Hypoxaemic reperfusion ameliorates the histopathological changes in the pig brain after a severe global cerebral ischaemic insult

We have recently shown that hypoxaemic reperfusion, after an ischaemic brain insult, improves neurological outcome and decreases lipid peroxidation. In the present study, we investigated the effect of hypoxaemic reperfusion on brain histopathological changes. Sixteen pigs subjected to a 10-min globa...

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Veröffentlicht in:Intensive care medicine 2001-05, Vol.27 (5), p.905-910
Hauptverfasser: DOUZINAS, Emmanuel E, PATSOURIS, Efstratios, ROUSSOS, Charis, KYPRIADES, Epaminondas M, MAKRIS, Dimitrios J, ANDRIANAKIS, Ilias, KORKOLOPOULOU, Penelope, BOURSINOS, Vasilios, PAPALOIS, Apostolos, SOTIROPOULOU, Christina, DAVARIS, Panagiotis
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container_end_page 910
container_issue 5
container_start_page 905
container_title Intensive care medicine
container_volume 27
creator DOUZINAS, Emmanuel E
PATSOURIS, Efstratios
ROUSSOS, Charis
KYPRIADES, Epaminondas M
MAKRIS, Dimitrios J
ANDRIANAKIS, Ilias
KORKOLOPOULOU, Penelope
BOURSINOS, Vasilios
PAPALOIS, Apostolos
SOTIROPOULOU, Christina
DAVARIS, Panagiotis
description We have recently shown that hypoxaemic reperfusion, after an ischaemic brain insult, improves neurological outcome and decreases lipid peroxidation. In the present study, we investigated the effect of hypoxaemic reperfusion on brain histopathological changes. Sixteen pigs subjected to a 10-min global cerebral ischaemia were either hypoxaemically (PaO2 = 35 mmHg, hypoxaemic reperfusion (HR) group, n = 8) or hyperoxaemically (PaO2 > 300 mmHg, control (C) group, n = 8) reperfused. The brains were removed 24 h after reperfusion and six neuropathological abnormalities were evaluated blindly and scored semi-quantitatively (0: normal to 3: severe injury) on eight representative regions of the brain. The overall cumulative score of the abnormalities and their regional prevalence, as well as the neurological outcome, were compared between the two groups. The neuronal degeneration, assessed in terms of cumulative score (P = 0.002) and regional prevalence (P = 0.025 to P = 0.041), was lower in the HR group than in the C group. Spongy degeneration attained statistically significant difference only in cerebellum (P = 0.002) and inflammation only in hippocampus (P = 0.046) but the difference in the cumulative score of these abnormalities was not statistically significant. The difference of the three neurological assessments over time was statistically significant between the two groups, i.e. after resuscitation (P = 0.001), at 8 h (P = 0.006) and at 24 h (P = 0.001) after reperfusion. Hypoxaemic reperfusion during resuscitation from a severe global ischaemic cerebral insult is associated with statistically significantly fewer histopathological changes of the brain than in controls. This is associated with a superior neurological outcome.
doi_str_mv 10.1007/s001340100932
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Spongy degeneration attained statistically significant difference only in cerebellum (P = 0.002) and inflammation only in hippocampus (P = 0.046) but the difference in the cumulative score of these abnormalities was not statistically significant. The difference of the three neurological assessments over time was statistically significant between the two groups, i.e. after resuscitation (P = 0.001), at 8 h (P = 0.006) and at 24 h (P = 0.001) after reperfusion. Hypoxaemic reperfusion during resuscitation from a severe global ischaemic cerebral insult is associated with statistically significantly fewer histopathological changes of the brain than in controls. This is associated with a superior neurological outcome.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>11430548</pmid><doi>10.1007/s001340100932</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Brain
Brain injury
Brain Ischemia - pathology
Brain Ischemia - therapy
Cardiac arrest
Cardiopulmonary Resuscitation - methods
Carotid arteries
Catheters
Cerebellum
Disease Models, Animal
Emergency and intensive care: comas and nervous system diseases
Hippocampus
Hogs
Hypoxia, Brain - prevention & control
Inflammation
Intensive care medicine
Ischemia
Laboratories
Lipid peroxidation
Lipids
Male
Medical sciences
Neurodegeneration
Ostomy
Pharmaceutical industry
Random Allocation
Reperfusion
Reperfusion - methods
Statistical analysis
Swine
Veins & arteries
title Hypoxaemic reperfusion ameliorates the histopathological changes in the pig brain after a severe global cerebral ischaemic insult
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