, superoxide dismutase( SOD) activity and malondialdehyde (MDA) levels of brain, and ratio of water to brain. Methods A DHCA and antegrade selective cerebral perfusion (ASCP) rabbit model was established. Twenty-four 11-13 week-old male New Zealand rabbits( weighing 2.7 to 3.4 kg) were assigned to three groups with a random number table: a sham operation group (Sham group), an ASCP group (S group), and an ASCP + hyperoxia management group (SH group). There were eight rabbits in each group. We recorded the intraoperative values for arterial oxygen pressure (PaO2), arterial oxygen saturation (SaO2), jugular venous oxygen pressure(PjvO2), jugular venous oxygen saturation( SjvO2) and blood lactate level. The brain SOD activity, MDA levels, and ratio of water to brain were measured after the operation. Results Before initiating circulatory arrest, before initiating reperfusion and five minutes of reperfusion, levels of PaO2 , PjvO2 , and SjvO2 in the SH group were significantly higher than those of the S group and Sham group. SOD activity in the SH group was not significantly different from that of the S group[(213.53±33.52) U/mg. prot vs. (193.02±27.67) U/mg. prot] and Sham group[(213.53±33.52) U/mg. prot vs.(244.38±35.02)U/mg. prot], but the SOD activity in the S group was lower than that in the Sham group( P < 0.05). MDA levels in the SH group were lower than that in the S group[(1.42±0.30) nmol/mg. prot vs. (2.37±0.55) nmol/mg. prot, P < 0.05]. Conclusion Our data show that hyperoxia management during DHCA+ASCP improves rabbits’PjvO2 and SjvO2, maintains brain SOD activity, and decreases brain MDA levels, demonstrating the neuroprotective effects of hyperoxia mangagement.

    Release date:2016-08-30 05:48 Export PDF Favorites Scan
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