keyword
https://read.qxmd.com/read/38343480/balanced-crystalloids-versus-isotonic-saline-in-pediatric-sepsis-a-comprehensive-systematic-review-and-meta-analysis
#21
JOURNAL ARTICLE
Asmaa Mhanna, Azizullah Beran, Omar Srour, Mohammed Mhanna, Ahmad Assaly, Abdelrahman Elsayed, Nicholas G Horen, Ragheb Assaly
PURPOSE: We conducted a comprehensive meta-analysis to compare the effects of balanced crystalloids (BC) and isotonic saline (IS) in pediatric sepsis. METHODS: A systematic search was performed for studies comparing BC and IS in pediatric sepsis. Outcomes included mortality, acute kidney injury (AKI), need for renal replacement therapy (RRT), hospital length of stay (LOS), and pediatric intensive care unit (PICU) LOS. A random-effect models was used to calculated pooled odds ratios (OR) and mean differences (MD) with 95% confidence intervals (CIs)...
2024: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/38335722/treatment-of-lidocaine-refractory-ventricular-tachycardia-using-procainamide-in-an-anesthetized-horse
#22
JOURNAL ARTICLE
Manuel A Fernandez-Barrientos, Harriet Flynn, Bridget Ratliff, Isabelle Kilcoyne
OBJECTIVE: To highlight the use of procainamide as a potential alternative treatment modality in cases of ventricular tachycardia that are refractory to lidocaine and magnesium sulfate. ANIMAL: 1 adult horse weighing 380 kg. CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES: A 25-year-old Arabian gelding presented with severe colic signs. Due to persistent pain, it was elected to carry out an exploratory laparotomy. During the procedure a diagnosis of severe, unstable ventricular tachycardia was made based on the ECG findings, with an initial heart rate of 195 beats per minute and severe hypotension...
February 9, 2024: Journal of the American Veterinary Medical Association
https://read.qxmd.com/read/38325565/elaborate-cooperation-of-poly-rc-binding-proteins-1-2-and-glutathione-in-ferroptosis-induced-by-plasma-activated-ringer-s-lactate
#23
JOURNAL ARTICLE
Li Jiang, Hao Zheng, Moe Ishida, Qinying Lyu, Shinya Akatsuka, Yashiro Motooka, Kotaro Sato, Yoshitaka Sekido, Kae Nakamura, Hiromasa Tanaka, Kenji Ishikawa, Hiroaki Kajiyama, Masaaki Mizuno, Masaru Hori, Shinya Toyokuni
Reactive species are involved in various aspects of neoplastic diseases, including carcinogenesis, cancer-specific metabolism and therapeutics. Non-thermal plasma (NTP) can directly provide reactive species, by integrating atmospheric and interjacent molecules as substrates, to represent a handy strategy to load oxidative stress in situ. NTP causes apoptosis and/or ferroptosis specifically in cancer cells of various types. Plasma-activated Ringer's lactate (PAL) is another modality at the preclinical stage as cancer therapeutics, based on more stable reactive species...
February 5, 2024: Free Radical Biology & Medicine
https://read.qxmd.com/read/38321966/cellular-enhancement-of-frozen-meniscus-allograft-combining-native-meniscus-and-mesenchymal-stromal-cell-injections
#24
JOURNAL ARTICLE
Caroline Struijk, Katherine L Lydon, Martin Husen, Peter Verdonk, Jozef Michielsen, Andre J van Wijnen, Aaron J Krych, Daniel B F Saris
OBJECTIVE: This proof-of-concept study investigated an improved cell-based injection therapy combining mesenchymal stem cells (MSCs) and meniscus cells (MCs) to support superior meniscus allograft repopulation and early revival compared to injecting MSCs alone. DESIGN: In this controlled laboratory study, frozen meniscus allograft samples were injected vertically with a cell suspension containing different ratios of MSCs and MCs or control (lactated ringers) and cultured for 28 days...
February 7, 2024: Cartilage
https://read.qxmd.com/read/38317178/blood-volume-and-hemodynamics-during-treatment-of-major-hemorrhage-with-ringer-solution-5-albumin-and-20-albumin-a-single-center-randomized-controlled-trial
#25
RANDOMIZED CONTROLLED TRIAL
François Jardot, Robert G Hahn, Dominique Engel, Christian M Beilstein, Patrick Y Wuethrich
BACKGROUND: Volume replacement with crystalloid fluid is the conventional treatment of hemorrhage. We challenged whether a standardized amount of 5% or 20% albumin could be a viable option to maintain the blood volume during surgery associated with major hemorrhage. Therefore, the aim of this study was to quantify and compare the plasma volume expansion properties of 5% albumin, 20% albumin, and Ringer-lactate, when infused during major surgery. METHODS: In this single-center randomized controlled trial, fluid replacement therapy to combat hypovolemia during the hemorrhagic phase of cystectomy was randomly allocated in 42 patients to receive either 5% albumin (12 mL/kg) or 20% albumin (3 mL/kg) over 30 min at the beginning of the hemorrhagic phase, both completed by a Ringer-lactate replacing blood loss in a 1:1 ratio, or Ringer-lactate alone to replace blood loss in a 3:1 ratio...
February 5, 2024: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/38300836/a-novel-oligonucleotide-mrna-mimic-attenuates-hemorrhage-induced-acute-lung-injury
#26
JOURNAL ARTICLE
Zhijian Hu, Jingsong Li, Fangming Zhang, Asha Jacob, Ping Wang
Hemorrhagic shock (HS) is accompanied by a pronounced activation of the inflammatory response in which acute lung injury (ALI) is one of the most frequent consequences. Among the pivotal orchestrators of this inflammatory cascade, extracellular cold-inducible RNA-binding protein (eCIRP) emerges as a noteworthy focal point, rendering it as a promising target for the management of inflammation and tissue injury. Recently, we have reported that oligonucleotide poly(A) mRNA mimic termed A12 selectively binds to the RNA binding region of eCIRP and inhibits eCIRP binding to its receptor TLR4...
January 8, 2024: Shock
https://read.qxmd.com/read/38289882/comparison-of-postoperative-ascites-replacement-strategies-on-time-to-first-flatus-after-living-donor-liver-transplantation-albumin-vs-lactated-ringer-s-solution
#27
RANDOMIZED CONTROLLED TRIAL
Seung-Young Oh, Hye-Young Woo, Leerang Lim, Hyunjae Im, Hannah Lee, Jeong-Moo Lee, Suk Kyun Hong, YoungRok Choi, Nam-Joon Yi, Kwang-Woong Lee, Kyung-Suk Suh, Ho Geol Ryu
INTRODUCTION: There is insufficient evidence regarding the optimal regimen for ascites replacement after living donor liver transplantation (LT) and its effectiveness. The aim of this study is to evaluate the impact of replacing postoperative ascites after LT with albumin on time to first flatus during recovery with early ambulation and incidence of acute kidney injury (AKI). METHODS: Adult patients who underwent elective living donor LT at Seoul National University Hospital from 2019 to 2021 were randomly assigned to either the albumin group or lactated Ringer's group, based on the ascites replacement regimen...
January 2024: Clinical Transplantation
https://read.qxmd.com/read/38272068/past-meets-present-reviving-80-year-old-canadian-dried-serum-from-world-war-ii-and-its-significance-in-advancing-modern-freeze-dried-plasma-for-prehospital-management-of-haemorrhage
#28
JOURNAL ARTICLE
Kanwal Singh, Henry T Peng, Katy Moes, Colin A Kretz, Andrew Beckett
During World War II, Charles H. Best utilized Charles R. Drew's plasma isolation and drying technique to lead Canada's initiative to provide dried serum as a means of primary resuscitation for British casualties on the frontlines. Serum was likely utilized over plasma for its volume expansion properties without the risk of clotting during prolonged storage. We reconstituted dried serum from 1943 and discovered intact albumin, as well as anti-thrombin, plasminogen, protein C and protein S activity. Proteomic analysis identified 71 proteins, most prominent being albumin, and positive for hepatitis B by serological testing...
January 25, 2024: British Journal of Haematology
https://read.qxmd.com/read/38259325/effects-of-intra-articular-administration-of-hyaluronic-acid-or-platelet-rich-plasma-as-a-complementary-treatment-to-arthroscopy-in-horses-with-osteochondritis-dissecans
#29
JOURNAL ARTICLE
Marcos F Pereira, Gesiane Ribeiro, Alessandra Gonzales, Julia A Arantes, Renata G S Dória
Although arthroscopy is the treatment of choice for horses with osteochondritis dissecans (OCD), it is not yet known whether intra-articular therapies in the postoperative period can bring any benefit to the recovery of these animals. This study evaluated the effects of the intra-articular application of platelet-rich plasma (PRP), hyaluronic acid (HA) or lactated Ringer's solution (LR) in horses with OCD undergoing arthroscopy. Eighteen male and female Brazilian Sport horses aged between 2 and 6 years were evaluated...
March 2024: Veterinary and Animal Science
https://read.qxmd.com/read/38244592/comparison-of-lactated-ringer-s-solution-and-plasma-lyte-a-as-a-base-solution-for-del-nido-cardioplegia-a-prospective-randomized-trial
#30
JOURNAL ARTICLE
Narongrit Kantathut, Pimchanok Krathong, Siam Khajarern, Parinya Leelayana, Piya Cherntanomwong
OBJECTIVES: The use of del Nido cardioplegia has been increasing in popularity for adult cardiac surgery. However, the base solution, Plasma-Lyte A, is not always available in many countries. This prospective randomized controlled trial evaluated myocardial preservation and clinical outcomes when using lactated Ringer's solution compared to Plasma-Lyte A as a base solution for del Nido cardioplegia. METHODS: Adult patients undergoing first-time elective cardiac surgery for acquired heart disease, including isolated coronary artery bypass grafting, isolated valve surgery, combined valve surgery, or concomitant coronary artery bypass grafting and valve surgery were randomized to receive either lactated Ringer's solution (n = 100) or Plasma-Lyte A (n = 100)...
January 20, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38239959/silicone-oil-as-a-corneal-lubricant-to-reduce-corneal-edema-and-improve-visualization-during-vitrectomy
#31
JOURNAL ARTICLE
Dan-Yang Che, Zhu-Lin Chan, Ji-Bo Zhou, Dong-Qing Zhu
AIM: To evaluate the efficacy and safety of silicone oil (SO) as a corneal lubricant to improve visualization during vitrectomy. METHODS: Patients who underwent vitreoretinal surgery were divided into two groups. Group 1 was operated on with initial SO (Oxane 5700) as a corneal lubricant. Group 2 was operated on with initial lactated ringer's solution (LRS) and then replaced with SO as required. Fundus clarity was scored during the surgery. Fluorescein staining was performed to determine the damage to corneal epithelium...
2024: International Journal of Ophthalmology
https://read.qxmd.com/read/38237658/is-intravenous-dextrose-infusion-during-emergence-from-anesthesia-effective-in-improving-the-ponv-in-gynecologic-laparoscopy-a-randomized-controlled-trial
#32
JOURNAL ARTICLE
Jiang Liu, Fengxian Zhang, Lin Cheng, Hongwei Zheng, Rong Ma, Xiaoyan Wang, Shirong Fang, Yuxiu Liu
STUDY OBJECTIVE: The aim of this study was to explore the relationship between intravenous 5% dextrose infusion during emergence from anesthesia to post-operative nausea and vomiting (PONV) in patients following gynecologic laparoscopic surgery. DESIGN: This was a double-blind randomized controlled trial. Participants were randomized into the experimental group and control group using a computer-generated random number generator. Intervenors and measurers were blinded to group assignments of the study...
January 16, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38218753/a-new-lymphedema-treatment-using-pyro-drive-jet-injection
#33
JOURNAL ARTICLE
Megumi Nishiyama, Yuko Sakaguchi, Sayuri Morito, Kei Nagase, Takehisa Sakumoto, Kunihiko Yamashita, Mariko Hashiguchi, Makoto Fukuda, Shuji Toda, Shigehisa Aoki
Lymphedema, resulting from impaired lymphatic drainage, causes inflammation, fibrosis and tissue damage leading to symptoms such as limb swelling and restricted mobility. Despite various treatments under exploration, no standard effective therapy exists. Here a novel technique using the pyro-drive jet injection (PJI) was used to create artificial clefts between collagen fibers, which facilitated the removal of excess interstitial fluid. The PJI was used to deliver a mixture of lactated Ringer's solution and air into the tail of animals with secondary skin edema...
January 14, 2024: Human Cell
https://read.qxmd.com/read/38212494/radix-sanguisorbae-improves-intestinal-barrier-in-septic-rats-via-hif-1-%C3%AE-ho-1-f-e2-axis
#34
JOURNAL ARTICLE
Yi-Yan Liu, Dai-Qin Bao, Zi-Sen Zhang, Yu Zhu, Liang-Ming Liu, Tao Li
OBJECTIVE: To investigate whether Radix Sanguisorbae (RS, Diyu) could restore intestinal barrier function following sepsis using a cecal ligation and puncture (CLP)-induced septic rat model and lipopolysaccharide (LPS)-challenged IEC-6 cell model, respectively. METHODS: Totally 224 rats were divided into 4 groups including a control, sham, CLP and RS group according to a random number table. The rats in the control group were administrated with Ringer's lactate solution (30 mL/kg) with additional dopamine [10 µ g/(kg·min)] and given intramuscular injections of cefuroxime sodium (10 mg/kg) 12 h following CLP...
January 12, 2024: Chinese Journal of Integrative Medicine
https://read.qxmd.com/read/38179398/management-of-acute-ferrous-sulfate-poisoning-using-activated-charcoal-monotherapy-a-case-report
#35
Salah Eldin A Abdel Haleem
A 13-year-old schoolgirl presented to a public hospital having ingested over 70 tablets of 65 mg of prescription ferrous sulphate within the last hour. She complained of a 7/10 sharp abdominal pain. Signs included lethargy, agony, diaphoresis, and frequent eructation. Gastrointestinal movements were audible and frequent. Heart rate was at 50 beats per minute with intact but weak pulsations. Blood pressure was at 95/65 mmHg. During the clerking, she started vomiting in pouts separated by few-minute intervals...
December 2023: Curēus
https://read.qxmd.com/read/38164322/a-comparison-between-saline-and-balanced-solutions-in-kidney-transplants-a-randomized-clinical-trial
#36
JOURNAL ARTICLE
Heitor Medeiros, Paulo H Lima, Vital S Junior, Diego A Souza, Aline M Pinheiro, Rand R Martins, Kellen M A H Costa, Jose Hipolito D Junior, Paulo J Medeiros, Wallace A Da Silva
Objective This study aimed to investigate the impact of different types of intravenous fluids - normal saline (NS), lactated Ringer's solution (LR), and PlasmaLyte (PL) - on the acid-base balance and electrolyte concentration following kidney transplant, a common procedure for patients with end-stage renal disease (ESRD). Methodology A randomized controlled trial design was employed, wherein the primary parameters analyzed were postoperative pH and serum potassium levels. Postoperative concentrations of serum bicarbonate, sodium, chloride, and creatinine, as well as graft functionality, were assessed as secondary outcomes...
December 2023: Curēus
https://read.qxmd.com/read/38157984/lowering-cranioplasty-infection-incidence-with-novel-bone-flap-storage-protocol-a-retrospective-cohort-study
#37
JOURNAL ARTICLE
Varun Rao, Noah Burket, Alexei Christodoulides, Christopher Wilson, Chiara A Flores, Jae Hyun Kwon, James Miller, Jamie Bradbury
INTRODUCTION: After craniectomy, autologous bone flaps may be stored using wet or dry cryopreservation. After brain edema subsides, they are replaced during an operation termed "cranioplasty." Cranioplasty is associated with 15% infection incidence. METHODS: We conducted a retrospective comparison of infection outcomes between "wet" and "dry" cryopreservation of cranioplasty bone flaps. Historically, bone flaps were stored utilizing "wet" cryopreservation - bone flap storage in 1 L of Lactated Ringer's solution containing 80mg gentamicin and 2g nafcillin in a sterile plastic container secured in an unsterile plastic bag...
December 27, 2023: World Neurosurgery
https://read.qxmd.com/read/38155325/additional-bicarbonate-infusion-complements-who-rehydration-therapy-in-children-with-acute-diarrhea-and-severe-dehydration-presenting-with-severe-non-anion-gap-metabolic-acidemia-an-open-label-randomized-trial
#38
JOURNAL ARTICLE
Lalit Takia, Arun K Baranwal, Pramod K Gupta, Muralidharan Jayashree, Suresh Kumar Angurana
OBJECTIVES: To assess the efficacy and safety of bicarbonate infusion in children with Acute Diarrhea and Severe Dehydration (ADSD) having severe Non-Anion Gap Metabolic Acidemia (sNAGMA). METHODS: Children (aged 1-144 mo) with ADSD and sNAGMA (pH ≤7.2 and/or serum bicarbonate ≤15 mEq/L) were enrolled in an open-label randomized design. Controls (n = 25) received WHO-recommended rehydration therapy with Ringer Lactate, while intervention group (n = 25) received additional bicarbonate deficit correction...
December 29, 2023: Indian Journal of Pediatrics
https://read.qxmd.com/read/38146499/the-autologous-chondral-platelet-rich-plasma-matrix-implantation-a-new-therapy-in-cartilage-repair-and-regeneration-macroscopic-and-biomechanical-study-in-an-experimental-sheep-model
#39
JOURNAL ARTICLE
Pau Peláez-Gorrea, Elena Damiá-Giménez, Mónica Rubio-Zaragoza, Belén Cuervo-Serrato, Ángel María Hernández-Guerra, Laura Miguel-Pastor, Ayla Del Romero-Martínez, Joaquín Sopena-Juncosa, Marta Torres-Torrillas, Angelo Santana, Ramón Cugat-Bertomeu, José Manuel Vilar-Guereño, Jose Maria Carrillo-Poveda
INTRODUCTION: Articular cartilage injuries are a severe problem, and the treatments for these injuries are complex. The present study investigates a treatment for full-thickness cartilage defects called Autologous Chondral Platelet Rich Plasma Matrix Implantation (PACI) in a sheep model. METHODS: Chondral defects 8 mm in diameter were surgically induced in the medial femoral condyles of both stifles in eight healthy sheep. Right stifles were treated with PACI and an intraarticular injection with a plasma rich in growth factors (PRGF) solution [treatment group (TRT)], while an intraarticular injection of Ringer's lactate solution was administered in left stifles [Control group (CT)]...
2023: Frontiers in Veterinary Science
https://read.qxmd.com/read/38117095/exchange-transfusion-with-vs-101-a-new-pegylated-hb-designed-to-restore-perfusion-and-increase-o2-carrying-capacity
#40
JOURNAL ARTICLE
William H Nugent, Forest R Sheppard, Kim D Vandegriff, William M Schindler, Ashok Malavalli, Bjorn K Song
Blood products are the current standard for resuscitation of hemorrhagic shock. However, logistical constraints of perishable blood limit availability and pre-hospital use meaning alternatives that provide blood-like responses remain an area of active investigation and development. VS-101 is a new PEGylated human hemoglobin-based oxygen carrier that avoids the logistical hurdles of traditional blood transfusion. This study sought to determine the safety and ability of VS-101 to maintain circulatory function and capillary oxygen delivery in a severe (50%) exchange transfusion (ET) model...
December 13, 2023: Shock
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