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Perioperatively Inhaled Hydrogen Gas Diminishes Neurologic Injury Following Experimental Circulatory Arrest in Swine

This study used a swine model of mildly hypothermic prolonged circulatory arrest and found that the addition of 2.4% inhaled hydrogen gas to inspiratory gases during and after the ischemic insult significantly decreased neurologic and renal injury compared with controls. With proper precautions, inh...

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Detalles Bibliográficos
Autores principales: Cole, Alexis R., Perry, Dorothy A., Raza, Ali, Nedder, Arthur P., Pollack, Elizabeth, Regan, William L., van den Bosch, Sarah J., Polizzotti, Brian D., Yang, Edward, Davila, Daniel, Afacan, Onur, Warfield, Simon K., Ou, Yangming, Sefton, Brenda, Everett, Allen D., Neil, Jeffrey J., Lidov, Hart G.W., Mayer, John E., Kheir, John N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6488769/
https://www.ncbi.nlm.nih.gov/pubmed/31061920
http://dx.doi.org/10.1016/j.jacbts.2018.11.006
Descripción
Sumario:This study used a swine model of mildly hypothermic prolonged circulatory arrest and found that the addition of 2.4% inhaled hydrogen gas to inspiratory gases during and after the ischemic insult significantly decreased neurologic and renal injury compared with controls. With proper precautions, inhalational hydrogen may be administered safely through conventional ventilators and may represent a complementary therapy that can be easily incorporated into current workflows. In the future, inhaled hydrogen may diminish the sequelae of ischemia that occurs in congenital heart surgery, cardiac arrest, extracorporeal life-support events, acute myocardial infarction, stroke, and organ transplantation.