Pentoxifylline improves survival following hemorrhagic shock

Pentoxifylline is an agent which improves microcirculatory blood flow, but its use as therapy for shock has not been reported. We performed this study to determine if pentoxifylline improves survival following experimental hemorrhagic shock. Anesthetized Sprague-Dawley rats were studied; the animals...

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Veröffentlicht in:Critical care medicine 1989-01, Vol.17 (1), p.36-47
Hauptverfasser: COCCIA, MICHAEL T, WAXMAN, KENNETH, SOLIMAN, M HANI, TOMINAGA, GAIL, PINDERSKI, LAURA
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container_end_page 47
container_issue 1
container_start_page 36
container_title Critical care medicine
container_volume 17
creator COCCIA, MICHAEL T
WAXMAN, KENNETH
SOLIMAN, M HANI
TOMINAGA, GAIL
PINDERSKI, LAURA
description Pentoxifylline is an agent which improves microcirculatory blood flow, but its use as therapy for shock has not been reported. We performed this study to determine if pentoxifylline improves survival following experimental hemorrhagic shock. Anesthetized Sprague-Dawley rats were studied; the animals were subjected to hemorrhage and then resuscitated using lactated Ringerʼs solution, with either placebo or pentoxifylline added by random selecting. Animals were then observed for 3 days. There was significantly increased survival in pentoxifylline-treated animals (p < .05). In additional experiments, animals received more aggressive fluid resuscitation; improved survival in the pentoxifylline group was noted almost immediately and persisted through the 72-h period. This was significant at the p < .01 level. We conclude that pentoxifylline improves survival from hemorrhagic shock in this experimental model, and has additive survival value to fluid resuscitation.
doi_str_mv 10.1097/00003246-198901000-00009
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We performed this study to determine if pentoxifylline improves survival following experimental hemorrhagic shock. Anesthetized Sprague-Dawley rats were studied; the animals were subjected to hemorrhage and then resuscitated using lactated Ringerʼs solution, with either placebo or pentoxifylline added by random selecting. Animals were then observed for 3 days. There was significantly increased survival in pentoxifylline-treated animals (p &lt; .05). In additional experiments, animals received more aggressive fluid resuscitation; improved survival in the pentoxifylline group was noted almost immediately and persisted through the 72-h period. This was significant at the p &lt; .01 level. 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Coronary intensive care</topic><topic>Fluid Therapy</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pentoxifylline - therapeutic use</topic><topic>Rats</topic><topic>Rats, Inbred Strains</topic><topic>Shock, Hemorrhagic - drug therapy</topic><topic>Theobromine - analogs &amp; derivatives</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>COCCIA, MICHAEL T</creatorcontrib><creatorcontrib>WAXMAN, KENNETH</creatorcontrib><creatorcontrib>SOLIMAN, M HANI</creatorcontrib><creatorcontrib>TOMINAGA, GAIL</creatorcontrib><creatorcontrib>PINDERSKI, LAURA</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>COCCIA, MICHAEL T</au><au>WAXMAN, KENNETH</au><au>SOLIMAN, M HANI</au><au>TOMINAGA, GAIL</au><au>PINDERSKI, LAURA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pentoxifylline improves survival following hemorrhagic shock</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1989-01</date><risdate>1989</risdate><volume>17</volume><issue>1</issue><spage>36</spage><epage>47</epage><pages>36-47</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>Pentoxifylline is an agent which improves microcirculatory blood flow, but its use as therapy for shock has not been reported. 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We conclude that pentoxifylline improves survival from hemorrhagic shock in this experimental model, and has additive survival value to fluid resuscitation.</abstract><cop>Hagerstown, MD</cop><pub>Williams &amp; Wilkins</pub><pmid>2909319</pmid><doi>10.1097/00003246-198901000-00009</doi><tpages>12</tpages></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Fluid Therapy
Intensive care medicine
Male
Medical sciences
Pentoxifylline - therapeutic use
Rats
Rats, Inbred Strains
Shock, Hemorrhagic - drug therapy
Theobromine - analogs & derivatives
title Pentoxifylline improves survival following hemorrhagic shock
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