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麻醉犬尿 syndecan-1 :一项随机、前瞻性研究。

Urinary syndecan-1 in dogs anesthetized with isoflurane or sevoflurane: A randomized, prospective study.

机构信息

Department of Clinical Sciences, Auburn University College of Veterinary Medicine, Auburn, Alabama, USA.

出版信息

J Vet Intern Med. 2024 Jul-Aug;38(4):2165-2170. doi: 10.1111/jvim.17121. Epub 2024 May 30.

DOI:10.1111/jvim.17121
PMID:38813802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11256145/
Abstract

BACKGROUND

Syndecan-1 (SDC1) is an established marker of endothelial glycocalyx shedding. Most research on SDC1 has focused on plasma or serum concentrations, and little is known about urine concentrations.

OBJECTIVES

Measure urinary SDC1 concentrations in dogs undergoing anesthesia with either sevoflurane or isoflurane and assess the effects of anesthesia duration and IV crystalloids on urinary SDC1 concentrations.

ANIMALS

Thirty-one client-owned dogs undergoing anesthesia for magnetic resonance imaging (MRI) with or without surgery for suspected intervertebral disk disease (IVDD) were used.

METHODS

Dogs with suspected IVDD were randomized to undergo anesthesia with either sevoflurane or isoflurane. Urine was collected before and immediately after anesthesia for the analysis of SDC1. Urinary creatinine concentrations also were measured, and the ratio of urinary SDC1 to urinary creatinine (USCR) was used to account for dilution.

RESULTS

Median (range) USCR was significantly higher after anesthesia compared with baseline for all groups combined (P < .05). No significant difference was found between the groups for age, sex, weight, and type of anesthesia. Multiple regression analysis of the effect of the independent variables inhalant type, age, weight, sex, anesthesia time, surgery, and quantity of IV fluids on the dependent variable SDC1 found that only the quantity of IV fluids significantly predicted a change (P < .001).

CONCLUSIONS AND CLINICAL IMPORTANCE

The total volume of lactated Ringer's solution administered to anesthetized dogs may affect USCR. Further investigations are warranted to evaluate the relationship between IV fluids and SDC1.

摘要

背景

硫酸乙酰肝素蛋白聚糖-1(SDC1)是内皮糖萼脱落的既定标志物。大多数关于 SDC1 的研究都集中在血浆或血清浓度上,而关于尿浓度的研究则知之甚少。

目的

测量接受七氟醚或异氟醚麻醉的犬的尿 SDC1 浓度,并评估麻醉持续时间和静脉晶体液对尿 SDC1 浓度的影响。

动物

31 只接受麻醉以进行磁共振成像(MRI)检查且伴有或不伴有疑似椎间盘疾病(IVDD)手术的患犬。

方法

患有疑似 IVDD 的犬随机接受七氟醚或异氟醚麻醉。在麻醉前和麻醉后立即采集尿液,用于分析 SDC1。还测量了尿肌酐浓度,并使用尿 SDC1 与尿肌酐的比值(USCR)来解释稀释度。

结果

所有组在麻醉后与基线相比,尿 SDC1 中位数(范围)均显著升高(P < .05)。组间在年龄、性别、体重和麻醉类型方面无显著差异。对独立变量吸入剂类型、年龄、体重、性别、麻醉时间、手术和静脉补液量对因变量 SDC1 的影响进行多元回归分析,发现只有静脉补液量显著预测了变化(P < .001)。

结论和临床意义

给予麻醉犬的乳酸林格氏液总量可能会影响 USCR。需要进一步研究以评估静脉补液与 SDC1 之间的关系。

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本文引用的文献

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Fluid Therapy and the Microcirculation in Health and Critical Illness.健康与危重症中的液体治疗与微循环
Front Vet Sci. 2021 May 13;8:625708. doi: 10.3389/fvets.2021.625708. eCollection 2021.
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Studying the Endothelial Glycocalyx : What Is Missing?研究内皮糖萼:缺失了什么?
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The Endothelial Glycocalyx as a Target of Ischemia and Reperfusion Injury in Kidney Transplantation-Where Have We Gone So Far?内皮糖萼作为肾移植中缺血再灌注损伤的靶点:我们已经走了多远?
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Human glycocalyx shedding: Systematic review and critical appraisal.人糖萼脱落:系统评价和批判性评价。
Acta Anaesthesiol Scand. 2021 May;65(5):590-606. doi: 10.1111/aas.13797. Epub 2021 Mar 7.
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Plasma concentrations of syndecan-1 are dependent on kidney function.血液中 syndecan-1 的浓度依赖于肾功能。
Acta Anaesthesiol Scand. 2021 Jul;65(6):809-815. doi: 10.1111/aas.13801. Epub 2021 Mar 7.
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The effects of a limited infusion rate of fluid in the early resuscitation of sepsis on glycocalyx shedding measured by plasma syndecan-1: a randomized controlled trial.通过血浆Syndecan-1测量脓毒症早期复苏中有限输液速率对糖萼脱落的影响:一项随机对照试验。
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Effect of peri-operative crystalloid fluid rate on circulating hyaluronan in healthy dogs: A pilot study.围手术期晶液率对健康犬循环透明质酸的影响:一项初步研究。
Vet J. 2021 Jan;267:105578. doi: 10.1016/j.tvjl.2020.105578. Epub 2020 Nov 29.
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A narrative review of the impact of surgery and anaesthesia on acute kidney injury.手术和麻醉对急性肾损伤影响的叙述性综述。
Anaesthesia. 2020 Jan;75 Suppl 1:e121-e133. doi: 10.1111/anae.14932.
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Plasma and Urinary Glycosaminoglycans as Evidence for Endotheliopathy in a Swine Burn Model.血浆和尿糖胺聚糖作为猪烧伤模型内皮病的证据。
J Surg Res. 2020 Apr;248:28-37. doi: 10.1016/j.jss.2019.11.006. Epub 2019 Dec 13.
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Association of endothelial and glycocalyx injury biomarkers with fluid administration, development of acute kidney injury, and 90-day mortality: data from the FINNAKI observational study.内皮和糖萼损伤生物标志物与液体输注、急性肾损伤的发生及90天死亡率的关联:来自芬兰急性肾损伤队列研究(FINNAKI)的观察性研究数据
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