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Acta cir. bras ; 28(12): 833-841, Dec. 2013. ilus, tab
Article Dans Anglais | LILACS | ID: lil-695967

Résumé

PURPOSE: To compare the incidence of endothelial injury after single-dose or continuous propofol infusion in conventional lipid-based emulsion (LE) versus microemulsion (ME). METHODS: Forty-two rabbits (2.5-4.5 Kg) were randomly allocated into seven groups of six animals each: SHAM- surgical treatment alone; Bolus Control Group - 3 mL-intravenous (IV) bolus of saline; Continuous Infusion Control Group - 3 mL- IV bolus of saline followed by a continuous infusion of 0.2 ml/kg/min for 60 min; Bolus LE Propofol Group - IV bolus of LE propofol (3 mg/kg); Bolus ME Propofol Group - IV ME propofol bolus (3 mg/kg); Continuous LE Propofol Group - IV LE propofol bolus (3 mg/kg) followed by a continuous infusion of 0.2 ml/kg/min for 60 min; Continuous ME Propofol Group - IV ME propofol bolus (3 mg/kg) followed by a continuous infusion of 0.2 ml/kg/min for 60 min. RESULTS: There were no statistically significant differences between the studied groups in blood pressure, in central venous pressure and in the biochemical profile. No significant differences were found in inflammatory mediators and in tissue analysis between the two emulsions. CONCLUSION: Microemulsion and lipid-based emulsion propofol had similar inflammatory, biochemical and microscopy profiles. Thus, microemulsion propofol can be used as an alternative to lipid-based emulsion propofol.


Sujets)
Animaux , Lapins , Anesthésiques intraveineux/administration et posologie , Endothélium vasculaire/effets des médicaments et des substances chimiques , Émulsion lipidique intraveineuse/administration et posologie , Propofol/administration et posologie , Anesthésiques intraveineux/effets indésirables , Cytokines/analyse , Cellules endothéliales/effets des médicaments et des substances chimiques , Endothélium vasculaire/traumatismes , Émulsion lipidique intraveineuse/effets indésirables , Hémodynamique , Perfusions veineuses , Microscopie électronique à transmission , Propofol/effets indésirables , Répartition aléatoire , Valeurs de référence , Facteurs temps
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