title: Pentalyte does not decrease heparinoid release but does decrease circulating thrombotic mediator activity associated with aortic occlusion-reperfusion in rabbits.
abstract: Hemorrhage and thrombosis are associated with major vascular and trauma surgery. Release of heparinoids and thrombotic mediators may contribute to these complications and have been described in rabbits after aortic occlusion-reperfusion. We hypothesized that the resuscitative fluid used could reduce heparinoid and thrombotic mediator release after aortic occlusion-reperfusion in rabbits as assessed by thromboelastographic variables (R, reaction time; alpha, angle; and G, a measure of clot strength). Anesthetized rabbits were administered lactated Ringer's solution (n = 8) or PentaLyte (n = 8) at reperfusion after 30 min of ischemia. Blood was obtained before ischemia and after 30 min of reperfusion for thromboelastography under four conditions: 1) unmodified sample, 2) platelet inhibition, 3) heparinase, and 4) platelet inhibition and heparinase. During reperfusion, unmodified samples demonstrated a significant increase in R and decrease in alpha and G that was not affected by PentaLyte. In the presence of heparinase, no significant fluid-specific thromboelastographic differences were noted. However, thrombotic mediator release (discerned by a decrease in R and an increase in alpha) during reperfusion in samples with platelet inhibition and heparinase was significantly attenuated by PentaLyte. PentaLyte administration does not decrease heparinoid release but does decrease thrombotic mediator release after aortic occlusion-reperfusion.
authors.affiliation: Department of Anesthesiology, Division of Cardiothoracic Anesthesia, The University of Alabama at Birmingham, Birmingham, Alabama 35249, USA. vance.nielsen@ccc.uab.edu
authors.forename: V G
authors.initials: VG
authors.lastname: Nielsen
authors.forename: V E
authors.initials: VE
authors.lastname: Armstead
authors.forename: B T
authors.initials: BT
authors.lastname: Geary
authors.forename: I L
authors.initials: IL
authors.lastname: Opentanova
mesh_terms: D000818:Animals; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000378:metabolism*; D001157:Arterial Occlusive Diseases / Q000378:metabolism*; D004573:Electrolytes / Q000494:pharmacology*; D005947:Glucose / Q000494:pharmacology*; D006400:Hematocrit; D006439:Hemodynamics / Q000187:drug effects; D006496:Heparinoids / Q000378:metabolism*; D006895:Hydroxyethyl Starch Derivatives / Q000494:pharmacology*; D011817:Rabbits; D015424:Reperfusion; D012151:Resuscitation; D013925:Thromboplastin / Q000378:metabolism*; D013927:Thrombosis / Q000378:metabolism*
chemical_list: D004573:Electrolytes; D006496:Heparinoids; D006895:Hydroxyethyl Starch Derivatives; C112942:PentaLyte; D013925:Thromboplastin; D005947:Glucose