Résumé
BACKGROUND: The transplantation of adrenal medullary tissue into the CNS of the rat can reduce pain. This results from the release of opioid peptides and catecholamines from the transplanted chromaffin cells. However, whether the adrenal gland transplanted in peripheral tissue can also reduce the pain is not well documented. The purpose of this study was to assess the potential for theadrenal gland implanted into the peripheral tissue of the rat to reduce mechanical hyperalgesia induced by inflammation. METHODS: Fifteen male Wistar rats were divided into three groups; one for implantation of the adrenal gland (AG), another for the kidney (Kd), and the other for a Sham operation (S). Tissues for transplantation were harvested from Sprague-Dawley rats. Two weeks after surgery, inflammation was induced by injecting 0.05 ml of Freund's Complete Adjuvant (FCA) into the dorsum of the rat's hind paw. Mechanical hyperalgesia was assessed using automated Randall-Sellito algesiometer at 6 hr, 1, 2, 3, 7 and 14 days after injecting FCA. RESULTS: Paw withdrawal thresholds against mechanical stimuli were 84.8 6.9%, 112.1 4.6%, 86.3 8.5%, 93.6 7.4%, 90.5 3.8%, 96.9 3.8%, respectively, in the AG group, and 71.3 10.8%, 93.3 11.3%, 79.1 10.3%, 73.7 8.1%, 62.6 6.4%, 77.7 6.2%, respectively, in Kd group, and 67.2 8.3%, 88.1 11.7%, 67.7 8.1%, 69.6 8.2%, 74.5 8.5%, 81.2 6.6%, respectively, in the S group. The AG group showed less pain sensitivity compared with that of the Kd and S groups especially 7 and 14 days after injecting the drug. CONCLUSIONS: This study indicates that the transplanted adrenal gland into the peripheral tissue may provide analgesic effect for a long time after it is transplanted in the rat.
Sujets)
Animaux , Humains , Mâle , Rats , Glandes surrénales , Catécholamines , Cellules chromaffines , Hyperalgésie , Inflammation , Rein , Peptides opioïdes , Rat Sprague-Dawley , Rat WistarRésumé
BACKGROUND: The transplantation of adrenal medullary tissue into the CNS of the rat can reduce pain. This results from the release of opioid peptides and catecholamines from the transplanted chromaffin cells. However, whether the adrenal gland transplanted in peripheral tissue can also reduce the pain is not well documented. The purpose of this study was to assess the potential for theadrenal gland implanted into the peripheral tissue of the rat to reduce mechanical hyperalgesia induced by inflammation. METHODS: Fifteen male Wistar rats were divided into three groups; one for implantation of the adrenal gland (AG), another for the kidney (Kd), and the other for a Sham operation (S). Tissues for transplantation were harvested from Sprague-Dawley rats. Two weeks after surgery, inflammation was induced by injecting 0.05 ml of Freund's Complete Adjuvant (FCA) into the dorsum of the rat's hind paw. Mechanical hyperalgesia was assessed using automated Randall-Sellito algesiometer at 6 hr, 1, 2, 3, 7 and 14 days after injecting FCA. RESULTS: Paw withdrawal thresholds against mechanical stimuli were 84.8 6.9%, 112.1 4.6%, 86.3 8.5%, 93.6 7.4%, 90.5 3.8%, 96.9 3.8%, respectively, in the AG group, and 71.3 10.8%, 93.3 11.3%, 79.1 10.3%, 73.7 8.1%, 62.6 6.4%, 77.7 6.2%, respectively, in Kd group, and 67.2 8.3%, 88.1 11.7%, 67.7 8.1%, 69.6 8.2%, 74.5 8.5%, 81.2 6.6%, respectively, in the S group. The AG group showed less pain sensitivity compared with that of the Kd and S groups especially 7 and 14 days after injecting the drug. CONCLUSIONS: This study indicates that the transplanted adrenal gland into the peripheral tissue may provide analgesic effect for a long time after it is transplanted in the rat.
Sujets)
Animaux , Humains , Mâle , Rats , Glandes surrénales , Catécholamines , Cellules chromaffines , Hyperalgésie , Inflammation , Rein , Peptides opioïdes , Rat Sprague-Dawley , Rat WistarRésumé
Parotid gland swelling in association with general anesthesia is an unusual complication. Benign postoperative parotid swelling should be recognized as a noninfectious, self-limiting process occurring immediately after surgery. This enlargement is non-tender, rubbery in consistency, without crepitus, and may be accompanied by variable salivation. The mechanism of the occurrence remains unknown, but two factors most frequently associated with this phenomenon appear to be physical stimulation or manipulation of the airway or coughing and/or straining. We report bilateral parotid gland swelling in a middle-aged man after surgery under general anesthesia.
Sujets)
Anesthésie générale , Toux , Glande parotide , Stimulation physique , SalivationRésumé
Mechanical valves have generally good hemodynamic function and indefinite durability, but they have a higher thromboembolic potential and thus a requirement for permanent anticoagulation, because thrombotic occlusion is a potentially fatal complication of heart valve replacement surgery. We had experienced mitral valve replacement because of thrombosis around the replaced prosthetic valve. The patient's mechanical prosthetic valve was acutely obstructed by thrombosis, and it was a life threatening condition. We performed partial bypass through femorofemoral bypass for life saving. Femorofemoral bypass improved oxygenation and cardiovascular stability, and mitral valve replacement was successfully performed without complication.