The emulsified perfluorocarbon Oxycyte improves spinal cord injury in a swine model of decompression sickness.

作者: R T Mahon , C R Auker , S G Bradley , A Mendelson , A A Hall

DOI: 10.1038/SC.2012.135

关键词:

摘要: A prospective, animal model for pharmacological intervention of decompression sickness (DCS), including spinal cord (SC) injury. Signs and symptoms DCS can include joint pain, skin discoloration, cardiopulmonary congestion SC injury; severity ranges from trivial to fatal. Non-recompressive therapy may improve time-to-treatment therefore impact mortality morbidity. Oxycyte at 5 cc kg−1 provides both protection statistically significant survival benefit in a swine DCS. The purpose this study was test whether reduced dose (3 cc kg−1) would provide similar benefit. Silver Spring, MD, USA Male Yorkshire (N=50) underwent non-linear compression profile 200 fsw (feet sea water), which identical previous work using the Oxycyte. After 31 min bottom time, initiated 30 fsw per minute until surface pressure reached. Following onset DCS, intravenous or saline administered with concurrent 100% O2 1 h. primary end point DCS-induced mortality, Tarlov score histopathology as secondary points. administration 3 cc kg−1 following surfacing produced no detectable Animals that received Oxycyte, however, had lesion area. Further studies determine lowest fully efficacious adjunct treatment are warranted.

参考文章(20)
R Ball, Effect of severity, time to recompression with oxygen, and re-treatment on outcome in forty-nine cases of spinal cord decompression sickness Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society. ,vol. 20, pp. 133- 145 ,(1993)
Torres Ln, Spiess Bd, Torres Filho Ip, Tissue oxygenation and microvascular hemodynamics in experimental arterial gas embolism. Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society. ,vol. 38, pp. 537- ,(2011)
Barbee Rw, Zhu J, Spiess Bd, Berger Be, Somera L, Hullett Jb, Ward Kr, Intravenous perfluorocarbon emulsion increases nitrogen washout after venous gas emboli in rabbits. Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society. ,vol. 34, pp. 7- 20 ,(2007)
J. R. Broome, E. J. Dick, Neurological decompression illness in swine Aviation, Space, and Environmental Medicine. ,vol. 67, pp. 207- 213 ,(1996)
Andreas Fahlman, Bruce D. Spiess, David M. Dromsky, Treatment of decompression sickness in swine with intravenous perfluorocarbon emulsion. Aviation, Space, and Environmental Medicine. ,vol. 75, pp. 301- 305 ,(2004)
Richard T. Mahon, Tomas T. Watanabe, Madison C. Wilson, Charles R. Auker, Intravenous perfluorocarbon after onset of decompression sickness decreases mortality in 20-kg swine. Aviation, Space, and Environmental Medicine. ,vol. 81, pp. 555- 559 ,(2010) , 10.3357/ASEM.2745.2010
G. Blick, Notes on Diver's Paralysis BMJ. ,vol. 2, pp. 1796- 1798 ,(1909) , 10.1136/BMJ.2.2556.1796
B D Spiess, B Braverman, A W Woronowicz, A D Ivankovich, Protection from cerebral air emboli with perfluorocarbons in rabbits. Stroke. ,vol. 17, pp. 1146- 1149 ,(1986) , 10.1161/01.STR.17.6.1146
L. Marzella, A. Yin, Role of extravascular gas bubbles in spinal cord injury induced by decompression sickness in the rat. Experimental and Molecular Pathology. ,vol. 61, pp. 16- 23 ,(1994) , 10.1006/EXMP.1994.1022
Jean-Eric Blatteau, E. Gempp, O. Simon, M. Coulange, B. Delafosse, V. Souday, G. Cochard, J. Arvieux, A. Henckes, P. Lafere, P. Germonpre, J.-M. Lapoussiere, M. Hugon, P. Constantin, A. Barthelemy, Prognostic Factors of Spinal Cord Decompression Sickness in Recreational Diving: Retrospective and Multicentric Analysis of 279 Cases Neurocritical Care. ,vol. 15, pp. 120- 127 ,(2011) , 10.1007/S12028-010-9370-1