RESUMEN
Background: An experimental model for ligation of the left anterior descending coronary artery (ADA) in rats has been commonly used in research into ischemic cardiopathy. However, this procedure is very difficult, with a high mortality rate. There is little information in the literature regarding its technical aspects. Our objective was to describe a surgical technique for ADA ligation in rats. Material and Method: Fifty-one Sprague-Dawley male rats weighting 230 +/- 20 gr were anaesthetized and connected to mechanical ventilation. Through a left-side thoracothomy we ligated the ADA 2 mm below the junction of the pulmonary artery and the left atrial appendage. The next day we performed transthoracic echocardiography to confirm our results. Results: The mortality rate was 7.8 percent (4 out of 51). The main cause of death was hemorrhage during surgery. The average time for the procedure was 45 +/- 5 min. We confirmed hypokinesia of the anterior lateral wall in 100 percent of the surviving rats. Discussion: This procedure was reproducible and safe, with less than 10 percent mortality.
Introducción: El modelo experimental de ligadura de la arteria coronaria descendente anterior izquierda (ADA) en ratas, ha sido de gran ayuda para el estudio de la cardiopatía isquémica. Sin embargo, es un procedimiento difícil de realizar y con alta mortalidad operatoria. Existe poca información de sus aspectos técnicos. El objetivo de nuestro trabajo fue describir en detalle la técnica quirúrgica de la ligadura de la ADA en ratas. Material y Método: Se utilizaron 51 ratas machos Sprague-Dawley 230 +/- 20 gr de peso anestesiadas y conectadas a ventilación mecánica. A través de una toracotomía izquierda se ligó la ADA, 2 mm debajo de la intersección entre la arteria pulmonar y la orejuela izquierda. Al día siguiente se realizó una ecocardiografía transtorácica para confirmar la presencia de hipocinesia. Resultados: La mortalidad operatoria fue de 7,8 por ciento (4 de 51). La principal causa de muerte fue la hemorragia en el intraoperatorio durante la curva de aprendizaje. El tiempo operatorio promedio fue de 45 +/- 5 min. Se confirmó la presencia de una hipocinesia de la pared anterolateral en el 100 por ciento de las ratas supervivientes. Discusión. Esta técnica es un procedimiento reproducible y seguro, con una mortalidad menor al 10 por ciento.
Asunto(s)
Animales , Masculino , Ratas , Procedimientos Quirúrgicos Cardíacos/métodos , Vasos Coronarios/cirugía , Ligadura , Ratas Sprague-Dawley , ToracotomíaRESUMEN
Background: Amphotericin B is efficacious for the treatment of systemic candidiasis, however it has potentially serious toxic effects. Administration as lipid emulsions has been advocated to decrease its toxicity. Aim: To compare the safety and tolerance of amphotericin B administered as lipid emulsion or dissolved in dextrose in water. Patients and methods: Forty five patients with confirmed or highly suspected systemic candidiasis were studied. Between January 1996 and June 1997 amphotericin B was administered in dextrose in water to 17 patients (group 1). Between July 1997 and December 1998, the drug was delivered in lipid emulsions (Intralipid, group 2). Clinical and laboratory parameters (serum creatinine, urea nitrogen and potassium), were assessed daily. Results: Both treatment groups were clinically comparable and had the same survival. Accumulative amphotericin B dose administered was 343.2 ñ 197 and 414.6 ñ 518 mg respectively. Hypokalemia was more frequent in group 2 (52 and 25 percent respectively, p < 0.05). There were no differences in the outcome of renal function or other adverse reactions. Conclusions: Administration of amphotericin B as lipid emulsions did not reduce its toxicity in critical patients