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Managing the inflammatory response after cardiopulmonary bypass: review of the studies in animal models

OBJECTIVE: To review studies performed in animal models that evaluated therapeutic interventions to inflammatory response and microcirculatory changes after cardiopulmonary bypass. METHODS: It was used the search strategy ("Cardiopulmonary Bypass" ((MeSH))) and ("Microcirculation"...

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Detalles Bibliográficos
Autores principales: Liguori, Gabriel Romero, Kanas, Alexandre Fligelman, Moreira, Luiz Felipe Pinho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389477/
https://www.ncbi.nlm.nih.gov/pubmed/24896169
http://dx.doi.org/10.5935/1678-9741.20140017
Descripción
Sumario:OBJECTIVE: To review studies performed in animal models that evaluated therapeutic interventions to inflammatory response and microcirculatory changes after cardiopulmonary bypass. METHODS: It was used the search strategy ("Cardiopulmonary Bypass" ((MeSH))) and ("Microcirculation" ((MeSH)) or "Inflammation" ((MeSH)) or "Inflammation Mediators" ((MeSH))). Repeated results, human studies, non-English language articles, reviews and studies without control were excluded. RESULTS: Blood filters, system miniaturization, specific primers regional perfusion, adequate flow and temperature and pharmacological therapies with anticoagulants, vasoactive drugs and anti-inflammatories reduced changes in microcirculation and inflammatory response. CONCLUSION: Demonstrated efficacy in animal models establishes a perspective for evaluating these interventions in clinical practice.