Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model

Our aim was to evaluate lung injury due to oxidative stress and antioxidant activity levels in an infrarenal ischemia–reperfusion model and to compare prevention effects of single and combined use of propofol and remifentanil. In this study, a total of 40 adult Wistar Albino rats were randomly divid...

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Autores principales: Kanbak Orhan, Aydoğan Burcu, Gümüş Tülin
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Lenguaje:EN
Publicado: De Gruyter 2021
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Acceso en línea:https://doaj.org/article/3098eedb66034590bbecb576ff6c9b48
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spelling oai:doaj.org-article:3098eedb66034590bbecb576ff6c9b482021-12-05T14:10:55ZEffects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model2391-546310.1515/med-2021-0381https://doaj.org/article/3098eedb66034590bbecb576ff6c9b482021-11-01T00:00:00Zhttps://doi.org/10.1515/med-2021-0381https://doaj.org/toc/2391-5463Our aim was to evaluate lung injury due to oxidative stress and antioxidant activity levels in an infrarenal ischemia–reperfusion model and to compare prevention effects of single and combined use of propofol and remifentanil. In this study, a total of 40 adult Wistar Albino rats were randomly divided into five groups of eight rats as SHAM, physiological saline, intraperitoneal propofol, remifentanil, and propofol and remifentanil groups. Blood and tissue samples were obtained after 80 min of reperfusion. The malondialdehyde (MDA) level, a measure of lipid peroxidation, was measured in lung tissue samples and red blood cells; additionally, total oxidant status and total antioxidant capacity of lung tissues were measured and histopathological examination was performed. Distant organ (lung) injury developed due to lower extremity ischemia–reperfusion was created by infrarenal aortic clamping. The lipid peroxidation product MDA and total oxidant levels were increased, but there was insufficient antioxidant protection both in the lung tissues and red blood cells. While propofol prevented this injury consistent with its proposed antioxidant properties; no protective effect of remifentanil was observed. On the contrary, it showed oxidative stress increasing effect. This study concluded that the antioxidant effect of propofol was suppressed by remifentanil in the case of combined use.Kanbak OrhanAydoğan BurcuGümüş TülinDe Gruyterarticleoxidative stressischemia–reperfusion injuryanestheticsintravenousMedicineRENOpen Medicine, Vol 16, Iss 1, Pp 1673-1680 (2021)
institution DOAJ
collection DOAJ
language EN
topic oxidative stress
ischemia–reperfusion injury
anesthetics
intravenous
Medicine
R
spellingShingle oxidative stress
ischemia–reperfusion injury
anesthetics
intravenous
Medicine
R
Kanbak Orhan
Aydoğan Burcu
Gümüş Tülin
Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
description Our aim was to evaluate lung injury due to oxidative stress and antioxidant activity levels in an infrarenal ischemia–reperfusion model and to compare prevention effects of single and combined use of propofol and remifentanil. In this study, a total of 40 adult Wistar Albino rats were randomly divided into five groups of eight rats as SHAM, physiological saline, intraperitoneal propofol, remifentanil, and propofol and remifentanil groups. Blood and tissue samples were obtained after 80 min of reperfusion. The malondialdehyde (MDA) level, a measure of lipid peroxidation, was measured in lung tissue samples and red blood cells; additionally, total oxidant status and total antioxidant capacity of lung tissues were measured and histopathological examination was performed. Distant organ (lung) injury developed due to lower extremity ischemia–reperfusion was created by infrarenal aortic clamping. The lipid peroxidation product MDA and total oxidant levels were increased, but there was insufficient antioxidant protection both in the lung tissues and red blood cells. While propofol prevented this injury consistent with its proposed antioxidant properties; no protective effect of remifentanil was observed. On the contrary, it showed oxidative stress increasing effect. This study concluded that the antioxidant effect of propofol was suppressed by remifentanil in the case of combined use.
format article
author Kanbak Orhan
Aydoğan Burcu
Gümüş Tülin
author_facet Kanbak Orhan
Aydoğan Burcu
Gümüş Tülin
author_sort Kanbak Orhan
title Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
title_short Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
title_full Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
title_fullStr Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
title_full_unstemmed Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
title_sort effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
publisher De Gruyter
publishDate 2021
url https://doaj.org/article/3098eedb66034590bbecb576ff6c9b48
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AT aydoganburcu effectsofremifentanilandpropofolondistantorganlunginjuryinanischemiareperfusionmodel
AT gumustulin effectsofremifentanilandpropofolondistantorganlunginjuryinanischemiareperfusionmodel
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