Literature DB >> 18777596

Ketamine anesthesia reduces intestinal ischemia/reperfusion injury in rats.

Carlos Rodrigo Cámara1, Francisco Javier Guzmán, Ernesto Alexis Barrera, Andrés Jesús Cabello, Armando Garcia, Nancy Esthela Fernández, Eloy Caballero, Jesus Ancer.   

Abstract

AIM: To investigate the effects of ketamine anesthesia on the motility alterations and tissue injury caused by ischemia/reperfusion in rats.
METHODS: Thirty male Wistar rats weighing 200-250 g were used. Ischemia was induced by obstructing blood flow in 25% of the total small intestinal length (ileum) with a vascular clamp for 45 min, after which either 60 min or 24 h of reperfusion was allowed. Rats were either anesthetized with pentobarbital sodium (50 mg/kg) or ketamine (100 mg/kg). Control groups received sham surgery. After 60 min of reperfusion, the intestine was examined for morphological alterations, and after 24 h intestinal basic electrical rhythm (BER) frequency was calculated, and intestinal transit determined in all groups.
RESULTS: The intestinal mucosa in rats that were anesthetized with ketamine showed moderate alterations such as epithelial lifting, while ulceration and hemorrhage was observed in rats that received pentobarbital sodium after 60 min of reperfusion. Quantitative analysis of structural damage using the Chiu scale showed significantly less injury in rats that received ketamine than in rats that did not (2.35+/-1.14 vs 4.58+/-0.50, P<0.0001). The distance traveled by a marker, expressed as percentage of total intestinal length, in rats that received pentobarbital sodium was 20%+/-2% in comparison with 25.9%+/-1.64% in rats that received ketamine (P=0.017). BER was not statistically different between groups.
CONCLUSION: Our results show that ketamine anesthesia is associated with diminished intestinal injury and abolishes the intestinal transit delay induced by ischemia/reperfusion.

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Year:  2008        PMID: 18777596      PMCID: PMC2744009          DOI: 10.3748/wjg.14.5192

Source DB:  PubMed          Journal:  World J Gastroenterol        ISSN: 1007-9327            Impact factor:   5.742


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