The effects of dexmedetomidine in increased intestinal permeability after traumatic brain injury: An experimental study

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Küçük Resim

Tarih

2020

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Turkish Association of Trauma and Emergency Surgery

Erişim Hakkı

Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
info:eu-repo/semantics/openAccess

Özet

BACKGROUND: This study aims to investigate whether or not dexmedetomidine (DEX) application affects inflammation, increased intestinal mucosa damage and intestinal permeability in traumatic brain injury (TBI). METHODS: The rats included in our study were randomized into three groups as the control group (Group 1, n=10), trauma group (Group 2, n=10) and the trauma+dexmedetomidine group (Group 3, n=10). While trauma was not induced in the control group, head trauma was induced in all rats in Groups 2 and 3 with the same method. The rats in Group 3 additionally received the DEX application. Intestinal THF-a, serum TNF-a, IL-6, IL-1b and D-lactate levels were measured six hours post-trauma to assess systemic and local infection. Histopathological evaluation of the terminal ileum was performed at the 6th hour to assess mucosal damage. Intestinal permeability was evaluated by measuring the level of dextran injected into the 5-cm ileum segment adhered to the proximal and distal edges at the 30th minute in the blood taken by cardiac puncture. RESULTS: Intestinal TNF-a (p=0.003), serum TNF-a (p=0.009), IL-6 (p=0.002), IL-1b (p=0.001), and D-lactate levels measured in Group 3 (p=0.046) were significantly lower than those measured in Group 2. Dextran level measured in blood in Group 3 was observed significantly lower than that of Group 2 (p

Açıklama

Anahtar Kelimeler

Dexmedetomidine, Intestinal Mucosa Damage, Intestinal Permeability, Traumatic Brain Injury

Kaynak

Turkish Association of Trauma and Emergency Surgery-Ulusal Travma ve Acil Cerrahi Dergisi

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

26

Sayı

1

Künye

Karaca, O., Doğan, G. (2020). The effects of dexmedetomidine in increased intestinal permeability after traumatic brain injury: An experimental study. Ulus Travma Acil Cerrahi Derg, 26(1): 15-20.