Aroni Filippia, Xanthos Theodoros, Varsami Marianna, Argyri Ioanna, Alexaki Avgoustina, Stroumpoulis Konstantinos, Lelovas Pavlos, Papalois Apostolos, Faa Gavino, Fanos Vassillios, Iacovidou Nicoletta
National and Kapodistrian University of Athens, Medical School, Athens, Greece.
J Matern Fetal Neonatal Med. 2012 Sep;25(9):1750-4. doi: 10.3109/14767058.2012.663823. Epub 2012 Apr 23.
The aim of this study is to describe and evaluate an experimental model of neonatal normocapnic hypoxia and resuscitation.
Ten male Landrace/Large White neonatal piglets were studied. Following anaesthesia and intubation, the animals were mechanically ventilated. Surgical procedures included catheterization of the right internal jugular vein and the carotid artery. After stabilization with 21% O(2), normocapnic hypoxia was induced by decreasing the inspired O(2) to 6-8%. When piglets developed bradycardia (heart rate < 60 beats/min), reoxygenation was initiated by administering 21% O(2). Arterial blood samples were taken during baseline, hypoxia and reoxygenation in order to measure interleukine-6 and interleukine-8.
Nine out of ten animals were successfully resuscitated (one of these required chest compressions and a dose of adrenaline) and one died despite resuscitation efforts. After returning to baseline haemodynamic values, euthanasia was performed using thiopental overdose.
Haemodynamic fluctuations at baseline, during normocapnic hypoxia and reoxygenation in Landrace/Large White piglets are comparable to that in human neonates, making the breed a favorable model of human neonatal hypoxia investigation.
本研究旨在描述和评估一种新生儿正常碳酸血症性缺氧及复苏的实验模型。
对10只雄性长白/大白新生仔猪进行研究。麻醉和插管后,对动物进行机械通气。手术操作包括右颈内静脉和颈动脉插管。在用21%氧气稳定后,通过将吸入氧浓度降至6 - 8%诱导正常碳酸血症性缺氧。当仔猪出现心动过缓(心率<60次/分钟)时,通过给予21%氧气开始复氧。在基线、缺氧和复氧期间采集动脉血样本,以测量白细胞介素-6和白细胞介素-8。
10只动物中有9只成功复苏(其中1只需要胸外按压和一剂肾上腺素),1只尽管进行了复苏努力仍死亡。恢复到基线血流动力学值后,使用过量硫喷妥钠实施安乐死。
长白/大白仔猪在基线、正常碳酸血症性缺氧和复氧期间的血流动力学波动与人类新生儿相似,使该品种成为人类新生儿缺氧研究的良好模型。