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Wang GR, Wu Q, Liu WP, Jing YM. Effect of Oxycodone hydrochloride combined with Dexmedetomidine on quality of recovery and stress response after general anesthesia in patients who had Laparoscopic Cholecystectomy. Pak J Med Sci 2021; 37:1408-1413. [PMID: 34475921 PMCID: PMC8377934 DOI: 10.12669/pjms.37.5.3959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 11/30/2020] [Accepted: 04/27/2021] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To explore the effect of oxycodone hydrochloride combined with dexmedetomidine on the recovery quality and stress response during anesthesia in patients undergoing laparoscopic cholecystectomy (LC). METHODS Ninety patients who had LC in Cangzhou Hospital of Integrated TCM-WM of Hebei from December 2016 to December 2019 were selected and divided into dexmedetomidine group (DEX group), oxycodone hydrochloride group (Q group), dexmedetomidine + oxycodone hydrochloride group (DQ group) by a random number table method, with 30 cases in each group. At the time before anesthesia induction (T0), and immediately (T1), 1 min (T2), 10 min (T3) and 30 minutes (T4) after extubation, the general vital signs of three groups were observed, and plasma cortisol (COR), epinephrine (E), norepinephrine (NE) and blood glucose (GLU) were measured. The spontaneous respiration recovery time, wake-up time, VAS score of each time period after extubation, extubation quality score, and adverse event rate were recorded. RESULTS The vital signs at each time point of extubation, recovery time of spontaneous respiration, wake-up time, and extubation quality of DQ group were better than those of DEX group and Q group (P<0.05). The incidence of agitation, VAS score at T2 and T3, plasma concentrations of Cor, E, NE and Glu at T1, T3 and T4 in DQ group were significantly lower than those in Q group and DEX group (P<0.05). CONCLUSION Oxycodone hydrochloride combined with dexmedetomidine can improve the recovery quality and reduce stress response in patients with LC after anesthesia, and can be safely used in patients with LC.
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Affiliation(s)
- Guo-rui Wang
- Guo-rui Wang, Department of Anesthesiology, Cangzhou Hospital of Integrated TCM-WM • Hebei, Cangzhou, Hebei, 061000, P.R. China
| | - Qian Wu
- Qian Wu, Department of Anesthesiology, Cangzhou Hospital of Integrated TCM-WM • Hebei, Cangzhou, Hebei, 061000, P.R. China
| | - Wen-ping Liu
- Wen-ping Liu, Department of Anesthesiology, Cangzhou Hospital of Integrated TCM-WM • Hebei, Cangzhou, Hebei, 061000, P.R. China
| | - Yu-mo Jing
- Yu-mo Jing, Department of Anesthesiology, Cangzhou Hospital of Integrated TCM-WM • Hebei, Cangzhou, Hebei, 061000, P.R. China
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Bulow NMH, Colpo E, Pereira RP, Correa EFM, Waczuk EP, Duarte MF, Rocha JBT. Dexmedetomidine decreases the inflammatory response to myocardial surgery under mini-cardiopulmonary bypass. Braz J Med Biol Res 2016; 49:e4646. [PMID: 26909786 PMCID: PMC4792505 DOI: 10.1590/1414-431x20154646] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2015] [Accepted: 08/31/2015] [Indexed: 11/22/2022] Open
Abstract
Cardiopulmonary bypass (CPB) with extracorporeal circulation produces changes in the immune system accompanied by an increase in proinflammatory cytokines and a decrease in anti-inflammatory cytokines. We hypothesize that dexmedetomidine (DEX) as an anesthetic adjuvant modulates the inflammatory response after coronary artery bypass graft surgery with mini-CPB. In a prospective, randomized, blind study, 12 patients (4 females and 8 males, age range 42-72) were assigned to DEX group and compared with a conventional total intravenous anesthesia (TIVA) group of 11 patients (4 females and 7 males). The endpoints used to assess inflammatory and biochemical responses to mini-CPB were plasma interleukin (IL)-1, IL-6, IL-10, interferon (INF)-γ, tumor necrosis factor (TNF)-α, C-reactive protein, creatine phosphokinase, creatine phosphokinase-MB, cardiac troponin I, cortisol, and glucose levels. These variables were determined before anesthesia, 90 min after beginning CPB, 5 h after beginning CPB, and 24 h after the end of surgery. Endpoints of oxidative stress, including thiobarbituric acid reactive species and delta-aminolevulinate dehydratase activity in erythrocytes were also determined. DEX+TIVA use was associated with a significant reduction in IL-1, IL-6, TNF-α, and INF-γ (P<0.0001) levels compared with TIVA (two-way ANOVA). In contrast, the surgery-induced increase in thiobarbituric acid reactive species was higher in the DEX+TIVA group than in the TIVA group (P<0.01; two-way ANOVA). Delta-aminolevulinate dehydratase activity was decreased after CPB (P<0.001), but there was no difference between the two groups. DEX as an adjuvant in anesthesia reduced circulating IL-1, IL-6, TNF-α, and INF-γ levels after mini-CPB. These findings indicate an interesting anti-inflammatory effect of DEX, which should be studied in different types of surgical interventions.
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Affiliation(s)
- N M H Bulow
- Departamento de Bioquímica e Biologia Molecular, Programa de Pós-graduação em Ciências Biológicas - Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
| | - E Colpo
- Departamento de Cirurgia, Centro de Ciências da Saúde, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
| | - R P Pereira
- Departamento de Química, Programa de Pós-graduação em Química Aplicada, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil
| | - E F M Correa
- Departamento de Bioquímica e Biologia Molecular, Programa de Pós-graduação em Ciências Biológicas - Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
| | - E P Waczuk
- Departamento de Bioquímica e Biologia Molecular, Programa de Pós-graduação em Ciências Biológicas - Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
| | - M F Duarte
- Departamento de Bioquímica e Biologia Molecular, Programa de Pós-graduação em Ciências Biológicas - Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
| | - J B T Rocha
- Departamento de Bioquímica e Biologia Molecular, Programa de Pós-graduação em Ciências Biológicas - Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil
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Liver δ-aminolevulinate dehydratase activity is inhibited by neonicotinoids and restored by antioxidant agents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:11676-90. [PMID: 25402564 PMCID: PMC4245637 DOI: 10.3390/ijerph111111676] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2014] [Revised: 11/05/2014] [Accepted: 11/06/2014] [Indexed: 11/17/2022]
Abstract
Neonicotinoids represent the most used class of insecticides worldwide, and their precursor, imidacloprid, is the most widely marketed. The aim of this study was to evaluate the effect of imidacloprid on the activity of hepatic δ-aminolevulinate dehydratase (δ-ALA-D), protective effect of potential antioxidants against this potential effect and presence of chemical elements in the constitution of this pesticide. We observed that δ-ALA-D activity was significantly inhibited by imidacloprid at all concentrations tested in a dose-dependent manner. The IC50 value was obtained and used to evaluate the restoration of the enzymatic activity. δ-ALA-D inhibition was completely restored by addition of dithiotreitol (DTT) and partly by ZnCl2, demonstrating that the inhibition occurs by oxidation of thiol groups and by displacement of the Zn (II), which can be explained by the presence of chemical elements found in the constitution of pesticides. Reduced glutathione (GSH) had the best antioxidant effect against to δ-ALA-D inhibition caused by imidacloprid, followed by curcumin and resveratrol. It is well known that inhibition of the enzyme δ-ALA-D may result in accumulation of its neurotoxic substrate (δ-ALA), in this line, our results suggest that further studies are needed to investigate the possible neurotoxicity induced by neonicotinoids and the involvement of antioxidants in cases of poisoning by neonicotinoids.
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Calgaroto NS, Thomé GR, da Costa P, Baldissareli J, Hussein FA, Schmatz R, Rubin MA, Signor C, Ribeiro DA, Carvalho FB, de Oliveira LS, Pereira LB, Morsch VM, Schetinger MRC. Effect of vitamin D3on behavioural and biochemical parameters in diabetes type 1-induced rats. Cell Biochem Funct 2014; 32:502-10. [DOI: 10.1002/cbf.3044] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2014] [Revised: 05/30/2014] [Accepted: 06/02/2014] [Indexed: 12/18/2022]
Affiliation(s)
- Nicéia Spanholi Calgaroto
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Gustavo Roberto Thomé
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Pauline da Costa
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Jucimara Baldissareli
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Fátima Abdala Hussein
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Roberta Schmatz
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Maribel A. Rubin
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Cristiane Signor
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Daniela Aymone Ribeiro
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Fabiano Barbosa Carvalho
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Lizielle Souza de Oliveira
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Luciane Belmonte Pereira
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Vera Maria Morsch
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
| | - Maria Rosa Chitolina Schetinger
- Programa de Pós-Graduação em Ciências Biológicas: Bioquímica Toxicológica, Centro de Ciências Naturais e Exatas, Departamento de Química; Universidade Federal de Santa Maria, Campus Universitário; Santa Maria Rio Grande do Sul Brazil
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Inflammatory Response in Patients under Coronary Artery Bypass Grafting Surgery and Clinical Implications: A Review of the Relevance of Dexmedetomidine Use. ACTA ACUST UNITED AC 2014. [DOI: 10.1155/2014/905238] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Despite the fact that coronary artery bypass grafting surgery (CABG) with cardiopulmonary bypass (CPB) prolongs life and reduces symptoms in patients with severe coronary artery diseases, these benefits are accompanied by increased risks. Morbidity associated with cardiopulmonary bypass can be attributed to the generalized inflammatory response induced by blood-xenosurfaces interactions during extracorporeal circulation and the ischemia/reperfusion implications, including exacerbated inflammatory response resembling the systemic inflammatory response syndrome (SIRS). The use of specific anesthetic agents with anti-inflammatory activity can modulate the deleterious inflammatory response. Consequently, anti-inflammatory anesthetics may accelerate postoperative recovery and better outcomes than classical anesthetics. It is known that the stress response to surgery can be attenuated by sympatholytic effects caused by activation of central (α-)2-adrenergic receptor, leading to reductions in blood pressure and heart rate, and more recently, that they can have anti-inflammatory properties. This paper discusses the clinical significance of the dexmedetomidine use, a selective (α-)2-adrenergic agonist, as a coadjuvant in general anesthesia. Actually, dexmedetomidine use is not in anesthetic routine, but this drug can be considered a particularly promising agent in perioperative multiple organ protection.
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Rocha JBT, Saraiva RA, Garcia SC, Gravina FS, Nogueira CW. Aminolevulinate dehydratase (δ-ALA-D) as marker protein of intoxication with metals and other pro-oxidant situations. Toxicol Res (Camb) 2012. [DOI: 10.1039/c2tx20014g] [Citation(s) in RCA: 90] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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