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In Vivo Evaluation of the Ameliorating Effects of Small-Volume Resuscitation with Four Different Fluids on Endotoxemia-Induced Kidney Injury
Joint Authors
Wang, Yan-ling
Chen, Jing-hui
Zhu, Qiong-fang
Yu, Gao-feng
Luo, Chen-fang
Li, Shang-rong
Luo, Gangjian
Hei, Ziqing
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-26
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Acute kidney injury associated with renal hypoperfusion is a frequent and severe complication during sepsis.
Fluid resuscitation is the main therapy.
However, heart failure is usually lethal for those patients receiving large volumes of fluids.
We compared the effects of small-volume resuscitation using four different treatment regimens, involving saline, hypertonic saline (HTS), hydroxyethyl starch (HES), or hypertonic saline hydroxyethyl starch (HSH), on the kidneys of rats treated with lipopolysaccharide (LPS) to induce endotoxemia.
LPS injection caused reduced and progressively deteriorated systemic (arterial blood pressure) and renal hemodynamics (renal blood flow and renal vascular resistance index) over time.
This deterioration was accompanied by marked renal functional and pathological injury, as well as an oxidative and inflammatory response, manifesting as increased levels of tumor necrosis factor-α, nitric oxide, and malondialdehyde and decreased activity of superoxide dismutase.
Small-volume perfusion with saline failed to improve renal and systemic circulation.
However, small-volume perfusion with HES and HSH greatly improved the above parameters, while HTS only transiently improved systemic and renal hemodynamics with obvious renal injury.
Therefore, single small-volume resuscitation with HES and HSH could be valid therapeutic approaches to ameliorate kidney injury induced by endotoxemia, while HTS transiently delays injury and saline shows no protective effects.
American Psychological Association (APA)
Wang, Yan-ling& Chen, Jing-hui& Zhu, Qiong-fang& Yu, Gao-feng& Luo, Chen-fang& Luo, Gangjian…[et al.]. 2015. In Vivo Evaluation of the Ameliorating Effects of Small-Volume Resuscitation with Four Different Fluids on Endotoxemia-Induced Kidney Injury. Mediators of Inflammation،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1072532
Modern Language Association (MLA)
Wang, Yan-ling…[et al.]. In Vivo Evaluation of the Ameliorating Effects of Small-Volume Resuscitation with Four Different Fluids on Endotoxemia-Induced Kidney Injury. Mediators of Inflammation No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1072532
American Medical Association (AMA)
Wang, Yan-ling& Chen, Jing-hui& Zhu, Qiong-fang& Yu, Gao-feng& Luo, Chen-fang& Luo, Gangjian…[et al.]. In Vivo Evaluation of the Ameliorating Effects of Small-Volume Resuscitation with Four Different Fluids on Endotoxemia-Induced Kidney Injury. Mediators of Inflammation. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1072532
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1072532